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Gender

Gender: Psychological Perspectives synthesizes the latest research on gender to help students think critically about the differences between research fi ndings and stereotypes, provoking them to examine and revise their own preconceptions. The text examines the behavioral, biological, and social contexts in which women and men express gendered behaviors. The text’s unique pedagogical program helps students understand the portrayal of gender in the media and the application of gender research in the real world. Headlines from the news open each chapter to engage the reader. Gendered Voices boxes present true personal accounts of people’s lives. According to the Media boxes highlight gender-related coverage in newspapers, magazines, books, TV, and movies, while According to the Research boxes offer the latest scientifi cally based research to help students analyze the accuracy and fairness of gender images presented in the media. Additionally, Considering Diversity sections emphasize the cross-cultural perspective of gender.

This text is intended for undergraduate or graduate courses on the psychology of gender, psychology of sex, psychology of women or men, gender issues, sex roles, women in society, and women’s or men’s studies. It is also applicable to sociology and anthropology courses on diversity.

Seventh Edition Highlights

• 12 new headlines on topics ranging from gender and the Flynn effect to gender ste- reotyping that affects men

• Coverage of gender issues in aging adults and transgendered individuals • Expanded coverage of diversity issues in the US and around the globe, including the

latest research from China, Japan, and Europe • More tables, fi gures, and photos to provide summaries of text in an easy-to-absorb

format • End-of-chapter summaries and glossary • Suggested readings for further exploration of chapter topics • A companion website at www.routledge.com/cw/Brannon where instructors will fi nd

lecture outlines, PowerPoint slides, student activities, test questions, and website and video suggestions; and students will fi nd fl ashcards, student learner objectives, chapter outlines, and links to related websites and further reading

Linda Brannon is Professor of Psychology at McNeese State University in Lake Charles, Louisiana.

“Gender is a very important contribution to the study of gender in psychology. Its innovative format and unique organization provide for an enjoyable learning experience for students of psychology.”

—Florence L. Denmark, Pace University

“Gender strikes the perfect balance between biological and social factors that inform the psychology of gender. Even more importantly, this text is solidly based on scientifi c research fi ndings rather than venturing into the minefi eld of gender politics.”

—Linda Heath, Loyola University Chicago

“Gender provides a readable review of both classic and recent research on gender. Linda Brannon is consistently balanced and empirical in her stance, and original in the way she threads varied topics together to give the reader a comprehensive and nuanced understand- ing of gender.”

—Maureen C. McHugh, Indiana University of Pennsylvania

“Gender thoroughly covers the latest research on traditional topics, such as relationships and sexuality, and clearly presents newer topics such as homosexuality, transsexuals, and sexual abuse. Excellent for psychology and sociology courses.”

—Nancy Netting, University of British Columbia Okanagan, Canada

“I have been happily using Gender for many editions now, and defi nitely plan to continue having seen the same excellent writing, research foundation, and easy-to-follow organization in the seventh edition. My students like this text; I highly recommend it.”

—Karen J. Prager, The University of Texas at Dallas

Gender Psychological Perspectives

Seventh Edition

Linda Brannon

Seventh edition published 2017 by Routledge 711 Third Avenue, New York, NY 10017

and by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN

Routledge is an imprint of the Taylor & Francis Group, an informa business

© 2017 Taylor & Francis

The right of Linda Brannon to be identifi ed as the author of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe.

First published 1996 by Allyn and Bacon

Sixth edition published 2010 by Psychology Press

Library of Congress Cataloging in Publication Data Names: Brannon, Linda, 1948– author. Title: Gender : psychological perspectives / Linda Brannon. Description: Seventh Edition. | New York : Routledge, 2017. | Revised edition of the

author’s Gender, 2015. Identifi ers: LCCN 2016046499 | ISBN 9781138182356 (hardback : alk. paper) |

ISBN 9781138182349 (pbk. : alk. paper) | ISBN 9781315621821 (ebk) Subjects: LCSH: Sex differences (Psychology)—Textbooks. | Gender

identity—Textbooks. Classifi cation: LCC BF692.2 .B73 2017 | DDC 155.3—dc23 LC record available at https://lccn.loc.gov/2016046499

ISBN: 978-1-138-18235-6 (hbk) ISBN: 978-1-138-18234-9 (pbk) ISBN: 978-1-315-62182-1 (ebk)

Typeset in Garamond by Apex CoVantage, LLC

Preface xv Acknowledgments xx About the Author xxi

1 The Study of Gender 1

2 Researching Sex and Gender 22

3 Gender Stereotypes: Masculinity and Femininity 46

4 Hormones and Chromosomes 77

5 Theories of Gender Development 109

6 Developing Gender Identity 136

7 Intelligence and Cognitive Abilities 170

8 Emotion 201

9 Relationships 235

10 Sexuality 280

11 School 324

12 Careers and Work 355

13 Health and Fitness 390

14 Stress, Coping, and Psychopathology 429

Brief Contents

vi Brief Contents

15 Treatment for Mental Disorders 468

16 How Different? 499

Index 521

Preface xv Acknowledgments xx About the Author xxi

1 The Study of Gender 1

Headline: “The End of Men,” Atlantic Monthly , July/August, 2010 1 History of the Study of Sex Differences in Psychology 3

The Study of Individual Differences 4 Psychoanalysis 4

The Development of Women’s Studies 6 The History of Feminist Movements 6 Sex or Gender? 9 Women in Psychology 10 The Appearance of the Men’s Movement 12

Considering Diversity 15 Summary 17 Glossary 18 Suggested Readings 18 Suggested Websites 19 References 19

2 Researching Sex and Gender 22

Headline: “Does Gender Matter?” Nature, July 13, 2006 22 How Science Developed 22 Approaches to Research 24

Quantitative Research Methods 24 Experimental Designs 25 Ex Post Facto Studies 26 Surveys 27 Correlational Studies 28

Qualitative Research Methods 29 Interviews 29 Ethnography 30 Focus Groups 30

Contents

viii Contents

Researchers’ Choices 31 Gender Bias in Research 32

Sources of Bias 32 Ways to Deal with Bias in Science 37

Advocating Transformation 38 Decreasing Bias 39

Summary 40 Glossary 41 Suggested Readings 42 Suggested Websites 42 References 42

3 Gender Stereotypes: Masculinity and Femininity 46

Headline: “Gender Stereotypes Don’t Die Easily” Vancouver Sun, June 27, 2013 46 History of Stereotypes of Women and Men 46

The Cult of True Womanhood 47 Masculinities 48

Conceptualizing and Measuring Masculinity and Femininity 50 Explicit Measures of Stereotyping 50 Implicit Measures of Stereotyping 52

The Process and Implications of Stereotyping 53 Stereotyping, Prejudice, and Discrimination 53 Perceptions of Women and Men 54 Stereotypes over the Lifespan 59 Negative Effects of Stereotyping 61

Stereotype Threat 61 Benevolent Sexism 64

Considering Diversity 65 Summary 68 Glossary 69 Suggested Readings 69 Suggested Websites 70 References 70

4 Hormones and Chromosomes 77

Headline: “Venus and Mars Collide” New Scientist, March 5, 2011 77 The Endocrine System and Steroid Hormones 77 Sexual Differentiation 79

Chromosomes 79 Prenatal Development of Male and Female Physiology 79

The Reproductive Organs 79 The Nervous System 82

Changes during Puberty 83 Changes during Adulthood 85 Variations in Sexual Development 86

Contents ix

Variations in Number of Sex Chromosomes 86 Problems Related to Prenatal Hormone Exposure 88

Hormones and Behavior Instability 90 Premenstrual Syndrome 90 Testosterone and Aggression 96

Considering Diversity 99 Summary 100 Glossary 102 Suggested Readings 103 Suggested Websites 103 References 103

5 Theories of Gender Development 109

Headline: “Code Pink” Mother Jones , September/October, 2009 109 The Psychodynamic Approach to Gender Development 110

Freud’s View of Gender Identity Development 110 Horney’s Theory of Gender 111 Contemporary Psychodynamic Theories of Gender Development 113

Chodorow’s Emphasis on Mothering 113 Kaschak’s Antigone Phase 115

Social Learning Theory and Gender 116 Cognitive Theories of Gender Development 123

Cognitive Developmental Theory 123 Gender Schema Theory 126

Which Theory is Best? 127 Summary 130 Glossary 131 Suggested Readings 131 Suggested Websites 132 References 132

6 Developing Gender Identity 136

Headline: “A Boy’s Life” The Atlantic , November 2008 136 Gender Identity Development 136

Development during Childhood 137 The Sequence of Childhood Gender Role Development 138 Differences between Girls and Boys 140

Later Development 141 Infl uences on Gender Identity Development 145

Biological Factors and Gender Development 145 Family Environment and Gender Development 148 Peers and Gender Development 151 The Media and Gender Development 152

Gender Bias in the Media 153 Children and Media 155

x Contents

Considering Diversity 157 Summary 159 Glossary 160 Suggested Readings 160 Suggested Websites 161 References 161

7 Intelligence and Cognitive Abilities 170

Headline: “Is the Female of the Species Really More Intelligent Than the Male?” The Telegraph , July 17, 2012 170

Cognitive Abilities 170 Verbal Performance 173 Mathematical and Quantitative Performance 174 Spatial Performance 178 Other Cognitive Abilities 182

Source of the Differences 186 Biological Evidence for Gender Differences in Cognitive Abilities 186 Evidence for Other Sources of Gender Differences 188

Implications of Gender-Related Differences 189 Considering Diversity 191 Summary 192 Glossary 193 Suggested Readings 193 Suggested Websites 193 References 194

8 Emotion 201

Headline: “Do Get Mad” New Scientist , February 9, 2013 201 Gender in the Experience and Expression of Emotion 201

The Myth of Maternal Instinct 204 Maternal Deprivation and Its Consequences for Nurturing 204 Gender and Caring for Children 206

The Prominence of Male Aggression 209 Anger and Aggression 210 Developmental Gender Differences in Aggression 211 Gender and Aggression during Adulthood 214 Gender and Crime 215 Sexual Violence 219

Expressivity and Emotion 222 Considering Diversity 224 Summary 225 Glossary 226 Suggested Readings 227 Suggested Websites 227 References 227

Contents xi

9 Relationships 235

Headline: “The New Rules of Dating” Men’s Fitness , February, 2013 235 Friendships 236

Development of Styles 236 Friendships over the Lifespan 239 Flexibility of Styles 242

Love Relationships 243 Dating 244 Marriage and Committed Relationships 247

Concepts of Love and Marriage 250 Communication between Partners 252 Balance of Power 253 Division of Household Labor 255 Confl ict and Violence 257 Stability of Relationships 259

Dissolving Relationships 261 Considering Diversity 265 Summary 267 Glossary 268 Suggested Readings 268 Suggested Websites 269 References 269

10 Sexuality 280

Headline: “How to End to War over Sex Ed,” Time Atlantic , April 6, 2009 280 The Study of Sexuality 281

Sex Surveys 281 The Kinsey Surveys 281 Hunt’s Playboy Foundation Survey 284 The National Health and Social Life Survey 285 National Survey of Sexual Health and Behavior 285 Gender Differences (and Similarities) in Sexual Attitudes and Behavior 286

Masters and Johnson’s Approach 289 Childhood Sexuality: Exploration and Abuse 290 Heterosexuality 294

During Adolescence 295 During Adulthood 298

Homosexuality 303 During Adolescence 306 During Adulthood 308

Bisexuality 311 Considering Diversity 312 Summary 313 Glossary 315 Suggested Readings 315

xii Contents

Suggested Websites 316 References 316

11 School 324

Headline: “The Target,” Vanity Fair , April, 2013 324 The School Experience 324

Early Schooling 326 Changes during Middle School 328 High School 330 College and Professional School 335

Achievement 340 Achievement Motivation 340 Fear of Success 341 Self-Esteem and Self-Confi dence 341 Attributions for Success and Failure 344

Considering Diversity 345 Summary 347 Glossary 349 Suggested Readings 349 Suggested Websites 349 References 349

12 Careers and Work 355

Headline: “You’ve Come a Long Way, Baby,” Canadian Business, October 13, 2013 355 Careers 355

Career Expectations and Gender Stereotyping 357 Career Opportunities 359

Discrimination in Hiring 360 Barriers to Career Advancement 363 Balancing Career and Family 367

Gender Issues at Work 369 Gender Segregation on the Job 369 Gender, Communication, and Power in the Workplace 371 Sexual Harassment at Work 373

Considering Diversity 377 Summary 380 Glossary 381 Suggested Readings 382 Suggested Websites 382 References 382

13 Health and Fitness 390

Headline: “Ladies Last,” National Geographic, April, 2013 390 Mortality: No Equal Opportunity 390

Cardiovascular Disease 391

Contents xiii

Cancer 393 Violent Deaths 395

The Health Care System 398 Gender Roles and Health Care 398

Gender and Seeking Health Care 398 Gender and Receiving Health Care 399

Reproductive Health 402 Gender and Healthy Aging 405

Gender, Lifestyle, and Health 407 Eating 408

Body Image 409 Eating Disorders 412

Exercise and Fitness 413 Considering Diversity 415 Summary 418 Glossary 420 Suggested Readings 420 Suggested Websites 421 References 421

14 Stress, Coping, and Psychopathology 429

Headline: “White Men Have Less Life Stress, But Are More Prone to Depression Because of It,” Huffi ngton Post , September 23, 2015 429

Stress and Coping 429 Sources of Stress for Men and Women 429

Family Roles 430 Violence 432 Discrimination 433 Poverty 434

Coping Resources and Strategies 435 Social Support 436 Coping Strategies 437

Diagnoses of Mental Disorders 439 The DSM Classifi cation System 439 Gender Inequity in the Diagnosis of Mental Disorders 440

Gender Comparisons in Psychopathology 443 Depression 444 Substance-Related and Addictive Disorders 447 Anxiety Disorders 449 Other Disorders 450

Considering Diversity 454 Summary 456 Glossary 457 Suggested Readings 458 Suggested Websites 458 References 459

xiv Contents

15 Treatment for Mental Disorders 468

Headline: “Colorado Launches Man Therapy to Break Down Mental Health Stigmas” Nation’s Health, October 2012 468

Approaches to Therapy 468 Psychoanalysis 468 Humanistic Therapy 469 Cognitive Therapy 470 Behavior Modifi cation 471 Medical Therapies 472 Accusations of Gender Bias in Therapy 473

Gender Issues in Therapy 475 Feminist Therapy 475

Principles of Feminist Therapy 476 Clients of Feminist Therapy 477

Therapy with Men 478 Gender-Sensitive Therapies 479

Sexual Exploitation in Therapy 481 The Self-Help Movement 484

Online Support Groups 486 Gender Issues in Self-Help 487

Considering Diversity 488 Summary 490 Glossary 491 Suggested Readings 491 Suggested Websites 492 References 492

16 How Different? 499

Headline: “Signs of Détente in the Battle between Venus and Mars,” New York Times, May 31, 2007 499

What do Women Want? What do Men Want? 499 Have Women Become More Like Men? 499 Why Can’t a Man Be More Like a Woman? 504

Multiple Roles Have Become the Rule 506 Where Are the Differences? 509

Differences in Ability 510 Differences in Choices 512

Is a Peace Plan Possible? 514 Summary 515 Glossary 516 Suggested Readings 516 Suggested Websites 517 References 517

Index 521

This book examines the topic of gender—the behaviors and attitudes that relate to (but are not the same as) biological sex. A large and growing body of research on sex, gender, and gender-related behaviors has come from psychology, sociology, biology, biochemistry, neurology, and anthropology. This research and scholarship form the basis for this book, providing the material for a critical review and an attempt to generate an overall picture of gender from a psychological perspective.

The Topic of Gender

A critical review of gender research is important for several reasons. First, gender is currently a “hot topic,” and almost everyone has an opinion. These opinions are not usually based on research. Most people are not familiar with research fi ndings; they simply know their own opinions. People’s personal experiences infl uence their opinions, but the media cultivate a view of gender through stories and depictions in the movies, on television entertainment and news programs, and in other media. Based on these portrayals, people create images about how they believe women and men should be and attempt to re-create these images in their own lives. This personal reproduction of gender portrayals in the media is another example of what Candace West and Don Zimmerman (1987) described as “doing gender.”

In Gender: Psychological Perspectives , I present fi ndings from gender researchers, although the picture is neither simple nor complete. Research fi ndings are complex and sometimes contradictory, but the volume of research over the past 50 years has yielded suffi cient research to obtain clarity in some areas, whereas other areas are not yet so clear. I believe that it is important to understand this research rather than draw conclusions based on only personal opinions and popular media portrayals.

Second, despite the bias and controversy that have surrounded the research process, research is a valuable way to understand gender. Although scientifi c research is supposed to be objective and free of personal bias, this idealistic notion often varies from the actual research process. Gender research in particular has been plagued with personal bias. Despite the potential for bias in the research process, I believe that research is the most productive way to approach the evaluation of a topic. Others disagree with this view, including some who are interested in gender-related topics. A number of scholars, especially feminist schol- ars, have rejected scientifi c research as the best way to learn about gender.

Although I agree that science has not treated women equitably, either as researchers or as participants in research, I still believe that science offers the best chance for a fuller understanding of gender (as well as of many other topics). Although some scholars disagree, I believe that science can further the goal of equity. I agree with Janet Shibley Hyde and Kristen Kling (2001, p. 369) who said, “An important task of feminist psychology is to challenge stereotypic ideas about gender and test the stereotypes against data.” My goals

Preface

xvi Preface

are consistent with that view—to examine what gender researchers have found and how they have interpreted their fi ndings. By doing so, I hope to accomplish one of the goals that Meredith Cherland (2008) mentioned for those who teach about gender: “unsettling their students’ collective views of the world and their sense of life’s inevitability” (p. 273). I believe that the research on gender has that potential.

The book’s emphasis on gender is similar to another approach to studying gender— through examining the psychology of women. The psychology-of-women approach concen- trates on women and issues unique to women, whereas the gender approach focuses on the issue of gender as a factor in behavior and in the social context in which behavior occurs. Gender research and theory draw heavily from research on the psychology of women, but the emphasis differs.

By emphasizing women and their experience, the psychology-of-women approach often excludes men, but gender research cannot. Studying both women and men is essential to an understanding of gender. Researchers who are interested in gender issues may concentrate on women or men, but they must consider both, or their research reveals nothing about gender. Therefore, this seventh edition of Gender: Psychological Perspectives examines the research and theory from psychology and related fi elds in order to evaluate the behavior, biology, and social context in which both women and men function.

The gender approach also refl ects my personal preferences: I want a psychology of women and men. When I was completing the fi rst edition of this book, I attended a conference session on creating a course on psychology of women. Several instructors who had created such courses led a discussion about obtaining institutional approval and the challenges they had encountered, including resistance from administrators (who were mostly men) concern- ing a course in which the enrollment would be mostly women. One of the group advised trying for approval of a course on gender if obtaining approval for a psychology of women course was not successful. The implication was that the topic of gender included men and would be more acceptable but less desirable. I disagreed. I wanted men to be included—in the research, in my book, and in my classes. This preference comes from the belief that both women and men are required in order to consider and discuss gender issues. I prefer the gender approach, and I wanted this book to refl ect that attitude. As R. W. (now Raewyn) Connell (2005) has discussed, women’s efforts for change will not succeed completely with- out men’s support and assistance. Men must participate to create gender equity for everyone.

My interest in gender comes from two sources—my research and my experience as a female psychologist. The research that prompted me to examine gender issues more carefully was work on risk perception related to health problems. I was interested in investigating people’s perceptions of the health risks created by their behavior, such as the perceptions of health risks in smokers versus nonsmokers. In this research, I found that women and men saw their behaviors and risks in similar ways, even when the actual level of health risks dif- fered quite a bit for men and women. My research showed gender similarities rather than gender differences.

In examining the volume of research on gender-related attitudes and behaviors, I dis- covered that many other researchers’ fi ndings were similar to mine—more similarities than differences. When differences appeared, many were small. I came to doubt the widespread belief that men and women are opposites. Rather, the evidence indicated that women and men are more similar than different. With the focus on differences, this view was not often voiced. Recently, this view has become more prominent. Concentrating on research fi nd- ings rather than stereotypes or media portrayals, psychologists have come to conclusions of gender similarities rather than differences. Janet Shibley Hyde (2005) has proposed a gender similarities hypothesis rather than one of gender differences, and Rosalind Barnett and Caryl Rivers (2004) have summarized this view as Same Difference.

Preface xvii

As a female psychologist, I was forced to attend to gender issues from the outset of my career. Sexism and discrimination were part of the context in which I received my professional training and in which I have pursued my career as a psychologist. Women were a small minor- ity in the fi eld during my early years in psychology, but the numbers have since increased so that now women receive over half the doctoral degrees granted each year in psychology. This increase and several antidiscrimination laws have produced some improvements in equitable treatment for women in psychology (as well as in other professions and in society in general).

The psychology-of-women approach came from the women in psychology during the feminist movement of the 1960s. Most of the women in psychology have not been directly involved in the psychology of women, and some are not feminists, but the presence of a growing proportion of women has changed psychology, making a psychology of gender not only possible but also, I think, inevitable.

Gendered Voices

Although I believe that research is a good way to understand behavior, including gender- related behavior, I accept the value of other approaches, including personal accounts. In traditional quantitative research, the data consist of numbers, and each participant’s experi- ence is lost in the transformation to numerical data and the statistical compilations of these data. Personal accounts and interviews do not lead to a comfortable blurring of the results. Rather, each person’s account is sharply depicted, with no averaging to blunt the edges of the story. Louise Kidder (1994) contended that one of the drawbacks of personal accounts is the vividness of the data generated by reports of personal experience. I thought that such accounts could be an advantage.

The text of Gender: Psychological Perspectives consists of an evaluation of research fi ndings— exactly the sort of information that people may fi nd diffi cult to relate to their lives. I decided that I also wanted to include some personal, narrative accounts of gender-relevant aspects of people’s lives, and I wanted these accounts to connect to the research studies. The perils of vividness seemed small compared to the advantages. I believe that people’s personal experi- ences are distilled in statistical research, but I also know that a lot of the interesting details are lost in the process.

These “Gendered Voices” narratives are my attempt to restore some of the details lost in statistical summaries, allowing men and women to tell about their personal experiences. Telling these stories separate from the text was an alternative to presenting information about gender and highlighting the relevance of research fi ndings with vivid detail. Some of the stories are funny, showing a light-hearted approach to dealing with the frustrations and annoyances of discrimination and gender bias. Some of the stories are sad, revealing experiences of sexual harassment, violence, and abuse. All of the stories are real accounts, not fi ctional tales constructed as good examples. When the stories are based on published sources, I name the people presenting their experience. For other stories, I have chosen not to name those involved to protect their privacy. I listened to my friends and students talk about gender issues and wrote down what they told me, trying to report what they said in their own words. I hope that these stories give a different perspective and add a sense of gendered experience to the volume of research reported here.

Headlines

Long before I thought of writing a book about gender, I noticed the popularity of the topic in the media. Not only are the sexes the topic of many private and public debates, but gender differences are also the topic of many newspaper, magazine, and television stories, ranging

xviii Preface

from sitcoms to scientifi c reporting. I had read warnings about the media’s tendencies to oversimplify research fi ndings and to “punch up” the fi ndings to make the story grab people’s attention. I wanted to examine the research on gender to try to understand what the research says, with all of its complexities, and to present the media version along with an analysis of the research fi ndings.

Of particular concern to me was the tendency of the media and of people who hear reports of gender research to seek (or assume) a biological basis for the behavioral differences between the sexes, as though evidence of biologically based differences would be more “real” than any other type of evidence. The division of the biological realm from the behavioral realm is a false dichotomy; the two are intertwined and mutually infl uence each other. Even genes can be altered by environment, and experiences can produce changes in behavior as permanent as any produced by physiology. Many people hold the view that biological dif- ferences are real and permanent, whereas experience and culture produce only transient and changeable effects. This view is incorrect.

The tendency to seek a biological explanation is strong and appealing to many. As Naomi Weisstein (1982) said, “Biology has always been used as a curse against women” (p. 41), which has led many scholars to minimize the focus on biology. However, this book exam- ines biological evidence in some detail because I want to present and evaluate this research rather than ignore it. I want readers to question the extent to which the biological “curse” should apply.

To further highlight the popular conceptualizations of gender, I decided to use headlines from newspapers and popular magazines as a way to illustrate how the media represent gender. Some of the headline stories are examples of responsible journalism that seeks to present research in a way that is easy to understand, whereas other headline stories are more sensational or simplifi ed.

The sensationalism occurs because such stories get attention, but the stories distort research fi ndings and perpetuate stereotypical thinking about the sexes. I believe that Beryl Lieff Benderly (1989), a science reporter, was correct when she warned about media sensational- ism of gender research by writing the headline “Don’t believe everything you read” (p. 67).

According to the Media and According to the Research

In addition to gender in the headlines, I have included two boxed features called “Accord- ing to the Media” and “According to the Research” that concentrate on gender portrayals in the media. According to the Media boxes examine how gender is portrayed in the various media—magazines, television, movies, video games, Internet sources, cartoons, and fi ction. The corresponding According to the Research boxes provide research fi ndings as a more systematic counterpoint to the media topics. The contrast of these two presentations pro- vides an opportunity to examine gender bias and stereotyping in the media. I hope these features lead students to question and think critically about the accuracy and fairness of the thousands of gendered images that they experience through the media.

Considering Diversity

The history of psychology is not fi lled with a concern for diversity or an emphasis on diver- sity issues, but these topics are of increasing interest and concern within psychology. Indeed, gender research is one of the major contributors to the growing diversity in psychology. In addition, cross-cultural research has fl ourished and continues to expand in countries around the world. This research has begun to provide a more comprehensive picture of psychological issues in contexts beyond ethnic groups within the United States.

Preface xix

To highlight this developing research and tie it to gender issues, this edition of Gender: Psychological Perspectives includes a section in most chapters called “Considering Diversity,” which focuses on diversity research. Although diversity issues enter the text at many other points in the book, the creation of a section to highlight diversity ensures attention to these important issues. In some chapters, the research is suffi ciently developed to present a cross- cultural review of the topic, but for other topics, cross-cultural research remains sparse, so those diversity sections present a specialized topic that relates to the chapter.

References

Barnett, Rosalind; & Rivers, Caryl. (2004). Same difference: How gender myths are hurting our relationships, our children, and our jobs . New York: Basic Books.

Benderly, Beryl Lieff. (1989, November). Don’t believe everything you read: A case study of sex-difference research turned a small fi nding into a major media fl ap. Psychology Today, 67–69.

Cherland, Meredith. (2008). Harry’s girls: Harry Potter and the discourse of gender. Journal of Adolescent & Adult Literacy, 52 (4), 273–282.

Connell, R. W. (2005). Change among the gatekeepers: Men, masculinities, and gender equality in the global arena. Signs, 30 , 1801–1825.

Hyde, Janet Shibley. (2005). The gender similarities hypothesis. American Psychologist, 60 , 581–592. Hyde, Janet Shibley; & Kling, Kristen C. (2001). Women, motivation, and achievement. Psychology of Women

Quarterly, 25 , 364–378. Kidder, Louise. (1994, August). All pores open . Paper presented at the 102nd annual convention of the American

Psychological Association, Los Angeles, CA. Weisstein, Naomi. (1982, November). Tired of arguing about biological inferiority? Ms., 41–46, 85. West, Candace; & Zimmerman, Don H. (1987). Doing gender. Gender and Society, 1 , 125–151.

At the completion of any book, authors have many people to thank, and I am no exception. Without the assistance, support, and encouragement of many people, I never could have written this book, much less completed six editions. I thank all of them, but several people deserve special mention. My colleagues in the psychology department at McNeese State University were supportive and helpful. Dena Matzenbacher, Denise Arellano, Cameron Melville, Carl Bartling, Charlotte Carp, Tracy Lepper, and Patrick Moreno offered their expertise and assistance.

Husbands often deserve special thanks, and mine is no exception. My husband, Barry Humphus, did a great deal to hold my life together while I was researching and writing: He bailed me out of tech trouble repeatedly and rendered charts and graphs for many of the fi gures that appear in this edition of the book. I would not have attempted (much less completed) this book without him.

I would like to thank the people who told me their personal stories for the Gendered Voices feature of the book, many of whom have been my students at McNeese. To respect their privacy I will not name them, with one exception. Melinda Schaefer deserves special thanks because her story was so good that hearing it made me realize that I wanted to include others’ stories. Without her story, and Louise Kidder’s (1994) presentation, I would not have realized how important these accounts are.

The people at Taylor and Francis have been helpful and supportive. My editor Debra Rieg- ert and her associate Rachel Severinovsky have smoothed the transition to and supported my efforts in revising and completing the manuscript.

I would also like to thank reviewers who read parts of the manuscript and offered helpful suggestions, especially Carol Tavris, who advised me about how to use one of her excel- lent quotations and Florence Denmark, who took the time and careful attention to offer a review. I am honored. I am also grateful to past reviewers Maggie Felton, University of Southern Indiana; Heather Hill, University of Texas at San Antonio; Mary Losch, Univer- sity of Northern Iowa; Elizabeth Ossoff, Saint Anselm College; and Karen Prager, the Uni- versity of Texas at Dallas. Thanks also for the suggestions from Luciane A. Berg, Southern Utah University; Christina Byme, Western Washington University; Linda Heath, Loyola University–Chicago; Marcela Raffaelli, University of Nebraska; and Stephanie Riger, Uni- versity of Illinois–Chicago.

Acknowledgments

Linda Brannon earned two degrees from the University of Texas at Austin: a B.A. degree in Psychology and a Ph.D. in the area of human experimental psychology. After completing her doctorate, she joined the Department of Psychology faculty at McNeese State University in Lake Charles, Louisiana. She stayed at MSU, attaining the rank of Professor of Psychology.

As a female psychologist in the era when they were rare, she developed an interest in gender issues. That interest led fi rst to research, then to this textbook and a Psychology of Gender course, which she has taught for over a decade. She has also coauthored texts in the area of introductory psychology and health psychology and teaches both these courses. Her honors include the 1998 MSU Alumni Association’s Distinguished Professor Award. In addition to teaching and research, she acts as Program Coordinator for McNeese’s Bachelor of Science degree in psychology, mentors students in MSU’s Psi Chi chapter, and maintains her status as licensed psychologist in the state of Louisiana.

About the Author

Headline: “The End of Men,” Atlantic Monthly , July/August, 2010

According to Hanna Rosin (2010), boys and men are losing out to girls and women; the male advantage is declining. For example, in 2010 women became the majority of the workforce in the United States. More boys than girls fail to graduate from high school; women receive the majority of college degrees. These days, about half of doctorates in medicine and law go to women. Many wives earn higher salaries than their husbands do. Rosin pointed out that in modern societies, strength is not the important factor that it was throughout most of history. Instead, intelligence is important, and women and men are equally intelligent. In addition, women have better communication skills and a greater willingness to undergo the schooling that has become so critical for economic success. Rosin proposed that economic and societal forces have changed women’s roles to—and sometimes beyond—the point of equality: “For years, women’s progress has been cast as a struggle for equality. But what if equality isn’t the end point?” (Rosin, 2010, p. 56).

Is it possible that women will become dominant? Anthropologist Melvin Konner (2015) argued that they will; the end of male supremacy is near. Konner’s reasoning is similar to followers of evolutionary psychology who contend that women and men have evolved in different ways that furnish modern humans with “hard-wired” gender differences. Both take an essentialist view , which contends that some “essence,” or underlying biological component, makes men and women different. The evolutionary psychology view (Buss & Schmitt, 2011) holds that evolutionary pressures have shaped women to prioritize their role in raising children, whereas men must gather resources to attract women. These differences in priorities have created modern men who are forceful and dominant and modern women who focus on childbearing and child care.

According to most people’s views of the relationship between biology and behavior, bio- logical differences determine behavior. Therefore, if the differences between women and men are biological, those differences are perceived as fi xed and invariant (Keller, 2005). Recent changes in society should make little difference in women’s and men’s basic natures. Konner argued that the situation of boys and men losing out to girls and women is part of the recent changes in society: The evolved tendencies that have made women more cooperative, caring, practical, and patient have made them better adapted than men in modern society. This twist on an essentialist view of gender differences is not likely to calm the debate about gender.

Confl icts and questions about the roles of women and men occur in debates about gender: Which is more important, nature (biology) or nurture (culture and society)? What types of differences exist? What is the basis for these differences? What is the extent of these differ- ences? A switch from male dominance to equality or female dominance seems inconsistent with an evolutionary view but also with many people’s views: Women and men are born with biological differences that dictate the basis for different traits and behaviors. Indeed, they are

The Study of Gender 1

2 The Study of Gender

so different that women are the “opposite sex,” suggesting that whatever men are, women are at the other end of the spectrum. Those who hold this view fi nd the differences obvi- ous and important. Those who emphasize social and economic factors as the driving forces in behavior see the possibility that roles are fl exible. Drawing from research in psychology, sociology, biology, and anthropology, the differences between women and men seem to be a complex puzzle with many pieces (Eagly & Wood, 2013).

The battle lines have been drawn between two camps, both of which look to volumes of research for support for their view and see supporting evidence for their different views. Some people at some times have believed that differences between males and females are few, whereas others have believed that the two are virtually different species. These two posi- tions can be described as the minimalist view and the maximalist view (Epstein, 1988). The minimalists perceive few important differences between women and men, whereas the maximalists believe that the two have large, fundamental differences. Many maximalists also hold an essentialist view, believing that the large differences between women and men are part of their essential biological natures. Although these views have varied over time, today both the maximalist and the minimalist views have vocal supporters. Table 1.1 summarizes the most prominent version of these two positions and the intersection between these views and the essentialist view.

This lack of agreement coupled with commitment to a position suggests controversy, which is almost too polite a term for these disagreements. Few topics are as fi lled with emotion as discussions of the sexes and their capabilities. These arguments occur in places as diverse as playgrounds and scientifi c laboratories. The questions are similar, regardless of the setting: Who is smarter, faster, healthier, sexier, more capable, and more emotional? Who makes better physicians, engineers, typists, managers, politicians, artists, teachers, parents, and friends? Who is more likely to go crazy, go to jail, commit suicide, have a traffi c accident, tell lies, gossip, and commit murder? The full range of human possibilities seems to be grounds for discussion, but the issues are unquestionably important. No matter what the conclusions, at least of half the human population (and most probably all of it) is affected. Therefore, not only are questions about the sexes interesting, but also the answers are important to individuals and to society. Later chapters explore the research concerning abilities and behaviors, and an examination of this research allows an evaluation of these questions.

Answers to these important questions about differences between women and men are not lacking. Almost everyone has answers—but not the same answers. It is easy to see how people might hold varying opinions about a controversial issue, but some consistency should exist among fi ndings from researchers who have studied men and women. Scientists should be able to investigate the sexes and provide evidence concerning these important questions. Researchers have pursued these questions, obtained results, and published thousands of

Table 1.1 The Maximalist and Minimalist Views of Gender Differences

Position View of Differences between the Sexes

Differences Created through How Strongly Essentialist?

Maximalist Differences are large and important

Evolutionary history and sex hormones

Very

Minimalist Differences are small with few large enough to be important

Stereotyping and different treatment for males and females

Not Strongly

The Study of Gender 3

papers. There is no shortage of investigations—or publicity—about the sexes. Unfortunately, researchers are subject to the same problems as everyone else: They do not all agree on what the results mean—or even what they are.

In addition, many research fi ndings on men and women are not consistent with popular opinion, suggesting that popular opinion may be an exaggeration or distortion, most likely based on people’s personal experiences rather than on research. Both the past and the present are fi lled with examples that exaggerate differences between women and men.

People have a tendency to think in terms of opposites when considering only two exam- ples, as with the sexes (Fausto-Sterling, 2000; Tavris, 1992). If three sexes existed, people might not have the tendency to draw comparisons of such extremes. They might be able to see the similarities as well as the differences in men and women; they might be able to approach the questions with more fl exibility in their thinking. The sexual world may not actually be polarized into only two categories (as Chapter 4 explores this in more detail), but people do tend to see it that way. This perception of only two sexes infl uences people to think of the two sexes as polar opposites. To maintain these oppositional categories, people must exaggerate the differences between women and men, which results in stereotypes that do not correspond to real people (Bem, 1993b). Although these stereotypes are not realistic, they are powerful because they affect how women and men think about themselves and how they think about the “opposite” sex.

History of the Study of Sex Differences in Psychology

Speculations about the differences between men and women probably predate history, but these issues were not part of the investigations of early psychology. Indeed, questions about sex differences were not part of early psychology. Questions in early psychology were guided by its founder, Wilhelm Wundt, and revolved around the nature of human thought processes (Schultz & Schultz, 2012). Wundt wanted to establish a natural sci- ence of the mind through experimentation; he established a laboratory at the University of Leipzig in Germany in 1879 (although this date is subject to some controversy). Students fl ocked to Wundt’s lab to study the new psychology. Using chemistry as the model, they devised a psychology based on an analytical understanding of the structure of the conscious mind. This approach to psychology became known as the structuralist school of psychology.

The structuralists were interested in investigating the “generalized adult mind” (Shields, 1975a), and therefore any individual differences, including differences between the minds of women and men, were of no concern to these early psychologists. This inattention to sex differences did not mean equal treatment of women and men by these early psycholo- gists. The generalized adult mind on which psychology’s early fi ndings were based was a generalization drawn from data collected from and by men. Indeed, women were expressly prohibited from one of the early groups of experimental psychologists in the United States (Schultz & Schultz, 2012).

Some scholars from the United States went to Germany to study with Wundt and brought psychology back. Despite their training in Germany, many found the views of German psy- chology too limiting and impractical. As psychology grew in the United States, it developed a more practical nature. This change is usually described as an evolution to functional- ism , a school of psychology that emphasized how the mind functions rather than its struc- ture (Schultz & Schultz, 2012). As psychologists with a functionalist orientation started to research and theorize, they drew a wider variety of subjects into psychological research and theories, including children, women, and nonhuman animals.

4 The Study of Gender

The Study of Individual Differences

Among the areas of interest in functionalist psychology were the issues of adaptability and intelligence. These interests prompted the development of intelligence testing and the com- parison of individual differences in mental abilities and personality traits, including sex dif- ferences. The functionalists, infl uenced by Darwin and the theory of evolution, tended to look for biologically determined differences, including a biological basis for sex differences. Although female psychologists pointed out the effects of social infl uence on women’s and men’s behaviors, functionalist psychologists were hesitant to acknowledge any possibility of social infl uence in the sex differences they found (Milar, 2000).

The studies and writings of functionalists of this era tended to demonstrate that women were less intelligent than men, benefi ted less from education, had strong maternal instincts, and were unlikely to produce examples of success or eminence. Women were not the only group deemed inferior; people who were not white were also considered less intelligent and less capable.

Findings of the intellectual defi ciencies of women did not go uncriticized. As early as 1910, Helen Thompson Woolley contended that the research on sex differences was full of the researchers’ personal bias, prejudice, and sentiment (Shields, 1975a), and Leta Stet- ter Hollingworth took a stand against the functionalist view of women (Shields, 1975b). These female psychologists argued against the prevailing view. Hollingworth contended that women’s potential would never be known until women had the opportunity to choose the lives they would like—career, maternity, or both.

The functionalist view began to wane in the 1920s, and a new school of psychology, behaviorism , gained prominence. The behaviorists emphasized observable behavior rather than thought processes or instincts as the subject matter of psychology. The behaviorist view of psychology was consistent with the prevailing style of masculinity during the early 20th century—tough-minded and combative (Minton, 2000). With the change from a functionalist to a behaviorist paradigm in U.S. psychology, the interest in research on sex differences sharply decreased. “The functionalists, because of their emphasis on ‘nature,’ were predictably indifferent to the study of social sex roles and cultural concepts of masculine and feminine. The behaviorists, despite their emphasis on ‘nurture,’ were slow to recognize those same social forces” (Shields, 1975a, p. 751). Rather, behaviorists were interested in the areas of learning and memory, concentrating on studies with rats as subjects.

In addition, research on learning ignored social factors, including sex roles and sex dif- ferences. In ignoring gender, psychologists created “womanless” psychology (Crawford & Marecek, 1989), an approach that either failed to include women as participants or failed to examine gender-related factors when both men and women participated in psychological research. Until the 1970s, psychology was overwhelmingly male. As Rhoda Unger (1983– 1984) commented about her education in psychology, “Even the rats were male” (p. 227).

When behaviorism dominated psychology, the only theorists who unquestionably had an interest in sex differences were those with a psychodynamic orientation—the Freudians.

Psychoanalysis

Both Freud’s psychodynamic theory of personality development and his psychoanalytic approach to treatment appear in more detail in Chapter 5 . However, the history of psy- chology’s involvement in issues of sex and gender necessitates a brief description of Freud’s personality theory and his approach to treatment.

Although Sigmund Freud’s work did not originate within psychology, the two are popu- larly associated. And unquestionably, Freud’s work and Freudian theory concerning person- ality differences between women and men have infl uenced both psychology and society in general. These infl uences have made the work of Freud very important for understanding how theorists within psychology conceptualized sex and gender.

The Study of Gender 5

In the United States, Freud’s work began to gain popular attention in 1909, when Freud came to the United States to give a series of invited lectures at Clark University (Schultz & Schultz, 2012). Immediately after his visit, newspapers started carrying features about Freud and his theory. By 1920, interest in Freudian theory and analysis was evident both in books and in articles in popular magazines. Psychoanalysis gained popular interest, becoming almost a fad. Indeed, popular acceptance of Freud’s work preceded its acceptance by academicians.

Freud emphasized the role of instinct and physiology in personality formation, hypoth- esizing that instincts provide the basic energy for personality and that the child’s perception of anatomical differences between boys and girls is a pivotal event in personality formation. Rather than rely on genetic or hormonal explanations for sex differences in personality, Freud looked to early childhood experiences within the family to explain how physiology interacts with experience to infl uence personality development.

For Freud (1925/1989), the perception of anatomical differences between boys and girls was a critical event. The knowledge that boys and men have penises and girls and women do not forms the basis for personality differences between boys and girls. The results of this perception lead to confl ict in the family, including sexual attraction to the other-sex parent and hostility for the same-sex parent. These incestuous desires cannot persist, and Freud hypothesized that the resolution of these confl icts comes through identifi cation with the same-sex parent. However, Freud believed that boys experience more confl ict and trauma during this early development than girls, leading boys to a more complete rejection of their mother and a more complete identifi cation with their father. Consequently, Freud (1925/1989) hypothesized that men typically form a stronger conscience and sense of social values than women do.

Did Freud mean that girls and women were defi cient in moral standards compared to men? Did he view women as incomplete (and less admirable) people? It is probably impossible to know what Freud thought and felt, and his writings are suffi ciently varied to lead to contra- dictory interpretations. Thus the question of Freud’s view of women has been hotly debated. Some authors have criticized Freud for supporting a male-oriented society and the enslave- ment of women, whereas others have defended Freud and his work as applied to women. In defense of Freud (Tavris & Wade, 1984), his view of women was not suffi ciently negative to prevent him from accepting them as colleagues during a time when women were not wel- come in many professions. In addition, he encouraged his daughter, Anna, to pursue a career in psychoanalysis. Freud’s writings, however, reveal that he held many negative views about women and seemed to feel that they were inferior to men, both intellectually and morally.

Regardless of Freud’s personal beliefs, the popular interpretation of his theory repre- sented women as inferior to men—less ethical, more concerned with personal appearance, more self-contemptuous, and jealous of men’s accomplishments (and also, literally, of their penises). Accepting the feminine role would always mean settling for inferior status and opportunities, and women who were not able to reconcile themselves to this status were candidates for therapy because they had not accepted their femininity.

Freud’s theory also held stringent and infl exible standards for the development of mascu- linity. For boys to develop normally, they must experience severe anxiety during early child- hood and develop hatred for their father. This trauma should lead a boy to identify with his father out of fear and to experience the advantages of the male role through becoming like him. Boys who do not make a suffi ciently complete break with their mothers are not likely to become fully masculine but to remain somewhat feminine, thus experiencing the problems that society accords to nonmasculine men.

The psychoanalytic view of femininity and masculinity has been enormously infl uential in Western society. Although not immediately accepted in academic departments, the psycho- analytic view of personality and psychopathology was gradually integrated into the research and training of psychologists. Although the theory has prompted continuing controversy,

6 The Study of Gender

interest continues in the form of both attacks and defenses. This continuing stream of books and articles speaks to the power of Freud’s theory to capture attention and imagination. Despite limited research support, Freudian theory has been and remains a force in concep- tions of sex and gender.

In summary, psychological research that includes women dates back to the early 20th century and the functionalist school of psychology, but this approach emphasized sex differences and searched for the factors that distinguish men and women. When the behaviorist school domi- nated academic psychology, its lack of interest in sex differences created a virtually “woman- less” psychology. During that same time, Freudian psychoanalysts held strong views on the sexes, but this theory proposed that women are physically and morally inferior to men. This belief in the innate inferiority of women infl uenced research on women. Table 1.2 summarizes psychological theories and their approaches to gender. In contrast to these male-dominated theories, some investigators emphasize the study of women.

The Development of Women’s Studies Women’s studies came about as a result of political, social, and intellectual developments that began in the 18th century and continue in the present (Sommers, 2008). Those develop- ments have affected psychology and have changed society and people’s daily lives.

The History of Feminist Movements

The feminist movement of the 1960s prompted the development of women’s studies (Freed- man, 2002). This version of feminism is referred to as the second wave of feminism. The fi rst wave of feminism began with the campaign for changes in women’s roles and legal status, focusing on voting rights for women, the availability of birth control, and other legal changes to improve women’s social and economic status (Sommers, 2008). That movement experi- enced some success—for example, women gained the right to vote in many countries—but other legal changes did not occur.

The feminist movement of the 1960s grew out of the U.S. civil rights movement and brought about some of the changes that earlier feminist movements had sought (Nachescu, 2009). One of the most prominent changes was women’s entry into the workforce in record numbers in many industrialized countries. Both professional and working-class women experienced situa- tions of discrimination that led many to work toward legal and social changes for women. These goals fi t the defi nition of liberal (or equal rights) feminism and included people who wanted to end discrimination based on sex and extend equal rights to women (Freedman, 2002).

Table 1.2 Role of Gender in Psychological Theories throughout the History of Psychology

Theory Emphasis of Theory Role of Gender

Structuralism Understanding the structure of the human mind

Minimal—all minds are equivalent

Functionalism Understanding the function of the mind

Sex differences are one type of individual difference

Behaviorism Studying behavior in a scientifi c way

Minimal—behavior varies with individual experience

Psychoanalysis Studying normal and abnormal personality development and functioning

Biological sex differences and their recognition are motivating forces

The Study of Gender 7

Some feminists believed that calling for an end to discrimination was not suffi cient; equal- ity for women required more drastic changes in society. These radical feminists believed that women have been oppressed by men and that this oppression has served as a model for racial and class oppression (Nachescu, 2009). According to radical feminists, the entire social system requires major change to end the subservient role that women occupy. Both liberal and radi- cal feminism call for political activism designed to bring about changes in laws and in society.

In the 1960s and 1970s, women entered colleges and universities in increasing numbers. These scholars pursued their interest by focusing on topics related to women, which resulted in the development of courses and curricula devoted to women’s studies as an academic discipline. This emphasis was often compatible with another variety of feminism, cultural feminism , which also advocates social change. Inspired by Carol Gilligan’s In a Different Voice (1982), cultural feminists advocate moving toward an acceptance and appreciation of traditionally feminine values. Cultural feminists believe that, were women in charge, many of the world’s problems would disappear, because women’s values of caring and relationships would eliminate them.

Radical and cultural feminists have received more publicity than other types of feminism, creating an inaccurate image of and a backlash against feminism (see According to the Media and According to the Research). Feminists were cast as loud, pushy, man-hating, unattractive women who always seemed unsatisfi ed, even with the changes that had offered them the opportunities they sought. This image led to many women’s reluctance to identify with feminism, and media sources proclaimed that feminism was dying (Hall & Rodri- guez, 2003). Feminist values did not disappear; indeed, women and men continued to

Photo 1.1 The fi rst women’s movement pushed for voting rights for women.

8 The Study of Gender

endorse equal right and opportunities, but fewer identifi ed as feminists. This development began the third wave of feminism, often called postfeminism. Underlying this concept is the notion that feminism is not necessary because the goals of second wave feminism have been accomplished. Many dispute this notion, but it remains a common belief. Table 1.3 summarizes the three waves of feminism.

Table 1.3 Waves of Feminism

Wave of Feminism Time Frame Dominant Theme Goals

First Wave Mid-1800s–Early 1900s

Suffrage Movement Women deserve legal rights Voting rights and access to birth control for women

Second Wave 1960s–1980s

Liberal/Equal Rights Women deserve equal legal rights

Equal access to education, workplace, and political careers

Radical Male dominance has oppressed women

Overthrow male oppression

Cultural Women’s values are different and deserve respect

Acceptance and appreciation of women and female values

Third Wave 1990s–present

Postfeminism Feminism is no longer necessary

Women have achieved equal treatment and opportunities

According to the Media . . . Feminists Are Bra-Burning Man-Haters The media image of a feminist is a radical, man-hating woman who is uninterested in attracting (or unable to attract) men. This description is remarkably consistent throughout the United States, reported Courtney Martin (2007), who attributed this consistency to “media manufactured myths.”

The image of feminists as “bra burners” originated with one of the prominent events in the second wave of feminism: the protest at the 1968 Miss America pageant (Kreydatus, 2008). A group of feminist women organized a protest of the beauty pageant, arguing that its emphasis on a specifi c standard of beauty was degrading to women. Heavy media coverage accompanied these protests, and one reporter used the term “bra burner” to describe these feminists. The description stuck.

The media have focused on radical feminists, probably because these femi- nists provide better stories. As feminism grew, the medial labels became even more uncomplimentary, including the term “feminazi,” popularized by Rush Limbaugh (MediaMatters for America, 2005). The focus on radicalism and the uncompliment- ary media terms helped to promote feminists as radical, bra-burning man-haters.

Television and movies have portrayed that image and other variations of feminism in ways that belittle, satirize, or dilute feminism. The PowerPuff Girls (1998–2005) portrayed kindergarten female superheroes, but the show’s worst villain, Femme Fatale, called herself a feminist. Recent televisions shows, such as 30 Rock , Scandal , and Homeland , feature leading female characters that display a mixture of intelligence and competence but also stereotypically poor judgment problems concerning men. These female characters do not match the radical feminist stereotypes, but they dilute their strong female characters to make their strength more acceptable.

The Study of Gender 9

According to the Research . . . Feminists Are Neither of the Above

According to research conducted with feminist women, they fail to match any of the stereotypes promoted in the media. An examination of the events of the protest during the 1968 Miss American pageant failed to show any burned bras (Kreydatus, 2008). A “freedom trash can” was part of the protest, and the protesters threw in objects they associated with “female garbage,” such as bras, girdles, false eyelashes, and steno pads, but they did not set the objects on fi re. The bra burning was symbolic, not literal, but the image persisted.

The notion that feminists hate men is also a widespread belief, but little research has investigated and none has supported this stereotype. One study assessed wom- en’s feminism and then tested their attitudes toward men (Anderson, Kanner, & Elsayegh, 2009). The results indicated the opposite of the stereotype: Feminists had lower levels of hostility toward men than women who did not identify themselves as feminists.

Some feminist scholars (Barakso & Schaffner, 2006) have contended that the media focus on the more extreme issues and members of feminist groups, which has created the image of Limbaugh’s “feminazis” but fails to capture the women or the issues of feminism. As feminist Courtney Martin (2007) said, “Feminism in its most glorious, transformative, inclusive sense, is not about man-hating” but about educated choices for men as well as for women, genuine equality, and a vision of gender roles that allow individuals to become their most authentic selves. This image lacks the controversy and varies from the media stereotype of feminists.

Sex or Gender?

With the growing interest in women’s issues came concerns about how to phrase the questions researchers asked. Those researchers who have concentrated on the differences between men and women historically have used the term sex differences to describe their work. In some investigations, these differences were the main emphasis of the study, but for many more studies, such comparisons were of secondary importance (Unger, 1979). By measuring and analyzing differences between male and female par- ticipants, researchers have produced a huge body of information on these differences and similarities, but this information was not of primary importance to most of these researchers.

When differences between women and men began to be the focus of research, contro- versy arose over terminology. Some researchers objected to the term sex differences , con- tending that any differences trace back to biology (McHugh, Koeske, & Frieze, 1986). Critics also objected that the term has been used too extensively and with too many mean- ings, including chromosomal confi guration, reproductive physiology, secondary sex char- acteristics, as well as behaviors or characteristics associated with women or men (Unger, 1979). Rhoda Unger proposed an alternative—the term gender . She explained that this term describes the traits and behaviors that are regarded by the culture as appropriate to women and men. Gender is thus a social label and not a description of biology. This label includes the characteristics that the culture ascribes to each sex and the sex-related char- acteristics that individuals assign to themselves. Carolyn Sherif (1982) proposed a similar defi nition of gender as “a scheme for social categorization of individuals” (p. 376). Both Unger and Sherif recognized the socially created differentiations that have arisen from the

10 The Study of Gender

biological differences associated with sex, and both have proposed that use of the term gender should provide a useful distinction.

Unger suggested that use of the term gender might reduce the assumed parallels between biological and psychological sex, or at least make those assumptions explicit. That attempt to draw distinctions between the concepts of sex and gender has not been entirely success- ful. Some researchers use the two terms interchangeably, whereas others have substituted the term gender for the term sex but still fail to make any distinction (Pryzgoda & Chrisler, 2000). Others choose the terminology that refl ects their point of view—those who use the term gender often intend to emphasize the social nature of differences between women and men, whereas those who use the term sex mean to imply biological differences. Thus researchers who are biological essentialists use the term sex to refer to all differences between men and women, whereas those who use the term gender want to emphasize the social nature of such differences.

Women in Psychology

The history of studying gender in psychology is lengthy, including the individual differ- ences approach and psychoanalysis. However, women were rarely prominent psychologists. Women were admitted as students in doctoral programs from the early years of psychology, but they had a diffi cult time fi nding positions as psychologists, especially in academic set- tings. In 1941, a group of female psychologists formed the National Council of Women Psychologists to further the work of female psychologists in the war effort (Walsh, 1985). In 1944, this group became the International Council of Women Psychologists, and despite attempts to become a division of the American Psychological Association (APA), they expe- rienced repeated rejections.

The dramatic increase of women attending college in the 1960s affected psychology, and the new area of women’s studies changed the discipline. Infl uenced by feminist scholars and their own research priorities, women expanded the earlier area of gender-related behaviors and individual differences to create a new psychology of women and gender (Marecek, Kimmel, Crawford, & Hare-Mustin, 2003; Walsh, 1985).

In 1968, psychologist Naomi Weisstein presented a paper that infl uenced a generation of psychologists, “‘Kinde, Küche, Kirche’ as Scientifi c Law: Psychology Constructs the Female.” In this paper, Weisstein (1970) argued that psychological research had revealed almost nothing about women because the biases, wishes, and fantasies of the male psy- chologists who conducted the research contaminated the results. Although the criticism was aimed mostly at clinical psychology and the Freudian approach to therapy, Weisstein also charged research psychologists with fi nding only what they wanted and expected to fi nd about women rather than researching women as they were. She wrote: “Present psy- chology is less than worthless in contributing to a vision which could truly liberate—men as well as women” (p. 231).

Weisstein’s accusations came at a time when the feminist movement in society and a growing number of women in psychology wanted a more prominent place for women in the fi eld and sought to create feminist-oriented research. Weisstein made the point that psycho- logical research had neglected to take into account the context of behavior, without which psychologists could understand neither women nor people in general. This criticism seems to have contained a great deal of foresight (Bem, 1993a); psychological research on women began to change in that specifi c way. “During the 1970s psychological researchers made an important discovery: humans are gendered beings whose lives and experiences are (most

The Study of Gender 11

likely) infl uenced by their gender” (Smiler, 2004, p. 15). Psychologists held no monopoly on women’s studies. Sociologists, anthropologists, ethnologists, and biologists also became involved in questions about biological and behavioral differences and similarities between the sexes (Schiebinger, 1999).

The struggle for professional acceptance is clear in the history of the formation in the APA of a division devoted to women’s issues, which did not occur until 1973. Division 35, Society for the Psychology of Women, can be directly traced to the Association for Women in Psychology, a group that demonstrated against sex discrimination and advocated for an increase in feminist psychological research at the 1969 and 1970 APA national conventions (Walsh, 1985). Unlike the earlier International Council, Division 35 goals included not only the promotion of women in psychology, but also the advancement of research on women and issues related to gender. The great volume of psychological research on sex and gender that has appeared in the past 35 years is consistent with the Division 35 goal of expanding the study of women and encouraging the integration of that research with current psycho- logical thinking. Indeed, Division 35 members have conducted much of that research, but other disciplines have also contributed substantially. The current plethora of research on sex and gender comes from investigations in biology, medicine, sociology, communication, and anthropology, as well as psychology.

In summary, the feminist movement of the 1960s prompted a different type of research, producing results that questioned the stereotypes and assumptions about innate differences between the sexes. Not only did this research begin to examine sex differences and similari- ties, but these researchers also expanded ways to study women and men. This more recent orientation has led to voluminous research in the fi eld of psychology, as well as in sociology, anthropology, communication studies, literary analysis, art, and biology.

The feminist movement questioned the roles and stereotypes for women, and soon the questioning spread to men, who began to examine how the infl exibility of gender stereotypes might harm them, too.

Gendered Voices: I’m Not a Feminist, But. . . .

Women (and a few men) utter the phrase, “I’m not a feminist, but. . . .” usually followed by a statement that is clearly feminist. This unwillingness to identify with the women’s movement highlights the emergence of a new F-word shocking polite company: feminism (Penny, 2013). Even women and men who espouse feminist values seem to feel obligated to distance themselves from the label.

One example of that reluctance came from Katie Perry, who said “I’m not a femi- nist, but I do believe in the strength of women” when she received the 2012 Billboard Woman of the Year award (Jezebel, 2012). Yahoo CEO Marissa Mayer said that she would not consider herself a feminist because that term seems very negative (Mandell, 2013), but she also said “I certainly believe in equal rights. I believe that women are just as capable, if not more so, in a lot of different dimensions.” Beyoncé Knowles is another accomplished woman who was not anxious to be identified as a feminist; the word feminism seems extreme to her, too (Ellison, 2013). But she finally conceded: “But I guess I am a modern-day feminist. I do believe in equality.” This is one of the basic definitions of feminism.

12 The Study of Gender

The Appearance of the Men’s Movement

The men’s movement mirrors the women’s movement, beginning during the 19th-century women’s suffrage movement. During that time, the women’s suffrage movement was not the only challenge to society’s roles for men and women. Men felt increasing threats to their mascu- linity by the change from agricultural to industrial society, by women entering the workforce, and by increasing demands for education, which seemed dominated by women (Minton, 2000).

The contemporary women’s movement has also questioned and challenged men concern- ing the status quo of legal, social, and personal roles and relationships. Although some men have failed to see the problem, other men from around the world have begun to consider how these challenges pertain to their lives, too. R. W. Connell (2001) argued that societal roles constrain men, too, giving men a reason to seek change: “The gender positions that society constructs for men may not correspond exactly with what men actually are, or desire to be, or what they actually do. It is therefore necessary to study masculinity as well as men” (p. 44). Connell (2005, 2012) continued to study masculinity and began to emphasize the necessity of men’s participation in reforming gender roles, contending that: “Moving toward a gender-equal society involves profound institutional change as well as change in everyday life and personal conduct. To move far in this direction requires widespread social support, including signifi cant support from men and boys” (2005, p. 1801).

Feminist men formed groups equivalent to the consciousness-raising groups common in the women’s movement (Baumli & Williamson, 1997). Although group members discussed their common problems and sought support from each other, their activities usually did not progress to the larger organizations that sought political power, as the women’s groups had done. They tended to remain small and local, but a few grew into national organizations.

During the 1970s, men who were interested in furthering feminist goals joined the National Organization for Women and proclaimed themselves to be feminists. During the 1980s, mas- culinity and the problems of men became a focus, and other profeminist men’s organizations arose. The National Organization for Men Against Sexism (NOMAS) is a profeminist men’s organization that also works to obliterate racism and prejudice against gay men. This type of concern with masculinity and exploring positive options has spread to countries around the world, including Australia, Sweden, Japan, Latin America, and the Caribbean (Connell, 2012).

Within psychology, the Society for the Psychological Study of Men and Masculinity suc- ceeded in gaining divisional status in 1995, becoming Division 51 of the APA. The goals of this division include (1) promoting the study of how gender roles shape and constrict men’s lives, (2) helping men to experience their full human potential, and (3) eroding the defi nition of masculinity that has inhibited men’s development and has contributed to the oppression of others.

Another approach to men’s groups appears in national groups that are not interested in feminist goals; indeed, some of these men are interested in restoring the traditional gender roles that they believe have been destroyed by the women’s movement. These men argue that men—not women—are the oppressed sex. One such group is the National Coalition for Men (NCFM, formerly the National Coalition of Free Men), a group that opposes sexism but sees feminist groups as sexist. The men in NCFM (Baumli & Williamson, 1997) have argued that sexism oppresses men more than women.

Some men’s rights groups are organized around specifi c issues, such as changing divorce laws or promoting joint child custody (Baumli & Williamson, 1997). Many of these men see women’s rights groups as enemies because women’s groups tend to oppose joint custody and no-fault divorce laws. Few in the men’s movement actively promote a return of “the good old days” and a reversal of the changes brought about by the women’s movement. Many participants in men’s groups would like to see a less sharply gendered society, in which both women and men have choices not bound by gender stereotypes. The changes that would

The Study of Gender 13

fulfi ll these goals differ among men, and both antifeminist and profeminist men consider themselves part of the men’s movement (Strapagiel, 2013).

Yet another variation of the men’s movement came from men trying to fi nd a masculine identity that differs from traditional masculinity. Early proponents of this view included authors such as Robert Bly (1990) and Sam Keen (1991), who contend that modern society has left men with no easy way to form a masculine identity. The culture provides inappropri- ate models, and fathers are often absent, providing no model at all. This defi cit produces men who are inappropriately aggressive and poorly fi tted to live in society, to form relationships with women, and to be adequate fathers. The straight edge (sXe) is a more recent movement with similar views. Most of those in this movement are young, single, White men who fol- low punk rock music but reject the drug use, violence, and sexual exploitation common in that (and in mainstream) culture (Haenfl er, 2004). These men are committed to creating an alternative masculinity that is more compassionate and accepting: This version of the men’s movement has spread worldwide.

Two versions of the men’s movement gained and then lost popularity: Promise Keep- ers and the Good Men Movement. The Promise Keepers arose during the 1990s as part of neoconservative evangelical Christianity. Their vision of masculinity was one of godly manhood in which men should reclaim their position as head of the family, living up to their roles as providers and protectors (Bartkowski, 2000; Messner, 1997; Newton, 2004). Promise Keepers was also the model for the development of a Catholic men’s movement (Gelfer, 2008). Studies of men who have participated in Promise Keepers (Newton, 2004; Silverstein, Auerbach, Grieco, & Dunk, 1999) revealed that this movement supports men who attempt to become more nurturant, involved fathers. Promise Keepers sponsored rallies that fi lled football stadiums in the 1990s, but fi nancial and leadership problems caused a loss in popularity (Fowler, 2009).

Gendered Voices: When I Look in the Mirror

“When you wake up in the morning and look in the mirror, what do you see?” a Black woman asked a White woman (Kimmel & Messner, 1992, p. 2).

“I see a woman,” said the White woman. “That’s precisely the issue,” the Black woman replied. “I see a Black woman. For me, race

is visible every day, because it is how I am not privileged in this culture. Race is invisible to you, which is why our alliance will always seem somewhat false to me” (p. 2).

This exchange surprised Michael Kimmel, who examined his own thoughts and realized that when he looked into the mirror, he “saw a human being: universally generalizable. The generic person” (p. 2). Just as the White woman did not see her ethnicity, the White man saw neither his gender nor his ethnic background. His privileged status as White and male had made him blind to these factors. He did not think of himself as White or male but as a generic human. The White woman saw femaleness—the characteristic that prompted discrimination against her. The Black woman saw both her skin color and her gender when she looked into the mirror—both had been salient in her life.

As Michael Kimmel and Michael Messner (1992, pp. 2–3) summarized these experiences: “The mechanisms that afford us privilege are very often invisible to us. . . . [M]en often think of themselves as genderless, as if gender did not matter in the daily experiences of our lives. Certainly, we can see the biological sex of individuals, but we rarely understand the ways in which gender—that complex of social meanings that is attached to biological sex—is enacted in our daily lives.”

14 The Study of Gender

Tom Matlack originated The Good Men Project in 2009 with the publication of a book of essays and a documentary fi lm, both of which explored possibilities for modern masculinity (Good Men Project, 2013). The organization founded an online magazine in 2010, allow- ing men to publish their stories. The Project gained popularity, garnered praise, and then encountered controversy over the increasingly antifeminist tone of some stories, including those from Matlack (Schwyzer, 2011), which ultimately resulted in Matlack’s resignation.

The men’s movement exists in many versions with diverse views and goals, and the men in these various groups do not necessarily know much about the others or endorse their views (Ford, 2004; Newton, 2004). Thus, the men’s movement lacks cohesion. “Mascu- linities, it appears, are far from settled. From bodybuilders in the gym, to managers in the boardroom, to boys in the elementary school playground, a great deal of effort goes into the making of conventional masculinities” (Connell, 2001, p. 50). Although some men are questioning this process, none of the versions of the men’s movement has yet exerted the impact of the women’s movement in infl uencing public opinion and changing social policy. Table 1.4 lists some important events in both women’s and men’s movements and when each event occurred.

Table 1.4 Important Events in the Women’s and Men’s Movements

Women’s Movement Men’s Movement

First women’s rights convention, Seneca Falls, New York

1848

1870 15th Amendment to U.S. Constitution gives African American men the right to vote

19th Amendment to U.S. Constitution gives women the right to vote

1920

National Council of Women Psychologists 1941

Simon de Beauvoir’s The Second Sex published 1952

Betty Friedan’s The Feminine Mystique published 1963

The Civil Rights Act prohibits discrimination on the basis of sex

1964 1964 The Civil Rights Act prohibits discrimination on the basis of sex

National Organization for Women formed 1966

Association for Women in Psychology demonstrates against sexism at APA convention

1969

APA Division 35 formed 1973

First World Conference on Women, Mexico City 1975

United Nations Decade for Women 1976– 1985

1983 National Organization for Changing Men Founded

1990 Robert Bly’s Iron John published

Fourth World Conference on Women, Beijing, including Beijing Declaration and Platform for Action

1995 1995 APA Division 51 formed

1995 Million Man March, Washington, DC

1997 Promise Keepers rally, Washington, DC

United Nations 10-year review, Beijing Platform for Action

2005

The Study of Gender 15

Considering Diversity Lack of diversity was the problem that sparked women to protest their exclusion in psychol- ogy (and in society). That lack of diversity allowed men to be used as the standard (Bem, 1993b; Yoder & Kahn, 1993), which makes women appear defi cient when they differ from that standard. Sandra Bem (1993b) referred to this as an androcentric bias , contending that this bias has permeated not only psychology and its research but also society in general. Whenever research fi nds a gender difference, that fi nding is interpreted as a disadvantage for women.

A similar concern applies to research focusing on women from various ethnic groups (Yoder & Kahn, 1993). White, privileged women have constituted the standard for research with women, and when women from other ethnic groups are included, they are compared to White, usually middle-class, college-educated women. In such a comparison, the dominant group tends to consider its own experience as the standard, and differences can be interpreted as defi ciencies (Unger, 1995). That type of thoughtless bias occurred during the second wave of feminism in the United States during the 1960s and 1970s and produced a rift that has not yet closed.

In the United States, women of color have a long history of oppression and discrimina- tion, but they did not participate in the feminist movement of the 1960s and 1970s in the same ways that White women did. Instead, they focused on the ways that they experienced oppression and found routes to organize into groups and promote change.

Many African American women have focused their efforts on racial rather than sexual discrimination (Cole & Guy-Sheftall, 2003). When African American women addressed issues of sexism within their communities, these women were often considered disloyal to the struggle against racism for bringing up gender issues. These criticisms did not stop African American women from opposing sexism and founding several feminist organizations during the 1960s and 1970s, including the Black Women’s Liberation Caucus, the Third World Women’s Alliance, and the National Black Feminist Organization (Cole & Guy-Sheftall, 2003).

African American women were not the only ones who faced intersecting sources of dis- crimination. Latina, Asian, and Native American women also formed groups that opposed racism and sexism, creating what Becky Thompson (2002) called multiracial feminism ; she described these interactions:

As the straight Black women interacted with the Black lesbians, the fi rst-generation Chinese women talked with the Native American activists, and the Latina women talked with the Black and white women about the walls that go up when people cannot speak Spanish, white women attempting to understand race knew they had a lot of listening to do. They also had a lot of truth telling to reckon with, and a lot of networking to do, among other white women and with women of color as well.

(p. 343)

The interactions were not always as productive as Thompson described. Women of color often failed to fi nd feminist group compatible with their priorities, which focused on racism and sexism, but in that order. Whitney Peoples (2008, p. 35) explained this point of view: “Feminists of color in the contemporary moment fi nd mainstream social, political and eco- nomic landscape has not rid itself of racism, neither has feminism.” The women who found feminism unwelcoming did not abandon the values of feminism; rather, they adapted them to meet their goals. Peoples described a version of feminism she calls hip-hop feminism , which draws from the energy of hip-hop culture to lead young women to a critical analysis of the

16 The Study of Gender

sexism and racism that continues in U.S. society. Peoples argued that, through this analysis, women can be empowered.

Latina women in the United States were an important part of the civil rights movement for Hispanics, which began during the 1960s. Organized as part of that movement, the fi rst National Chicana Conference took place in 1971, but almost half of the 600 who attended walked out because they objected to the focus of the conference, which was on gender issues rather than racism (Flores, 2008). This situation is similar to that of African Ameri- can women, who also experienced confl icts over which source of discrimination was more important. This confl ict kept many Latinas from allying themselves with feminist groups and labeling themselves as feminists.

The confl ict that Latina women faced is rooted in their culture and religion. Motherhood, sacrifi ce to family, and subservience to men are idealized values in Hispanic culture; women become targets of criticism if they espouse feminist values that would allow them to estab- lish equal power with husbands, live independent of men, and limit the number of children they bear (Rodríguez, 2008). The critics held that women who wanted such changes had abandoned their culture; they were no longer really Latinas. Thus, Latina women have faced challenges in identifying as feminist but have often redefi ned their roles and behavior in ways that are compatible with the defi nition of feminism. In the United States and throughout Latin America, women’s groups are often oriented to access to family planning services, pre- venting domestic violence, increasing educational opportunities, and creating opportunities for women to gain economic power (Espino, 2007).

Native American women have also felt misgivings about the feminist movement for some of the same reasons as Latina women (Smith, 2005). Their objections to racism and their history of treatment by Whites were important to them, but so too were their experiences of sexism and violence from men. They faced criticism from men for speaking out about sexism. Thus, some Native American women avoided the term feminist , whereas others expe- rienced no problems in accepting the term. Regardless of their terminology, many Native American women have organized into groups that have feminist goals, which often revolve around prevention of domestic violence and child welfare, making them similar to the goals of many women’s groups.

Asian American women have also experienced diffi culties in identifying themselves as feminists. Some of their reasons are similar to those of Latina and Native American women, such as the criticism of becoming too “American” and rejecting their heritage (Perez, 2003). Asian American women also experienced stereotyping that applies to their ethnicity as well as to their gender. The passivity and eroticism associated with this stereotype affects Asian American women’s activism and leadership (Kawahara, Esnil, & Hsu, 2007), but violence against women has furnished an issue around which to organize, and Asian American women have become leaders in those organizations.

Asian American women have found it easier to identify themselves with feminists than women in Asia, where politics, religion, and culture form barriers to women’s political par- ticipation, economic independence, and physical safety (Stewart, Lal, & McGuire, 2011; Xu, 2009) and where feminism is a volatile topic (Niranjana, 2010). In modern India, women’s movements range in social class and scope, including local-level organizations to fi ght against caste-based discrimination and sexual violence, national-level organizations striving to elect more women to parliament, and organizations with international affi liations (Subramaniam, 2004). Despite the legal guarantee of equal rights in modern China, long- standing discrimination against women has been diffi cult to erase (Angeloff & Lieber, 2012). Initiatives over the past two decades have emphasized women’s rights, but controversy exists throughout the movement, including over the word to use to identify as a feminist (Stewart et al., 2011). Some Islamic feminists have argued that the Quran was originally interpreted

The Study of Gender 17

to allow women more equal rights (Coleman, 2011), but the growth of women’s rights has been slow in Muslim countries. However, Muslim women who have immigrated to Europe, Canada, and the United States are more openly feminist and have the goal of integrating their heritage with equality for women.

Feminism in the United States been guilty of exclusion based on race and social class, and the reluctance of women of color to identify themselves with White feminists was a result. Feminists within psychology were also guilty of ignoring these factors, but diversity became a goal within psychology (Stewart et al., 2011; Yoder & Kahn, 1993). Scholars used the same critical thinking that had led them to analyze the male bias in psychology to examine the biases within the psychology of women. As Nancy Felipe Russo (1998, p. ii) explained, “Feminist psychology is now beyond simply critiquing yesterday’s fi ndings. The challenge now is to build a knowledge base of theories, concepts, and methods to examine women’s lives in all of their diversity.” With the recognition that cross-cultural comparisons add to the study of women and gender, feminist psychologists value an inclusive psychology. Thus, diversity was not something that came quickly to the women’s movement or to psychology, but it is now a major focus for both.

The history of the men’s movement is shorter than that of the women’s movement (see Table 1.4 ), and the timing of that movement infl uenced its composition. Early men’s groups mostly tended to include privileged White men, but the Million Man March drew African American men together, and gay men continue to be active in pressing for changes in laws and social attitudes.

The men’s movement is less united than the women’s movement, encompassing more divergent perspectives. For example, the men’s movement is composed of both men who are antifeminist and those who are profeminist. Groups that aim to redefi ne masculinity often seek to promote changes in society to make it more inclusive. However, among antifeminist, conservative men’s groups, diversity is not a goal and racism may be a theme. Groups that promote a return to traditional masculinity do not strive to include diverse ethnicities, social classes, and sexual orientations among their members. Therefore, although the men’s move- ment has a history that refl ects more diversity than the women’s movement, some factions of the men’s movement reject goals of diversity.

Summary

Typically, the fi rst thing that parents learn about their child is the child’s sex, which high- lights the importance of sex and gender. Beliefs about gender differences are common, but opinions vary, with some people believing in minimal differences and others holding that the differences are maximal and part of essential biological differences.

Within psychology, gender research can be traced to the functionalist school that was infl uential during the late 1800s. This school held that men and women differ in ability and personality (a view that received criticism at that time). Interest in sex differences (and other individual differences) faded when the behaviorist school dominated psychology, but that interest persisted in psychoanalysis. Psychoanalysts held that differences in anatomy produce personality differences in women and men, with women being inferior in a number of important ways. The feminist movement of the 1960s produced a resurgence of interest among psychologists concerning questions about gender, and research tended to question stereotypes about the sexes.

The traditional terminology—namely, the use of the term sex differences— has been criti- cized. By proposing use of the term gender, psychologists have tried to clarify the difference between socially determined and biologically determined differences. However, both terms continue in use, and the proposed distinction between sex differences, meaning biological

18 The Study of Gender

differences, and gender differences, meaning socially determined differences, has not yet come into consistent use.

Ethnic and economic diversity was not a focus during the early years of the women’s movement, which led women of color to experience diffi culties in labeling themselves as feminists but not in forming groups oriented toward positive change for women. The men’s movement has always been diverse, but some factions of the men’s movement object to gays, profeminists, and various ethnic groups. Therefore, diversity remains an issue in both women’s and men’s movements.

Glossary

behaviorism the school of psychology that emphasizes the importance of observable behavior as the subject matter of psychology and discounts the utility of unobserv- able mental events.

essentialist view the view that gender differences are biologically determined. functionalism a school of psychology arising in the United States in the late 1800s that

attempted to understand how the mind functions. Functionalists held a practical, applied orientation, including an interest in mental abilities and in gender differences in those abilities.

gender the term used by some researchers to describe the traits and behaviors that are regarded by the culture as appropriate to men and women.

maximalist view the view that many important differences exist between the sexes. minimalist view the view that few important differences exist between the sexes. sex differences the term used by some researchers (and considered to be inclusive by others)

to describe the differences between male and female research participants. structuralist a school of psychology arising in Europe in the 1880s that attempted to under-

stand the workings of the conscious mind by dividing the mind into component parts and analyzing the structure of the mind.

Suggested Readings

Bem, Sandra Lipsitz. (1993). The lenses of gender. New Haven, CT: Yale University Press. Bem contends that gender provides a lens, and people view the world through this lens, often failing to notice

the distortions it produces. She discusses three such distorting lenses of gender: androcentrism, gender polariza- tion, and biological essentialism. Bem argues that viewing the world through these lenses provides the basis (and biases) for organizing gender knowledge.

Connell, R. W. (2005). Change among the gatekeepers: Men, masculinities, and gender equality in the global arena. Signs, 30 , 1801–1825. Connell points out that societal changes toward equality of women and men will require men’s participation,

because men control the resources and institutions that must change for equality to occur.

Marecek, Jeanne; Kimmel, Ellen B.; Crawford, Mary; & Hare-Mustin, Rachel T. (2003). Psychology of women and gender. In Donald K. Freedheim (Ed.), Handbook of psychology: History of psychology (Vol. 1, pp. 249–268). New York: Wiley. This article explores the history of women in psychology by tracing the impact of female psychologists,

examining the contributions of feminist clinicians, and presenting the organizations through which women have infl uenced the profession of psychology.

Shields, Stephanie A. (1975). Functionalism, Darwinism, and the psychology of women: A study in social myth. American Psychologist, 30, 739–754. This lively article details the history of early psychologists’ research on gender differences, with all the biases

showing.

The Study of Gender 19

Suggested Websites

The American Psychological Association’s webpage makes a good starting place to explore gender issues in psy- chology. Examine the homepages for both Division 35, Society for the Psychology of Women (http://www.apa. org/about/division/div35) and Division 51, Society for the Study of Men and Masculinity (http://www.apa.org/ about/division/div51.aspx) to understand the mission of these divisions, their current activities, and how to join as well as links to other sites.

Many other organizations have homepages fi lled with information. The National Organization for Women maintains an extensive website (www.now.org), and the National Organization of Men against Sexism (www. nomas.org) also has a good website.

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Headline: “Does Gender Matter?” Nature, July 13, 2006

During the time Lawrence Summers was the president of Harvard University, he made remarks contending that women’s progress in scientifi c careers has been slow because women may lack the talent to succeed in science and engineering. His remarks were incendiary, causing a fi restorm of protest (as well as voices of support). The suggestion that women’s lack of intrinsic ability is to blame for their underrepresentation in science and engineering shows the tendency to resort to biological essentialism to explain gender differences. Indeed, Summers mentioned social factors and discrimination as less important than intrinsic abil- ity for success in academic science careers (“Remarks at NBER,” 2005). This tendency to focus on innate differences and to downplay social factors is one way that people maintain stereotypes and prejudice (Keller, 2005). Neuroscientist Ben Barres (2006) responded to Summers’s remarks by questioning if a scientist’s gender matters.

Barres (2006) contended that discrimination is widespread in science, but neither men nor women want to believe that the practice is common. People prefer to believe that evaluations are unbiased and that success is based on merit. Barres’s contentions of discrimination come from his unique point of view as a scientist—he was born female, trained in neuroscience and began an academic career when he was a woman, underwent the process of changing his sex to male, and continued his career in neuroscience as a man. His experience included many instances of discrimination during his years as a woman in science. For example, he heard one of his colleagues (who was unaware of his surgery) comment “Ben Barres gave a great seminar today, but then his work is much better than his sister’s” (in Barres, 2006, p. 134).

Barres became suspicious of the claims of innate superiority from those who were advan- taged by such claims. Instead, he argued that the evidence does not indicate innate superi- ority of any group in science. The arguments by Barres, Summers, and others represent a recent episode in the ongoing controversy of women’s place in science, but the controversies in science go even deeper. For the past several decades, there has been a “science war” that has debated the basic conceptions of science and its continued value in the modern world (Gould, 2000). Feminist scholars have been part of that debate, and gender has been one of its major topics. To understand this current battle and its impact on gender research, we must fi rst understand the background of science and some of the procedures and limitations in its methods.

How Science Developed

Modern science arose in the 16th and 17th centuries and came to prominence during the 19th century, bringing about radical changes in ways of knowing and understanding the world (Caplan & Caplan, 2016; Komath, 2008). Instead of looking to religion and the Bible

Researching Sex and Gender 2

Researching Sex and Gender 23

for knowledge and wisdom, science looked to knowledge gathered through observation. This view represented a radical departure from traditional thought. This new scientifi c view assumed that the world works by a set of natural laws and that these laws can be discovered by careful, objective investigation (Dear, 2005).

The methods of science depended on empirical observation , gathering information through evidence from the senses, and objectivity , the notion that the observation is free of bias by the observer. Critics have argued that science has fallen short of this ideal, suggest- ing that the required level of objectivity may not be possible (Cosgrove & McHugh, 2008). Scientists work to avoid bringing their personal views and biases into their research, but this goal is diffi cult to attain. Many fail, which keeps their studies from being objective.

During the 18th and 19th centuries, science proliferated in Europe and spread through- out the Western world. Research in chemistry, physics, biology, and medicine created new products, medicines, and industries. This proliferation of science was related to the social and political context of Europe, but the development of technology based on science was an important factor in the adoption of the scientifi c method by other cultures (Komath, 2008). The social sciences of psychology, sociology, and anthropology developed as part of the growing enthusiasm for science. These social sciences used the natural sciences as models, adopting the same assumptions and methods.

What is necessary to conduct scientifi c research? What makes scientifi c investigation dif- ferent from other ways of gaining knowledge? What techniques do scientists use to accom- plish these goals, and what are the limitations for each? The following sections explore these questions, with an emphasis on the social sciences, and then examine the critiques of science that have led to the current “science wars.”

Photo 2.1 Increasing girls’ participation in science is a fi rst step toward increasing the number of female scientists.

24 Researching Sex and Gender

Approaches to Research

The major approaches to research consist of quantitative and qualitative methods. The tra- ditional methods fall into the quantitative approach, which follows the empiricist principles based on observation and quantitative data collection. The procedure of quantifi cation includes turning observations into numbers, referred to as quantitative research . Numbers form the data for quantitative research. Data are not the same as the observed phenomenon, but rather are representations of some facet of the phenomenon the researcher considered important. For example, a researcher interested in attitudes toward gay men might ask people to rate their feelings about gay men based on a description of characteristics and behaviors furnished by the researcher. These ratings might range from very negative to very positive on a 7-point scale. Thus, the data for this study would be numbers obtained from each participant’s rating, and each number would represent a participant’s attitude in this research study. Quantitative researchers usually analyze their studies by performing statistical analyses of their data.

Some scholars believe that quantitative research fails to capture important aspects of the situations under study; that is, something is lost in the process of turning observations into numbers. These researchers choose qualitative research , which focuses on understanding the complexity of the situation rather than trying to reduce the situation to numbers. In addi- tion to a different philosophy of research, qualitative studies include some different methods.

Any particular research question may be approached using a number of different meth- ods, and each has advantages and disadvantages. Thus, researchers must not only choose a quantitative or qualitative approach but also examine their research question and decide which method is appropriate.

Quantitative Research Methods

The method of collecting information is critically important in science. By following spe- cifi c rules, researchers collect information that meets the requirements of science. Scientifi c information must be observable not only to the researcher but also to others; that is, it must be observable by anyone. This requirement is intended to minimize bias and lead to some level of objectivity.

Another rule of gathering information in science requires systematic observation; scientists must follow some plan or system to gather information. Everyone makes observations, but most people in most circumstances do so in a personal, nonsystematic way, which can lead people to notice certain things while ignoring others. This selective perception may result in distortion and bias. Scientists strive to be systematic in their observations in order to gather information that more accurately refl ects the situations they have observed. This procedure does not mean that scientists are free of personal biases; as humans, they are subject to the same perceptual distortions (and even biases) as other humans. Although they cannot avoid personal opinions, scientists are supposed to strive to treat information fairly (Gould, 2000; Mahoney, 2003). Working with observable information and adopting a systematic plan to gather data are strategies to help researchers minimize bias.

The use of numbers in quantitative research has led to an erroneous impression about science—namely, that science is precise. People tend to believe that numbers lend precision, when actually numbers are only one way to summarize certain characteristics of a situation. The process of quantifi cation does not make science precise; it really does the opposite, omitting some aspects of the situation and concentrating on only one.

For example, a researcher who is interested in investigating campus attitudes toward gay, lesbian, and bisexual students might choose to study how such students rate their college

Researching Sex and Gender 25

campus. The researcher might ask students to rate their progress toward a degree, how their instructors interact with them, how they are treated in the dorms, whether they have ever been threatened by other students, and other such questions. The data might consist of rating each question on a scale ranging from 1 to 7; these numerical ratings would be the data. The researcher can analyze these numbers to determine the results of the study, but the process of turning people’s attitudes and experiences into numbers loses many details of their feelings and experiences.

An additional narrowing of the observations in science comes from the specifi cation of a variable or several variables in research studies. A variable is the factor of interest in a research study. The term comes from the notion that the factor varies or potentially has more than one value (as opposed to a constant, which has only one value). Most things vary, so fi nding a variable of interest is not nearly as diffi cult as restricting a study to only a few variables. For example, variables include family income, level of anxiety, number of hours of practice, gender of participants, and so forth. Studies typically include only a few variables, and this restriction limits what researchers know about a situation. Researchers often use an operational defi nition , which is a defi nition of a variable in terms of the operations used to obtain data on that variable rather than in terms of the concepts underlying the variable. Operational defi nitions are one method that researchers use to be more specifi c about the variables they study. An operational defi nition provides instructions about how to measure the variables in quantitative studies.

Quantitative research can be divided into two types: descriptive and experimental. Each approach has advantages and limitations that the other does not. Descriptive research methods help investigators answer “what” questions. That is, descriptive research can tell what types of things exist, including great detail about those things and even the extent of relationships among various things. Experimental research is highly prized because a care- fully conducted experiment allows researchers to draw conclusions about cause-and-effect relationships. This type of information is diffi cult to obtain through any other method, and psychology researchers conduct experimental studies if they can do so (Wertz, 2011). How- ever, this method has requirements that make it impossible to use in all research situations.

Experimental Designs

To obtain information about cause and effect, researchers do experiments . This type of design allows researchers to answer “why” questions—questions with answers that involve explana- tions rather than descriptions. An experiment involves the manipulation of one factor, called the independent variable (IV) , and the measurement of another factor, called the dependent variable (DV) , while attempting to hold all other factors constant. The researcher is trying to determine if manipulating the IV will produce a change in the value of the DV.

Although the logic of experimental design is simple, creating conditions to effectively manipulate one factor while holding all other factors constant is far from simple. Such a situation would be almost impossible in a naturalistic setting, because any one change would result in many others. Therefore, almost all experiments take place in laboratories. These settings offer the possibility of the necessary control, but they open experiments to the criti- cism of artifi ciality. This situation limits the extent to which researchers can generalize their results to other situations. The artifi ciality of the situation and its limitations in generalizing results to other situations are drawbacks of the experimental method.

Despite some disadvantages, researchers favor experiments because, when carefully designed and conducted, this method allows conclusions to be made concerning causality. Researchers prize this type of information, leading scientists to choose experiments if practi- cal and ethical considerations allow them to do so.

26 Researching Sex and Gender

Ex Post Facto Studies

Researchers cannot always perform experiments because, for either practical or ethical rea- sons, some variables of interest are beyond possible manipulation. For example, researchers might want to know about the effect of biological sex on speed at solving math problems. To do an experiment, researchers would be required to select a group of people and manipu- late biological sex as the independent variable. Obviously, this research is impossible or at least impractical and certainly unethical. However, the question that prompted it—Does sex infl uence the speed of solving math problems?—is still of interest. Sexual orientation is similar; it is a variable of interest, but researchers cannot manipulate sexual orientation by assigning people to groups and changing their sexual orientation.

A strategy for conducting this research is the ex post facto study (or natural experiment) . In this type of study, researchers would select a group of men and contrast their performance with a group of women. Both groups would participate in the math test. Therefore, biological sex would be the subject variable (or participant variable )—the characteristic of interest in the participants—and the speed of solving the math problems would be the dependent variable.

Such an ex post facto study would not be a true experiment, because the researchers did not (1) create the difference in biological sex while (2) holding all other factors constant. Instead, the researchers entered the picture after the difference in participants existed. With no opportunity for precision in creating the values of the independent variable or in holding other factors constant, the ex post facto study lacks the controls of an experiment that would allow researchers to draw conclusions about cause-and-effect relationships (Christensen, Johnson, & Turner, 2014).

Ex post facto studies and experiments involve a contrast of two or more groups and measurement of a dependent variable. These similarities can lead to misinterpretations of these studies and incorrect attributions of causality. Researchers are usually careful to use the correct language to interpret their fi ndings from ex post facto studies, but people who read the research may not be appropriately cautious, leading to misunderstandings of research fi ndings from ex post facto studies.

Biological sex, gender, and sexual orientation of participants are all subject variables, characteristics of the participants that exist prior to their taking part in a study. These char- acteristics can be the basis for division of participants into contrasting groups, but they can- not be independent variables. The ex post facto design has a long history in psychology and has constituted the traditional approach to gender research. In 1974 psychologists Eleanor Maccoby and Carol Nagy Jacklin published The Psychology of Sex Differences, a comprehen- sive review of research-based psychological fi ndings about gender-related differences. These authors collected more than 2,000 studies in which gender was a subject variable, and they organized the fi ndings around different topics, such as aggression and verbal ability. Mac- coby and Jacklin then evaluated the fi ndings for each topic, determining how many studies failed to fi nd a difference, how many studies supported a difference, and the direction of the differences for those comparisons that showed differences. Maccoby and Jacklin’s book was soon accepted as a classic in this type of research review.

Studies with gender as a subject variable remain a common choice in researching gender and sexual orientation, but it is important to keep in mind that the thousands of studies with gender as a subject variable are also ex post facto studies. Thus, all of the limitations of this method apply to those studies. That is, these studies do not and cannot reveal that biological sex, gender, or sexual orientation causes differences in any behavior. This caution is diffi cult for many people to keep in mind, and those who are not familiar with research methods have a tendency to believe that gender-related differences in behavior have biological sex as the underlying cause (Keller, 2005). This reasoning contains two errors: (1) incorrectly

Researching Sex and Gender 27

attributing causality to a research method that cannot demonstrate cause-and-effect rela- tionships and (2) reducing the many variables that coexist with biological sex to the subject variable gender. Therefore, an erroneous interpretation of such studies can lead people to conclusions for which there is no research evidence.

Figure 2.1 illustrates some of the differences between experimental and ex post facto designs, using sexual orientation as an example. In the experimental design, researchers often randomly divide the participants into groups in order to keep individual differences equal among the groups. Random assignment would be very unlikely to yield groups based on sexual orientation. The ex post facto design, on the other hand, assigns participants to groups on the basis of some factor that the participants already possess, such as sexual orientation or gender. This research design is the most common approach in the study of gender-related differences and similarities.

Gender can be an independent variable in an experiment if the researcher manipulates gen- der in a description of some target person whom the participants rate, evaluate, or react to. This approach makes gender a social category rather than a characteristic of an individual. Therefore, experimental designs can study gender as a social category to which participants react but not as a characteristic of participants. These experimental and ex post facto approaches are not equivalent, and each yields information that requires careful interpretation of fi ndings.

Unlike experimental and ex post facto studies, other types of quantitative research do not concentrate on comparisons and differences. Instead, these methods focus on describ- ing characteristics or attitudes of participants, determining the relationship (correlation) between variables, and other descriptions of variables. These variables may include gen- der, sexual orientation, or many others; these methods fi t within the category of descriptive research . Surveys and correlational studies are examples of such descriptive methods.

Surveys

In a survey , researchers construct questions, choose a group of people to respond to the questions, collect the data, and analyze the data to yield results. This method sounds decep- tively simple; almost anyone can think of questions to ask. However, the method is fi lled

Figure 2.1 Two Designs with Sexual Orientation as a Variable

28 Researching Sex and Gender

with choices and pitfalls. For example, researchers using this method must decide about the wording of questions (e.g., “Do you agree . . .” versus “Do you disagree . . .”), the answer format (respondents give answers in their own words versus respondents choose from a set of answers), the appearance of the questionnaire (number of pages, size of type, page layout), the choice of participants (representative of the entire population versus a select group, such as fi rst-time parents or gay men), the number of people needed (what number will give a good estimate for accuracy), and the method of administration (face-to-face interview, tele- phone interview, mailed questionnaire, or Internet posting). Unwise choices on any of these decisions may result in a survey that does not allow the researcher to answer the question that prompted the research or, worse, may give the researcher an answer that is misleading.

The main limitation of surveys is inherent in the method: Surveys pose questions rather than make direct measurements. That is, surveys rely on self-reports rather than direct obser- vations of behavior, which requires participants to be both honest when they are asked about their attitudes and opinions and to have a good memory when they are asked to report on past behavior. Both tasks may present problem: People may lie, withhold the truth, or sim- ply not know or remember the information. In addition, participants’ beliefs about social standards and their tendency to present themselves in a favorable way are biases that can invalidate a question or even an entire survey. The topics that gender researchers investigate are especially prone to this problem. Despite the wide variety of information that can be obtained through the survey method, that information is limited not only by its descriptive nature but also by its potential inaccuracy.

Despite the disadvantages, surveys offer the advantages of allowing researchers to ask peo- ple about things that the researchers could not easily (or possibly ethically) observe directly. Thus, the method is fl exible and useful in a variety of situations. Surveys are very commonly used for measuring people’s attitudes. Psychologists, sociologists, market researchers, and political pollsters all use this method to help decide how people feel about a wide variety of issues.

Correlational Studies

If researchers want to know about the relationship between two specifi c variables rather than information about several variables, they may conduct a correlational study , another type of descriptive method. Correlational studies allow researchers to determine both the strength and types of relationships between the variables under study.

To conduct a correlational study, researchers must choose two variables, create an opera- tional defi nition of the variables, measure these variables, and then analyze the relation- ship between them. To perform the analysis of the data, researchers calculate a correlation coeffi cient. The results reveal the strength or magnitude of the relationship between two variables, expressed with a number that varies between +1.00 and −1.00. Correlations that are close to +1.00 indicate a strong positive relationship, which means that as scores on one variable increase, those on the other also increase. Correlations that are close to −1.00 indicate a strong negative relationship, which means that as one measurement increases, the other decreases. Correlations that are close to 0.00 indicate little or no relationship between the two variables.

Like other descriptive methods, correlational studies do not reveal why the relationship exists. However, making such deductions may be very tempting. Indeed, a causal relation- ship may exist between two variables that have a high correlation, but the method does not allow that conclusion to be made. Even a high correlation would not allow a researcher to know the source of the relationship: Did changes in one variable produce changes in the other, or vice versa? Another possibility is that both variables may be causally related to a

Researching Sex and Gender 29

third variable that was not part of the study. A conclusion of causality is not legitimate on the basis of the evidence from a correlational study, but these studies allow researchers to describe the existence and strength of relationships.

In summary, different quantitative research methods yield different types of information. Experimental research allows researchers to explain why a relationship exists between inde- pendent variables and dependent variables because this method yields information about cause-and-effect relationships. The ex post facto study (or natural experiment) is similar to an experiment in the designation of variables (called subject or participant variables) and dependent variables, but these designs differ from true experiments in that they use the existing values of the subject variable rather than create the values of the independent vari- able through manipulation. Descriptive research methods include surveys and correlational studies. Such studies help to answer questions about what occurs; that is, they describe what exists but reveal no information about causality.

Qualitative Research Methods

Researchers who use qualitative methods often believe that the quantifi cation process removes important information from the research process. This belief leads qualitative researchers to collect different data and to resist reducing their data to numbers. The data for qualitative research are narratives, not numbers. Such researchers may collect extensive reports or inter- views, which they transcribe and attempt to organize and understand. This strategy makes statistical analysis diffi cult or impossible.

Qualitative researchers also reject the notion that they should be detached and impartial; instead, they accept the subjectivity of the research process and attempt to form coopera- tive relationships with those whom they study. By interacting with research participants as equals, they try to understand the meaning and context of the phenomena they study. Some researchers advocate an even more active role, striving to bring a voice to individuals and groups that have been pushed to the margins and striving to change social and political situations (Zavos & Biglia, 2009).

The methods of qualitative research are not necessarily different from those of quantitative research. That is, the methods themselves do not create qualitative or quantitative research; the key to the difference is the type of data collected. However, qualitative researchers tend to use a different selection of methods than quantitative researchers, including case studies, interviews, ethnography, and focus groups.

Case Studies

A case study is an intensive study of a case—that is, a single person or a small sample of people. Several different factors determine which case might be a good candidate for study. The person may be typical and thus refl ective of many other people, or the person may be unusual and thus of interest. The unusual cases are more common for case studies. Researchers conducting case studies often spend days or months interviewing or observing in order to write a case study.

Interviews

Interviews can take many forms, but qualitative interviews differ from interviews con- ducted as part of survey research in both format and goals. Survey interviews are quantita- tive, including a uniform set of questions to which all respondents reply. The uniformity of responses allows statistical analysis, but such analysis is not the usual goal of qualitative

30 Researching Sex and Gender

interviews. These interviews can take the form of oral or life histories, or the interview may be oriented around a narrower topic.

Ethnography

Ethnography , one of the most common qualitative methods, has a long tradition in anthro- pology, in which qualitative research has been more common than in psychology. However, this method is compatible with research in psychology—observation and recording of behavior and events (Wertz, 2011). Researchers using this method spend time becoming immersed in the situation they are studying, which necessitates attention to context. For anthropologists, this situation is typically another culture; for psychologists and sociolo- gists, the situation may be a school, company, or hospital. By becoming part of the situa- tion, the researcher can gather and interpret information situated in the context in which it occurs.

Focus Groups

The focus group is another qualitative method that psychologists have borrowed; this method is more common in communications and marketing research than in psychology (Kleiber, 2004). A focus group is a discussion centered on a specifi c topic. The group can consist either of people brought together for the purpose of the discussion or of people who belong to some existing group, such as a family or sorority. Groups usually consist of six to eight people, but are rarely more than 12. Focus groups are similar to interviews in terms of the questions and topics that can be explored. However, this method allows group members to interact with each other as well as with the researcher, making the focus group more similar to naturally occurring situations than the interview method is (Wilkinson, 1999).

Table 2.1 presents both quantitative and qualitative research methods, along with advan- tages and limitations of each approach.

Table 2.1 Advantages and Limitations of Quantitative and Qualitative Research Methods

Method Advantage Limitation

Quantitative Methods

Survey Examines a variety of topics without being intrusive

Relies on self-reports rather than direct observation of behavior

Correlational study

Allows determination of strength and direction of relationship between two variables

Cannot reveal any information about causality

Experiment Allows determination of cause-and-effect relationships

Conducted in laboratory situations that are artifi cial; can investigate only a few variables at a time

Qualitative Methods

Case study Reveals extensive information about one case Cannot be generalized to other cases

Interview Allows researchers to question participants extensively about a topic

Does not yield a standard set of answers; may include only a few participants

Ethnography Allows researchers to become immersed in a situation and to understand the contexts in which behavior occurs

Data collection is not systematic, which may lead to focusing on some and overlooking other information

Focus group Allows extensive exploration of a topic as well as observation of the interaction among group members

Does not yield a standard set of data, making the information diffi cult to analyze

Researching Sex and Gender 31

Researchers’ Choices The use of qualitative research methods expanded in anthropology and sociology to the point of being labeled a revolution (Wertz, 2011), but the fi eld of psychology has been less acceptant of qualitative methods. Within psychology, gender researchers have been more acceptant than some other fi elds, but these methods still constitute a minority of the research, even in the area of gender (Marchel & Owens, 2007). Researchers steeped in the quantitative tradition may fail to accept qualitative investigations as “legitimate” research (Weil, 2008). An analysis of two leading journals, Feminism & Psychology and Psychology of Women Quarterly , revealed that the interview method was the most com- mon qualitative approach (Wilkinson, 1999). It accounted for over 50% of the research articles in Feminism & Psychology but only 17% of research articles in Psychology of Women Quarterly. Other qualitative methods accounted for much lower percentages, and no other qualitative method represented more than 2% of the research studies in these journals. A more recent analysis (Marchel & Owens, 2007) reported increased use of qualitative methods over the past two decades in some psychology journals, especially those that focus on interdisciplinary areas in which qualitative research is more readily accepted. For example, qualitative methods now represent about 8% of the research published in the journal Sex Roles (Zosuls, Miller, Ruble, Martin, & Fabes, 2011). However, the majority of psychology research remains quantitative research—even those studies published in journals featuring feminist scholarship.

Qualitative research offers alternatives to traditional quantitative research methods in terms of philosophy and methods. A comparison of the two approaches appears in Table 2.2 . Qualitative researchers emphasize context and acknowledge that subjectivity is part of the research process; they become involved in the research situation, interact with participants in order to understand the patterns of their behavior, and sometimes endeavor to bring about change in the situations they research (Zavos & Biglia, 2009). Researchers who use these methods believe that this approach offers advantages over the traditional quantitative approach, and the rise of qualitative research has polarized the teaching of research methods (Tashakkori & Teddlie, 2003). Some researchers see no room for qualitative research (Capaldi & Proctor, 2005), whereas others (Onwuegbuzie & Leech, 2005) have called for a combination of qualitative and quantitative methods as a pragmatic way to approach social science research.

Table 2.2 Comparison of Quantitative and Qualitative Research

Quantitative Researchers Qualitative Researchers

Often work in laboratories Rarely work in laboratories

Strive to detach themselves from the situation to attain objectivity

Immerse themselves in the situation and accept subjectivity as part of the process

Attempt to study a representative group of individuals to be able to generalize

May seek unusual individuals because they are interesting cases

Create a distinction between researchers and participants

Treat participants as equals

Collect data in the form of numbers Collect information that is not reduced to numbers

Attempt to control the infl uence of variables other than the independent variable(s)

Attempt to understand the complexity of the situation as it exists

Use statistics to analyze their data Do not use statistics to analyze their information

32 Researching Sex and Gender

Gender Bias in Research Despite the long history and success of science, some modern scholars have questioned its assumptions and procedures, starting what has become known as the “science wars” (Gould, 2000). One criticism is that science grew not only from the activities of men but also from a gendered, masculine bias that is inherently part of science. According to this view, this mas- culine bias affects our modern conception of science, including the thinking of the men and women who do scientifi c work. Harvard President Lawrence Summers expressed this bias when he suggested that women may be inherently less capable of being scientists than men are.

Another criticism of science contends that science is incapable of revealing an objec- tive picture of the natural world because objective reality does not exist. These critics are constructionists , who emphasize the subjective nature of all knowledge, including scien- tifi c knowledge. The constructionists argue that “we do not discover reality, we invent it” (Hare-Mustin & Marecek, 1988, p. 455). That is, science does not lead researchers to map a realistic picture of the world but to construct views of the world in ways that refl ect social and personal perceptions and biases. Scholars who take this view have cited the study of gender as a particularly good example of the distortions and misrepresentations of science.

Gendered Voices: My Trouble with Girls

At a conference for female scientists in Korea, biochemist Nobel laureate Sir Tim Hunt made a remark that made news around the world: “Let me tell you about my trouble with girls. Three things happen when they are in the lab: You fall in love with them, they fall in love with you, and when you criticize them they cry” (in Thomason, 2015, p. 1). Reporting on this remark made headlines and started a social media backlash. Female scientists started a Twitter campaign (hashtag #distractinglysexy) that included sarcastic remarks and photos of them at work with decidedly unsexy outfi ts in unsexy situations. Hunt later claimed that his remarks were intended as a joke and that he had always been supportive of women in science; his remarks were taken the wrong way (Boyle, 2015). However, the controversy raged for months.

Sources of Bias

Bias can enter research at many levels, beginning with the very framework of science. The philosophers whose work spurred the founding of science were all men, and Evelyn Fox Keller (1985) argued that these philosophers introjected a masculine bias into the very conceptual foundation of science. She interpreted the emphasis on rationality and objectivity in science as masculine values, and she contrasted those masculine elements of science with the femi- nine elements of nature—feeling and subjectivity. Keller discussed what she interpreted as the gendering of science and nature: masculine for science and feminine for nature. Thus, even at its inception, science carried connotations of maleness, rationality, and dominance. According to Keller, not only have women been discouraged from the pursuit of science as a profession, but also the activity of science itself suggests masculinity (see According to the Media and According to the Research). The culture of science was and remains masculine (Schiebinger, 2007; Schiebinger & Schraudner, 2011), and female scientists cite this as more important than innate ability for women’s exclusion from science careers (van Anders, 2004).

Theories are another potential source of bias in science. The study of gender is full of examples in which speculations and theories have attained a status in which they are mistaken for results. Freud’s theory is probably the most prominent example, with its emphasis on the importance

Researching Sex and Gender 33

of biological sex differences in building personality. Research has not supported this theory (see Chapter 5 for more on Freud), and supporters of the theory speak with unearned authority.

Additional bias in research on gender (and many other topics) comes from the procedures involved in planning studies and evaluating results. Researchers’ values enter the research process as early as the planning stage of studies, infl uencing the choice of problem to inves- tigate and the choice of questions to ask (Harding & Norberg, 2005; Rolin, 2004). Publica- tions place too much emphasis on results and too little emphasis on the conceptualization of the questions underlying the research process, often ignoring the social and political aspects and implications of research (Harding, 2001; Harding & Norberg, 2005). The answers that researchers fi nd depend on the questions they ask; the planning and questioning aspects of the process are critically important, therefore, but often neglected.

When researchers formulate their studies, they ask questions and choose methods of gathering information that will allow them to answer their questions. Most researchers know what they expect to fi nd when they ask a question, so research is not free of the values and expectations of the scientists, even at this stage of the research (Cisneros-Puebla & Faux, 2008). In quantitative research, these expectations lead to the formulation of a hypothesis , a statement about the expected outcome of the study. Researchers test hypotheses by gather- ing data and analyzing them to obtain results. The researchers can then decide whether the results support or fail to support their hypothesis.

To evaluate the data collected from studies, quantitative researchers usually use statistical tests. Many different statistical tests exist, but all of those used to evaluate research data have a common goal—to allow the researcher to decide whether the results are statistically signifi cant. A statistically signifi cant result is one due to reasons other than chance alone. If the analysis indicates that the effects are statistically signifi cant, then the researchers can conclude that their results were not due to chance alone—that is, the study worked as hypothesized. If the analysis does not indicate a signifi cant effect, then the researchers cannot claim that their results are due to anything but chance, so the study did not work. Researcher bias may enter both at the stage of planning and at the point of data analysis. For example, an analysis of many studies on the topic of gender development (Tennenbaum & Leaper, 2002) revealed that studies with male fi rst authors showed larger gender differences than studies with female fi rst authors. In addi- tion, scientifi c training does not override this type of bias (Morton, Haslam, Postmes, & Ryan, 2006), which suggests that gender research is especially vulnerable to scientists’ personal biases.

Researchers are constrained from making claims about factors that do not produce signifi - cant results, because these results are not considered “real,” and researchers are not allowed to accept the validity of nonsignifi cant results. Although a statistically signifi cant result gives confi dence that the result is not due to chance, the term signifi cant may be misleading. People who are not sophisticated in the logic of statistical evaluation may believe that statistically signifi cant means important or large.

A large or important result is not only statistically signifi cant but also signifi cant in practi- cal terms. The concepts of statistical signifi cance and practical signifi cance are not the same. A result is statistically signifi cant when it is unlikely to have occurred solely on the basis of chance. A result has practical signifi cance when it is important to everyday life. For example, a low correlation can indicate a statistically signifi cant relationship if the number of people participating in the study was suffi ciently large (what constitutes a large sample varies with the design and statistic), but this signifi cant relationship does not indicate a strong relationship between the two variables in the correlation. That is, this correlation would have little practical signifi cance. Confusion between these two concepts can result: “Reasonable people who are repeatedly exposed to fi ndings reported as signifi cant mean differences or nonchance factors . . . sometimes begin to think and talk as if those differences were actually true in most individual cases” (Bernstein, 1999, p. x). Such misunderstandings can lead people to believe that results mean more than they actually do and apply to everyone when they actually do not.

34 Researching Sex and Gender

According to the Media . . . Scientists Are Men (or Act Like Men)

In the movies, scientists are most often male and are more often mad or bad than good. If they are good, they are generally bumbling incompetents. These depictions go back to the era of silent fi lm and continue to the present in movies and on television. “The movies have always been full of insane chemists, demonic doctors and obsessive inventors who, whether purposely or inadvertently, unleash malevolent forces that neither they nor anyone else can control” (Ribalow, 1998, p. 26). Some scientists in the movies want to do evil, but even with noble motivations, movie scientists often cause serious problems when they fail to understand the implications of their actions. Both evil and well-meaning scientists are portrayed as obsessive, self-centered, person- ally cold, and removed from society.

Women have been in the background more often than playing leading characters in media portrayals of science (Losh, 2008). In children’s science programming, about 80% of the women appear in secondary or supporting roles, and the proportion of male to female scientists was two to one (Steinke & Long, 1996). That proportion is similar in feature fi lms that appeared between 1991 and 2001 (Steinke, 2005), mak- ing women much less frequent media scientists than men.

Female scientists are not “mad scientists” or bungling nerds as often as male scientists (Flicker, 2003). They may be evil but are more likely to be masculine women, “old maids,” world experts, or lonely heroines. The masculine women and unmarried women who have given up on romance were more common in older films. During the 1990s, the female scientist became the “brainy babe” (Ribalow, 1998). This female version of the scientist was sometimes the extraor- dinarily talented expert, such as the female scientists in Thor: The Dark World , Gravity , and The Martian or the lonely heroine, such as Dr. Ellie Arroway (in Contact ), Dr. Emma Russell (in The Saint ), and Elizabeth Shaw (in Prometheus ). A variety of female scientists who are brainy babes obsessively dedicated to their work appear on TV as Abby Sciuto in NCIS and as Dr. Temperance “Bones” Brennan in Bones .

Although female scientists have begun to be portrayed as brainy and compe- tent (Steinke, 2005), they are defi nitely babes: Female scientists in fi lm and on television tend to be young and extraordinarily good looking (Flicker, 2003). Indeed, many are too young to be the world-class experts they portray. However, female scientists often have to withstand challenges from their male colleagues, who question their competence and make sexist remarks. Romance has been a common theme for these movie scientists, but family and children have not. Most female scientists in fi lms have been unmarried, and the married female scientists tend to be childless.

To sum up, female scientists appear much less frequently than male scientists in the movies. When they appear, they are portrayed as driven, outspoken, obsessive, and dedicated—characteristics common to male scientists.

Researching Sex and Gender 35

According to the Research . . . Women in Science Face Barriers

The images of female scientists in the media may furnish models for girls and thus help to orient girls to pursue careers in science and engineering, a goal that has proven diffi cult. However, some of the portrayals do not present enticing images of scientifi c careers, and thus the media image of female scientists may discourage girls from pur- suing such careers (Jones, 2005).

Depictions of female scientists have increased in the movies, and that change is accurate: The number of women working in science and engineering has increased over the past 35 years. An analysis of feature fi lms (Steinke, 2005) indicated that about one-third of fi lms that portrayed scientists or engineers included women in those roles, which is actually higher than the 20% of women working in these fi elds (Kohlstedt, 2004). It is easier to become a female scientist in the movies than in real life.

The frequency of female scientists in the media is not the only inaccuracy of science at the movies, but male scientists receive worse treatment than their female counter- parts. Male scientists appear as inept social bunglers or evil geniuses (Jackson, 2008). Female fi lm scientists appear professional and competent (Steinke, 2005), which is correct, but male scientists are also professional and competent. Unfortunately, the portrayals of challenges to that competence and harassment by male colleagues are also correct.

Reports from female scientists (Rosser, 2012; Settles, Cortina, Malley, & Stewart, 2006) have revealed that women in science face barriers that their male colleagues do not. Two of those barriers appear in fi lms about female scientists: challenges to competence and sexual harassment. Such negative experiences were more common among women in the natural sciences than in the social sciences, and female scientists reported such negative experiences as factors in decisions to leave their departments or even their jobs. Female scientists who perceived that their work environment included a sexist climate, gender discrimination, and sexual harassment reported lower job satisfaction and poorer productivity than female scientists who experienced more sup- portive work environments.

Another barrier faced by female scientists often fails to appear in fi lms—the confl ict between work and family demands. Films avoid depicting this dilemma by portray- ing female scientists as single or childless (Steinke, 2005). Research on the success of female scientists (Bentley & Wise, 2004) revealed that this depiction may not be accurate; female scientists often marry and have children. However, family commit- ments hampered scientifi c success for women compared to men.

Thus, research on women in science shows a growing number of women pursuing careers in science but also barriers that block their success. Those barriers are similar to the movie image of female scientists in terms of harassment and lack of acceptance by their male colleagues, but in addition, women in science face problems of balancing career and family in ways that the movies fail to show.

36 Researching Sex and Gender

The gender difference in mathematics performance is one such well-publicized difference (Maccoby & Jacklin, 1974). Are boys really better at math than girls? If so, how much bet- ter? Do all boys do better than all girls? One way to answer these questions is to examine the amount of overlap in the distribution of math scores for boys and girls. Figure 2.2 shows some possibilities for the distributions of math scores for boys and girls. Group A of this fi gure shows two distributions with no overlap. If this fi gure represented the mathemat- ics performance of boys and girls, then all boys would do better than all girls. Group B shows the performance of boys and girls overlapping slightly. If this fi gure represented the performance of boys and girls, then most boys would do better than most girls. A few girls would do better than a few boys, but no girls would do better than boys with the highest performance. Group C shows a lot of overlap between the performance of the two groups. If this fi gure represented performance, many girls would do better at math than many boys.

Hyde (1981, 1994, 2005) contended that the upper range of difference in mathematical performance between men and women is no more than 1%. With this level of difference, only a small percentage of the distribution of math scores for boys and girls fails to overlap, and most of the scores for the two are in the same range. Figure 2.2 C comes closer to this distribution of math ability than the other parts of Figure 2.2 . These gender-related differences in math per- formance are suffi ciently large to show a statistically signifi cant difference but not large enough to have any practical signifi cance when applied to the performance of most boys and most girls. This magnitude of difference would not lead educators to create different math classes for boys and girls because their abilities were so dissimilar, nor would counselors advise girls to avoid math courses because of their lack of ability. With this level of overlap, Lawrence Summers (or anyone else) should not speculate about women’s lack of innate ability.

Studies that do not fi nd hypothesized differences in outcomes are less likely to be pub- lished than studies that offer support for the hypotheses. Thus, a strong prejudice exists in

Figure 2.2 Distributions with Varying Degrees of Overlap

Researching Sex and Gender 37

Table 2.3 Stages of Research and Potential for Bias

Stage Ways Bias Can Enter Gender-Related Example

Finding a problem to investigate

Allowing personal and societal values to infl uence choice of topic

Studying heart disease rather than breast cancer in middle-aged populations

Selecting variables Using inaccurate, incomplete, or misleading defi nitions

Defi ning rape as vaginal penetration accompanied by force or threat of force (excludes other forced sexual acts and excludes men as victims)

Choosing a design Choosing a design that does not allow for the evaluation of context

Testing participants in a situation that is anxiety provoking for women but not for men

Formulating a hypothesis

Failing to consider the validity of the null hypothesis

Always hypothesizing gender differences rather than similarities

Following a theory that is biased Following Freudian theory to hypothesize that women have weak superegos

Collecting data Permitting personal bias to infl uence measurement; using a defi nition of the behavior that is too narrow

Defi ning battering as the number of police reports of domestic violence

Analyzing results Allowing personal values and expectation to guide the choice of which factors to evaluate

Failing to make a comparison of female and male participants

Interpreting results Failing to report effect sizes Interpreting a gender difference in a way that makes it seem large when it is not

Interpreting gender differences as due to biological factors when no biological data exist

Claiming that boys’ advantage in math is biological when no biological data have been collected

Publication bias Publication of fi ndings showing signifi cant gender differences

Publication and media attention for fi ndings of gender differences, but no attention for fi ndings of similarities

favor of fi ndings that show differences rather than fi ndings that do not succeed in showing differences; that is, there is a prejudice against fi ndings that suggest similarities (Greenwald, 1975; Hyde, 2005). This tendency prompts researchers to highlight the differences they fi nd and to dismiss other nonsignifi cant results. Indeed, researchers may omit any mention of failure to fi nd a difference, such as a gender-related difference, but researchers who fi nd statistically signifi cant differences will always mention the differences and the level of statisti- cal signifi cance. Researchers cannot discuss an effect they have failed to fi nd, and they must discuss effects that they have found. However, the omission of some information and the mention of other information can lead to a distorted view of overall fi ndings by magnifying differences and obscuring similarities.

Table 2.3 shows the stages of research and how bias can enter at various points in the pro- cess. The possibilities for gender bias listed in the table are only a few examples; the history of gender research is fi lled with many other examples.

Ways to Deal with Bias in Science Those who criticize the bias in science have proposed two very different strategies for dealing with this problem. The constructionists deny the possibility of objectivity and thus reject the basic tenets of science. The extreme of this position calls for abandoning science as a way to deal with its inevitable bias. That position is unlikely to prevail: Science has been too

38 Researching Sex and Gender

successful and is too widely accepted. Nevertheless, some scholars advocate radical transfor- mation in collecting and analyzing information. Other researchers argue that scientists must try harder to do good science.

Advocating Transformation

Several scholars have argued that feminist research has the power to transform research with women and even the discipline of psychology. Historian Londa Schiebinger (1999, 2003) asked a broader question about the infl uence of feminism on all of science. She evaluated the possibility that feminism and its criticisms of traditional science have changed modern science. Her conclusions were both positive and negative. On the one hand, Schiebinger contended that feminism (and the presence of women) has brought about some changes in science. On the other hand, nothing has changed in science’s basic assumptions or approach.

The criticisms concerning masculinist bias in science may be founded, and the women who enter the profession of scientifi c research must play by the rules of science. In that sense, feminism has not changed science. Women have changed science in terms of what questions researchers ask and possibly how those results are interpreted. Research on issues important to women—such as incest and sexual abuse of children, rape and sexual assault, sexual harass- ment, spouse abuse, and achievements by women—has increased dramatically within the past 30 years, parallel to the increase in women in psychology (Worell, 1996). In addition, extend- ing research to understudied populations has been a force in expanding psychology research beyond White, middle-class college students (Worell & Etaugh, 1994). Women in psychology have managed to change psychology research more than to transform science itself.

To decrease sexism in science, Londa Schiebinger and Martina Schraudner (2011) proposed that both women and science should change. They contend that changes in science must occur through encouraging more women to become scientists, eliminating the sexism in the institutions in which scientifi c research takes place, and integrating sex and gender into every facet of the scientifi c enterprise. Schiebinger and Schraudner argued that these gender innova- tions in science would benefi t not only women but also science and society in general through applications of science to the entire population rather than focusing on men or women.

Scholars who claim that research should center on women advocate a more radical trans- formation. This view is feminist standpoint epistemologies (Campbell & Wasco, 2000; Harding, 2004, 2006; Harding & Norberg, 2005), and scholars who take this view claim that women have a unique point of view and different cognitive processes that have been ignored. These researchers believe that the analytical categories that are appropriate for men may not be appro- priate for women and that research should remedy these shortcomings by devising methods to study the unique experience of womanhood. Rather than push women’s issues to the margins, feminist standpoint scholars make those issues the center (Anderson, 2002; Harding, 2006).

As a way of gaining additional information about women and their experience, the feminist standpoint epistemologies have considerable value and appeal. Some feminist scholars have rejected traditional quantitative research as impoverished in capturing the female experience and have opted for more qualitative approaches. Such methods allow researchers to be sub- jective and interpretive, which qualitative researchers believe is critical in studying behavior.

The feminist standpoint epistemologies have the disadvantage of perpetuating the emphasis on gender differences that they criticize (Cosgrove, 2003) and carry the risk of emotionally harming participants (Sampson, Bloor, & Fincham, 2008). The growing interest in qualitative research and its increasing frequency in psychology journals speak to the greater support of these changes in research, but in departing radically from accepted methodology, these studies are diffi cult for mainstream science to accept (Riger, 1992; Wertz, 2011). Less radical changes, however, are easier to accept and enact. Thus, decreasing bias in gender research is a more feasible goal.

Researching Sex and Gender 39

Decreasing Bias

Those scholars who advocate a more objective study of gender can be termed feminist empiri- cists (Campbell & Wasco, 2000; Riger, 1992). These feminist researchers have argued that the development of a feminist methodology may not benefi t research on women and gender- related behaviors. “A distinctive set of feminist methods for psychological research are not only futile but dangerous,” and “any method can be misused in sexist ways” (Peplau & Conrad, 1989, p. 380). This view rejects the notion that methodology is gendered or that feminist research must be conducted by women or exclusively on women. Instead, some feminist psychologists (McHugh & Cosgrove, 2004) argue that the use of diverse and appro- priate methods is best for the study of women and gender-related behaviors.

To adequately study gender contrasts, research must include men (or boys) as well as women (or girls). Such comparisons are the subject matter of gender similarities and differ- ences, and this research cannot include only one sex or the other. However, the necessary research must differ from much prior research, because so much of the existing research concerning gender is fi lled with serious bias.

Several groups of feminist empiricist researchers have alerted researchers to the potential for inadvertently introducing sexist bias into research and have presented some sugges- tions for conducting nonsexist psychological research. Maureen McHugh and her colleagues (McHugh, Koeske, & Frieze, 1986) acknowledged that psychology research has included biases, some of them unintentional. An unwarranted confi dence in traditional research methods is one source of bias. In addition, bias can come from the theories and explana- tions researchers use as well as from inappropriate labeling and defi nitions.

Unwarranted confi dence in traditional research methods occurs, for example, when psy- chologists accept that observations of behavior are objective (McHugh & Cosgrove, 2004). Observations are not necessarily free of sexist (or other) biases, because the observer may be biased and the context of the observation is rarely included in the analysis of the situation. The process of measurement itself fails to capture critical aspects of experience.

Gender may be part of the context of research and yet go unmentioned in a study. For example, the gender of the participants may be a subject variable in a study, but the gender of the experimenter usually is not. The gender of the experimenter may affect the behavior of participants, yet researchers rarely consider this factor.

Bias in an explanatory system occurs when researchers use broad terms (such as hormones or modeling ) to explain specifi c behaviors. Appropriate explanations should take many fac- tors into account, including social, cultural, biological, and situational factors. Inappropriate labeling and defi nitions occur in gender research when differences exist and one variation is labeled in a derogatory way. For example, the controversy over Lawrence Summers’s remarks concerning women in science provoked research asking “Why aren’t more women in sci- ence?” (Ceci & Williams, 2007). Londa Schiebinger (2008) highlighted the subtle sexism in that question by asking why there aren’t research initiatives to determine why so few men are involved with child care and domestic labor. The focus of the research on women’s partici- pation in science is defi cit: Women must have something wrong with them, or they would be engineers and scientists in numbers similar to men. Researchers should avoid placing value-laden labels on behaviors before they have evidence of the value, consider the context of the behavior, include both women and men in research on gender-related behaviors, or give appropriate emphasis to topics of interest to both men and women (McHugh et al., 1986; Schiebinger & Schraudner, 2011). It may not be possible to eliminate gender bias in research, but such bias can be decreased. Critical thinking can lead to an appropriate skepti- cism and a reformulation for gender research that includes a step-by-step consideration of how bias can enter the study of gender at any point (Caplan & Caplan, 2016).

40 Researching Sex and Gender

Specifi c analysis techniques can reduce the bias in evaluating research, depending on the technique chosen. The development and use of a statistical technique called meta-analysis allow researchers to evaluate results from many studies and thereby determine the overall size of various effects. This information is related to the concept of practical signifi cance because it can reveal which results are small and which are large. Janet Hyde (2007) explained that “Meta-analysis is a statistical method that allows the researcher to synthesize the statistical fi ndings from numerous studies of the same question” (p. 259). She contended that meta- analysis is preferred over evaluations that count the outcomes or combine probabilities from various studies because meta-analysis allows similar studies to be combined and statistically evaluated. Researchers have performed over 370 meta-analyses related to gender (Eagly & Wood, 2013), which have contributed to the fi nding that gender-related differences are small or nonexistent in many cases and large enough to be practically signifi cant for only a few variables. That is, meta-analyses have revealed more gender similarities than gender differences (Eagly & Wood, 2013).

Analysis and reporting results also require changes (Hyde, 1994). Researchers should conduct all appropriate signifi cance tests and report all (even nonsignifi cant) fi ndings and sizes of effects, exercising caution in interpreting results so as to make appropriate conclusions, and applying appropriate scientifi c standards to ensure that fi ndings are not misused. All of these suggestions are intended to make the research on sex and gender more scientifi cally rigorous and thus elimi- nate the biases that have been so common in this area, creating a feminist empiricism.

Summary

The present and past of gender research offers examples of bias, and one such example came from Harvard President Lawrence Summers, who set women seething when he suggested that women may be inherently less suited to science than men. This episode is only one example of the controversies surrounding women in science.

Science as a method of gathering information can be traced back to the 16th century and rests on philosophical traditions that assert the advantages of an objective, observation- based understanding of the world. By using descriptive methods such as correlational studies and surveys, researchers gather and evaluate information that leads them to understand the world. By using the experimental method, researchers can develop an understanding of the cause-and-effect relationship between an independent variable and a dependent variable. Although the ex post facto method resembles experimentation, it differs in procedure and in the type of information it yields; ex post facto studies do not involve the manipulation of independent variables and do not allow the determination of causality.

All studies with gender as a subject variable are ex post facto designs, and none has the ability to reveal the cause of any differences they might show. Gender can be an independent variable in experimental studies when, for example, the researcher manipulates the descrip- tion of targets, identifying some as male and some as female. This type of approach treats gender as a social category and, like all laboratory research, suffers from artifi ciality.

Dissatisfaction with traditional quantitative research has led to a growing interest in quali- tative research methods among psychologists. These methods include case studies, inter- views, ethnography, and focus groups. Researchers using these approaches acknowledge that they are part of the research process, try to treat their participants as equals, and attempt to preserve the complexity of the situations they study.

Bias can enter the research process at any point, and the history of gender studies is fi lled with examples of bias. Some have argued that science has a masculinist bias, and theories such as Freud’s psychodynamic theory have a clear bias against women. Any of the steps in conducting research can be contaminated by personal bias. In addition, studies that reveal

Researching Sex and Gender 41

gender-related differences may show a difference that is statistically signifi cant—that is, not due to chance. Yet the difference may not have any practical signifi cance; for instance, it may not reveal large, important differences between women and men.

Solutions to the bias in science include an abandonment of science, which is unlikely, or drastic revisions to research methodology. Some feminist scholars advocate abandoning the traditional scientifi c method and adopting alternatives that center on women and that use different methods of gaining information, especially qualitative research methods such as ethnography and interview studies. The term feminist standpoint epistemologies applies to those who want to create a woman-centered approach to researching the female experience. Less drastic revisions include recommendations for making researchers more careful. Those researchers who advise taking care to avoid sexist bias in research can be described as feminist empiricists . In psychological research, those who are feminist empiricists are more numerous than feminist standpoint epistemologists. Some psychologists have examined the challenges and proposed solutions for carrying out nonsexist research. Some feminist scholars argue against excluding any method and propose a more varied and objective feminist empiricism.

Glossary

case study a qualitative method that focuses on gathering extensive information about a single person or a small group.

constructionists a group of critics of science who argue that reality is constructed through perception and is inevitably subject to bias. Included in this bias is all scientifi c observa- tion, thus excluding science from its claim of objectivity.

correlational study a descriptive research method that requires researchers to measure two factors known to occur within a group of people to determine the degree of relationship between the two factors.

data representations, usually in numerical form, of some facet of the phenomenon that the researcher observes.

dependent variable (DV) the factor in an experiment that the experimenter measures to determine whether the manipulation of the independent variable has an effect.

descriptive research methods a group of research methods, including naturalistic observation, surveys, and correlational studies, that yield descriptions of the observed phenomena.

empirical observation collecting information through direct observation. ethnography a type of qualitative research in which the researcher becomes immersed in a

situation in order to make observations and interpretations of that situation. experiment a type of study in which a researcher manipulates an independent variable and

observes the changes in a dependent variable; only through experiments can researchers learn about cause-and-effect relationships.

ex post facto study a type of nonexperimental research design that involves the comparison of subjects, who are placed in contrast groups, on the basis of some preexisting charac- teristic of the subjects.

focus group a qualitative research method consisting of a discussion involving a group of people centered around a specifi c topic.

hypothesis a statement about the expected outcome of a study. independent variable (IV) the factor in an experiment that the experimenter manipulates

to create a difference that did not previously exist in the participants. interview a type of qualitative study in which respondents are interviewed in order to deter-

mine patterns or commonalities among their responses. meta-analysis a statistical analysis that allows the evaluation of many studies simultaneously. objectivity the notion that observation is free of bias by the observer.

42 Researching Sex and Gender

operational defi nition a defi nition of a variable in terms of operations used to obtain information on that variable, rather than in terms of concepts underlying that variable.

practical signifi cance an important result with practical implications; different from statisti- cal signifi cance.

qualitative research research that focuses on understanding complexity and context rather than distilling situations to sets of numbers.

quantifi cation the process of turning observations into numerical data. quantitative research research that uses numerical data and statistical analysis. statistically signifi cant result a result obtained by analysis with statistical tests and found

unlikely to have been obtained on the basis of chance alone. subject variable a characteristic of the subjects, such as gender, that allows researchers to

form contrast groups in quasi-experimental studies. survey a descriptive research method involving the measurement of attitudes through the

administration and interpretation of questionnaires. variable a factor of interest to researchers; something that can have more than one value, as

opposed to a constant, which has only one constant value.

Suggested Readings

Mahoney, Michael J. (2003). Minding science: Constructivism and the discourse of inquiry. Cognitive Therapy and Research, 27 , 105–123. Mahoney’s very personal account of science includes a review of the history of science, the ideal procedures of

scientifi c investigation, and the many ways in which that ideal is not realized in the work and politics of science.

Marecek, Jeanne. (2003). Dancing through minefi elds: Toward a qualitative stance in psychology. In P. M. Camic, J. E. Rhodes, & L. Yardley (Eds.), Qualitative research in psychology: Expanding perspectives in methodology and design (pp. 49–69). Washington, DC: American Psychological Association. Marecek reviews the status of qualitative work in psychology, pointing out that such studies have a long history

in psychology and much to offer to investigators.

Schiebinger, Londa; & Schraudner, Martina. (2011). Interdisciplinary approaches to achieving gendered innova- tions in science, medicine, and engineering. Interdisciplinary Science Reviews, 36 (2), 154–167. Schiebinger and Schraudner propose changes to science that include not only recruiting more women into

science but also institutional changes to make women more accepted and successful in scientifi c careers. They also advocate widespread changes in the practice of science to include gender in every aspect.

Suggested Websites

If you are interested in the history of women in science, check out 4000 Years of Women in Science (http://www. astr.ua.edu/4000WS/). This website contains biographies, references, and photos, as well as links to other sites.

GirlGeeks (http://www.girlgeeks.org/) is an online community devoted to girls and women who are interested in science and technology. It includes career information and tips, a forum to share information and support, and information about girls and women who are contributing to the technology fi eld.

Girlstart (www.girlstart.org) is an organization devoted to promoting girls’ interest in and access to science experiences. It includes information about nationwide programs for girls and access to educational information and community programs.

References

Anderson, Elizabeth. (2002, Fall). Feminist epistemology and philosophy of science. In Edward N. Zalta (Ed.), The Stanford encyclopedia of philosophy . Retrieved August, 2015, from http://plato.stanford.edu/archives/ fall2002/entries/feminism-epistemology

Barres, Ben. (2006). Does gender matter? Nature, 442 (7099), 133–136.

Researching Sex and Gender 43

Bentley, Jerome T.; & Wise, Donald E. (2004). Gender differences in the careers of academic scientists and engineers . Arlington, VA: National Science Foundation, Division of Science Resources Statistics.

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H eadline : “ Gender Stereotypes Don’t Die Easily,” Vancouver Sun , June 27, 2013

During the 1970s, women began to complain about negative portrayals of women in the media (Todd, 2013). Drawing on stereotypes of women, these images portrayed women as hysterical, gossipy, poor at math, and lacking in humor. The feminist movement that was gathering power during that time fought against these stereotypical portrayals. Although this type of stereotyping has not disappeared, it is no longer as blatant as it was. Columnist Douglas Todd (2013) complained that men now seem to be in a similar position; negative stereotypes of men fi ll the media, but no fl ood of complaint has arisen from men (or women) about these negative images.

Todd focused on a report about men’s lack of maturity. Indeed, the report claimed that men did not reach maturity until age 43, whereas women mature at age 32. The study was commissioned by a British television network as part of the publicity for a new television show about an immature man, but stories appeared throughout Great Britain, Canada, and the United States, reporting the fi ndings without questioning the validity of the research. As Todd pointed out, both women and men seemed eager to accept confi rmation of these negative stereotypes about men. Perpetuating negative stereotypes of men is no more accept- able than for women.

In this chapter, we examine stereotyping, including the historical origins of today’s gender stereotypes. We also look at how gender stereotyping functions for today’s women and men and infl uences how people think about and treat women and men. Indeed, the phenom- enon of stereotyping is so important and pervasive that it can serve as a framework for our examination of psychological perspectives on gender in future chapters.

History of Stereotypes of Women and Men

A gender stereotype consists of beliefs about the psychological traits and characteristics of, as well as the activities appropriate to, men or women. These beliefs often have something to do with the behaviors typically performed by women and men in a particular culture, but gender stereotypes are more generalized beliefs and attitudes about masculinity and feminin- ity. Such attitudes do not have a perfect relationship with observed behaviors: When people associate a pattern of behavior with either women or men, they may overlook individual variations and exceptions and come to believe that the behavior is inevitably associated with one gender but not the other. Therefore, gender stereotypes go beyond behaviors, forming categories that may not correspond to real women and men in many ways.

Gender stereotypes are very infl uential; they affect conceptualizations of women and men. They establish social categories that represent what people think. Even when beliefs vary

Gender Stereotypes Masculinity and Femininity

3

Gender Stereotypes 47

from reality, the beliefs can be very powerful forces in judgments of self and others. There- fore, the history, development, and function of stereotypes are important topics in under- standing the impact of gender on people’s lives.

The current gender stereotypes, especially those about women, refl ect beliefs that appeared during the 19th century, the Victorian era (Lewin, 1984c). Before the 19th century, most people lived and worked on farms, where men and women worked together. The Industrial Revolution changed the lives of a majority of people in Europe and North America by mov- ing men outside the home to earn money and leaving women at home to manage households and children. This separation forced men and women to adapt to different environments and roles. As men coped with the harsh business and industrial world, women were left in the relatively unvarying and sheltered environments of their homes. These changes produced two beliefs: the Doctrine of Two Spheres and the Cult of True Womanhood.

The Doctrine of Two Spheres is the belief that women’s and men’s interests diverge—women and men have their separate areas of infl uence (Lewin, 1984b). For women, the areas of infl u- ence are home and children, whereas men’s sphere includes work and the outside world. These two spheres have little overlap, which has allowed them to be seen as opposites. This notion of women and men as opposites has been infl uential in how people think about women and men and has also guided psychology’s attempts to measure masculinity and femininity.

The Cult of True Womanhood

The Cult of True Womanhood arose between 1820 and 1860. “The attributes of True Wom- anhood, by which a woman judged herself and was judged by her husband, her neighbors, and society could be divided into four cardinal virtues—piety, purity, submissiveness, and domesticity” (Welter, 1978, p. 313). The Cult of True Womanhood held that the combina- tion of these characteristics provided the promise of happiness and power to the Victorian woman, and that without these, no woman’s life could have real meaning.

Piety was a virtue that society viewed as more natural to women than men. Religious stud- ies were seen as compatible with femininity and deemed appropriate for women, but other types of education detracted from women’s femininity. In addition, other types of education might lead women to ignore religion, become overly romantic, and lose their virtue, or purity (that is, their virginity). The loss of sexual purity was a “fate worse than death.” Having lost her purity, a woman was without value or hope. Men, on the other hand, were not naturally as religious and thus not naturally as virtuous as women. According to this view of True Womanhood, men were, at best, prone to sin and seduction, and at worst, brutes. True Women would withstand the advances of men, dazzling and shaming them with their virtue.

Submissiveness was the third virtue in the Cult of True Womanhood. This characteristic was not true of, and not desirable in, men (Welter, 1978). Women were expected to be weak, dependent, and timid, whereas men were supposed to be strong, wise, and forceful. Dependent women wanted strong men, not sensitive ones. These couples formed families in which the husband was unquestionably superior and the wife would not consider ques- tioning his authority.

The last of the four virtues, domesticity, was connected to both submissiveness and to the Doctrine of the Two Spheres. True Women were wives whose concern was with domestic affairs—making a home and having children: These domestic duties included cooking and nursing the sick, especially a sick husband or child.

Table 3.1 summarizes the elements of the Cult of True Womanhood. However, the crite- ria were too demanding for any real woman to meet. Nonetheless, these virtues were held as attainable, and women tried to meet these ideals. Remnants linger in our present-day culture and infl uence current views of femininity.

48 Gender Stereotypes

Gendered Voices: Gendered Food

A college senior related how gender stereotypes intruded into eating at a restaurant with her boyfriend: “When my boyfriend and I go out to dinner, I usually order a steak, and he orders a big salad. More than half of the time, the food server puts the salad in front of me, and my boyfriend gets the steak. If the servers don’t write down the order, the stereotypes take over.”

. . . And Drinks

A graduate student related how gender stereotypes took over when she and her husband ordered drinks in a restaurant: “My husband’s favorite drink is a strawberry daiquiri. He often gets funny looks because I guess he doesn’t look like a daiquiri kind of guy. On one occasion, my husband ordered a strawberry daiquiri, and I asked our waitress that she add extra whipped cream and a cherry. We all laughed about it. I ordered a long-neck beer, which is my typical drink during the summer. When our drinks arrived, the waitress put the daiquiri—complete with whipped cream and cherry—in front of me and the beer in front of my husband. I thought it was interesting after the laugh we had over my husband’s order, but I guess that stereotyping won out.”

Table 3.1 Elements of Stereotyping of Women and Men

The Cult of True Womanhood Male Sex Role Identity

Piety: True Women were naturally religious. No Sissy Stuff: A stigma is attached to feminine characteristics.

Purity: True Women were sexually uninterested. The Big Wheel: Men need success and status.

Submissiveness: True Women were weak, dependent, and timid.

The Sturdy Oak: Men should have toughness, confi dence, and self-reliance.

Domesticity: True Women’s domain was in the home.

Give ’Em Hell: Men should have an aura of aggression, daring, and violence.

Sources: Based on “The Male Sex Role: Our Culture’s Blueprint of Manhood and What It’s Done for Us Lately” (p. 12), by Robert Brannon, in Deborah S. David and Robert Brannon (Eds.), The Forty-Nine Percent Majority, 1976, Reading, MA: Addison-Wesley; and “The Cult of True Womanhood: 1820–1860,” by Barbara Welter, in Michael Gordon (Ed.), The American Family in Social-Historical Perspective (2nd ed.), New York: St. Martin’s Press.

Masculinities

The 19th-century idealization of women also had implications for men, who were seen as the opposite of women in a number of ways. Women were passive, dependent, pure, refi ned, and delicate; men were active, independent, coarse, and strong. The Victorian ideal of manhood was the basis for what Joseph Pleck (1981, 1995) referred to as the Male Sex Role Identity (now called the Male Gender Role Identity). Pleck discussed the Male Gen- der Role Identity as the dominant conceptualization of masculinity in our society and as a source of problems, both for society and for individual men.

R. W. Connell (1995) explored the historical origins of attitudes toward masculinity, look- ing back into 16th-century Europe and the changing social and religious climate to trace

Gender Stereotypes 49

the development of individualism. He contended that industrialization, world exploration, and civil wars became activities associated with men and formed the basis for modern mas- culinity. Pleck (1984) also reviewed the social climate, focusing on the late 19th century, and citing examples of the increasing concern that men were not as manly as they once had been. Being a good provider became an increasingly diffi cult role for men to fulfi ll (Bernard, 1981; Faludi, 1999); failure at this role endangered their masculinity. Education became increasingly important for employment, but early childhood education became the province of women, and Pleck discussed how these female elementary school teachers tried to make boys into well-behaved pupils—in other words, “sissies.” This issue remains part of a debate over boys in the classroom (Kimmel, 2000; Rosin, 2010; Sommers, 2000).

The prohibition against being a sissy and the rejection of the feminine are strong compo- nents of modern masculinity. According to Robert Brannon (1976), No Sissy Stuff is one of the four themes of the Male Sex Role. Another theme, The Big Wheel, describes men’s quest for success and status as well as their need to be looked up to. The Sturdy Oak component describes men’s air of toughness, confi dence, and self-reliance, especially in a crisis. Finally, the Give ’Em Hell aspect of the Male Sex Role refl ects the acceptability of violence, aggres- sion, and daring in men’s behavior. Table 3.1 summarizes these elements.

The more closely a man conforms to these characteristics, the closer he is to being a “real man.” This idealization of masculinity is equally as unrealistic as the “true woman” of the Cult of True Womanhood. However, even men who are fairly successful in adopting the Male Gender Role Identity may be poorly adjusted, unhappy people; this role prohibits close personal relationships, even with wives or children, and requires persistent competition and striving for achievement. These diffi culties lead men to make signifi cant departures from the role’s requirements.

Pleck (1981, 1995) proposed a new model, which he called Sex Role Strain (now Gen- der Role Strain), which departs in many ways from the Male Gender Role Identity. Pleck argued that during the 1960s and 1970s, both men and women started to make signifi - cant departures from their traditional roles. Nevertheless, the Male Gender Role Identity retained a powerful infl uence over what both men and women believe men should be. Many men deviate from the role, and some even believe that the role is harmful to society and to them personally, which makes adherence to the role a strain. Even men who succeed feel the strain in doing so, and the toxic components of the role present problems even for the successful. A review of research on male gender role ideology (Levant & Richmond, 2007) confi rmed that strain occurs and problems are associated with strong adherence to traditional masculinity.

Connell (1987, 1995, 2005) argued that gender has been constructed as part of each society throughout history, a view that is consistent with the belief that gender is some- thing that people do rather than part of what people are (West & Zimmerman, 1987). This construction of masculinity includes both sanctioned and less accepted behaviors. Thus, masculinity varies with both time and place, creating a multitude of masculinities. For each society, Connell contended that one version of masculinity is sanctioned as the one to which men should adhere, which he termed hegemonic masculinity . This version of masculinity attempts to subordinate femininity as well as less accepted versions of mas- culinity, such as male homosexuality. Like Pleck, Connell recognized many disadvantages to this narrow, dominant form of masculinity and saw many problems for society and for individual men who adhere to it.

Despite the notion that masculinity has undergone drastic changes in the past two decades, evidence indicates little change in hegemonic masculinity and strong representation of the four themes of the Male Gender Role (Bereska, 2003). Boys and men are still supposed to be stoic, aggressive, dependable, and not feminine.

50 Gender Stereotypes

Conceptualizing and Measuring Masculinity and Femininity

The history of gender stereotypes suggests that differences should be easy to understand. Indeed, the concepts of male and female are relatively easy for people to understand because these words relate to biological differences. The concepts of masculine and feminine are much less closely related to biology and thus much more diffi cult to separate into two nonoverlapping categories: “One can be more or less feminine. One cannot be more or less female” (Maccoby, 1988, p. 762). Nonetheless, these dimensions seem important—perhaps critically important—and psychologists have attempted to conceptualize and measure mas- culinity and femininity along with other important personality traits. Unfortunately, psy- chologists’ efforts to measure masculinity and femininity have a long history but not a long record of success (Constantinople, 1973; Hoffman, 2001; Lewin, 1984a, 1984b). The problems began with the fi rst measures developed, and no measurement technique used since has escaped serious criticism.

Explicit Measures of Stereotyping

Lewis Terman (who adapted the Binet intelligence test into the Stanford-Binet test) and Catherine Cox Miles constructed the Attitude Interest Analysis Survey, a 456-item test that appeared in 1936 (Lewin, 1984a). This test yielded masculinity–femininity (MF) scores that lay along a continuum with strong masculinity lying at one extreme and strong femininity at the other. The test was not valid in any way other than distinguishing men from women (Lewin, 1984a). This test is no longer used, but its existence infl uenced others to develop measurements of masculinity and femininity.

When the MF scale of the Minnesota Multiphasic Personality Inventory (MMPI) appeared in 1940, it soon became the most common measure of masculinity and femininity, largely because of its inclusion in this personality test developed to measure psychological disor- ders (Lewin, 1984b). This scale was also unidimensional and bipolar, with masculinity and femininity at opposite ends of the scale. The psychologists who developed the MMPI were not really interested in measuring masculinity and femininity; they were more interested in measuring homosexual tendencies in men. As a result of this interest, their validation pro- cedure included a comparison of the MF responses of 13 homosexual men to the responses of 54 heterosexual male soldiers. They used the responses of the 13 homosexual men as a standard for femininity, thus defi ning femininity as the responses of these men.

The test makers knew that the scale should not be used as a valid measure of femininity (after all, they had used no women in their standardization), and they were initially tenta- tive in describing its use for a heterosexual population. But the test was soon extended to thousands of people, and the reservations disappeared. “It is rather staggering to realize that the femininity dimension of this popular test was ‘validated’ on a criterion group of 13 male homo- sexuals! ” (Lewin, 1984b, p. 181; emphasis in original). The scale was not even very successful in diagnosing sexual orientation in men, and this confusion of masculinity–femininity and sexual orientation posed a problem for understanding both concepts.

An alternative means of conceptualizing masculinity and femininity used the terms instru- mental and expressive , with men’s behaviors considered instrumental and women’s behaviors as expressive (Lewin, 1984b). This distinction was based on an analysis of families around the world, with the conclusion that men occupy the role of autonomous- and achievement- oriented leaders, whereas women provide nurturance and support. The terminology change made some difference in conceptualizing psychological masculinity and femininity, but even more important was the realization that femininity and masculinity may not be best concep- tualized as opposite ends of one continuum.

Gender Stereotypes 51

In 1974, Sandra Bem published a different approach to the measurement of masculinity and femininity by separating the dimensions of masculinity and femininity and by adding the concept of androgyny . She proposed that some people have characteristics associated with both masculinity and femininity; that is, some people are androgynous. The androgyny concept requires both masculinity and femininity in combination, making it incompatible with a unidimensional view of masculinity–femininity. Instead, Bem constructed two scales to capture her concept of androgyny. Her test, the Bem Sex Role Inventory (BSRI), included one scale to measure masculinity and another to assess femininity. Figure 3.1 illustrates the difference between the traditional unidimensional approach to personality measurement and Bem’s two-dimensional approach.

People who take the BSRI respond to 60 characteristics by rating how well each of these characteristics applies to them on a 7-point scale ranging from Always or almost always true to Never or almost never true . Of the 60 items, 20 represent cultural stereotypes of masculinity (ambitious, independent, competitive), 20 represent femininity (gentle, warm, understand- ing), and 20 are fi ller items. Scores on the masculinity and femininity scales yield four differ- ent possibilities: masculine, feminine, androgynous, and undifferentiated. People who score high on the masculinity scale and low on the femininity scale would be classifi ed masculine , whereas people who score high on the femininity scale and low on the masculinity scale would be considered feminine . These people not only accept cultural stereotypes of mascu- linity or femininity, but they also reject the other role. Bem labeled those people who score high on both scales androgynous and those who score low on both scales undifferentiated , classifi cations that do not appear in traditional tests of masculinity–femininity. Androgynous people evaluate themselves as having many of the characteristics that our culture associates with men and women, whereas those people who are undifferentiated endorse few traits of either gender.

The concept of androgyny experienced a rapid growth in popularity, prompting the devel- opment of another test, the Personal Attributes Questionnaire (PAQ) (Spence, Helmreich, & Stapp, 1974). Designed to overcome problems with the BSRI (see Spence & Helmreich, 1978), the PAQ also identifi ed people as masculine, feminine, androgynous, and undiffer- entiated. Both tests have undergone revisions and continue to be in use.

Neither the PAQ nor the BSRI contains examples of the negative aspects of masculinity and femininity as part of their assessments. Some researchers have argued for the inclusion

Figure 3.1 Two Approaches to the Measurement of Femininity and Masculinity

52 Gender Stereotypes

of negative as well as positive dimensions for masculinity, femininity, and androgyny as an improvement to this strategy of assessment (Ricciardelli & Williams, 1995; Woodhill & Samuels, 2003). This approach combines examples of positive masculinity such as strong and confi dent with negative characteristics such as rude and aggressive and combines examples of positive femininity such as sensitive and patient with examples of negative femininity such as weak and timid (Ricciardelli & Williams, 1995). Positive and negative androgyny consist of combinations of the positive and negative traits from both. Research into the concept of negative and positive androgyny (Woodhill & Samuels, 2003) indicated that the separa- tion of positive and negative aspects of masculinity, femininity, and androgyny was a useful addition, including the fi nding that the mental health benefi ts of the positive characteristics associated with androgyny (Levant et al., 2006) and also the risks associated with the nega- tive characteristics (Woodhill & Samuels, 2003).

Although the terms masculinity and femininity are meaningful to most people, psycholo- gists have not yet managed to measure them in theoretically meaningful and valid ways. Problems exist both in the measurement of masculinity and femininity as well as in the con- cept of androgyny (Constantinople, 1973; Lewin, 1984b; Woodhill & Samuels, 2003). In answering the question “Are MF tests satisfactory? [The answer is] No. There is no evidence that the MF tests of the last sixty years provide a valid measure of the relative femininity of women or the relative masculinity of men” (Lewin, 1984a, p. 198). The MF tests pur- port to measure masculinity and femininity, but actually measure gender stereotypes rather than personality characteristics. The tests that include the concept of androgyny offer some improvement but do not solve the problem.

Implicit Measures of Stereotyping

In evaluating stereotyping, researchers often ask people to give their evaluations or opinions about individuals or groups, as in the BSRI and PAQ. This procedure yields explicit atti- tudes because people are explicitly, consciously aware of the opinions they furnish. However, people also have underlying components to their attitudes that they may not know about on a conscious level, called implicit attitudes . These implicit attitudes may differ from or be more extreme than a person’s explicit attitudes. Research indicates that gender stereotyping includes such implicit components.

Assessing implicit attitudes is more diffi cult than asking people about their explicit opin- ions. Those who study implicit attitudes ask participants to make judgments about the simi- larity or compatibility of word pairs and measure how long it takes people to react to these pairs, a process called the Implicit Association Test (Greenwald & Banaji, 1995). Shorter reaction times mean closer associations. Thus stereotypical associations should be faster than counterstereotypical associations, a hypothesis confi rmed by research (Greenwald & Farnham, 2000; to take the Implicit Association Test, go to https://implicit.harvard.edu/implicit/). Over the past 25 years, it has become less acceptable to express gender and ethnic bias, but people still harbor those prejudices, and the Implicit Association Test reveals these biases (Banaji & Greenwald, 2013; Rudman, Greenwald, & McGhee, 2001). Studies of brain functioning (Knutson, Mah, Manly, & Grafman, 2007; Mitchell, Ames, Jenkins, & Banaji, 2009) have confi rmed that implicit gender and ethnic bias appears as activation of brain locations that differ from the activation that occurs with explicit bias. Such fi ndings validate the difference between explicit and implicit stereotyping.

Research on the Gender Implicit Association Test (van Well, Kolk, & Oei, 2007) indicates that this approach may be a better assessment of gender stereotyping than tests that tap explicit attitudes. Both types of measures reveal stereotyping, but the effect is larger for implicit measure- ments. Thus, implicit measures offer promising possibilities for the assessment of stereotyping.

Gender Stereotypes 53

The Process and Implications of Stereotyping

Psychologists have struggled with conceptualizing and measuring femininity and masculinity, and they have also grappled with understanding the process and implications of stereotyping. Despite the negative connotations of the term stereotyping , some theorists have minimized the negative aspects of the process. The simplifi cation that is inherent in stereotyping leads to streamlined cognitive processing, which may be an advantage (Macrae & Bodenhausen, 2000). The limits on children’s cognitive abilities make gender stereotyping a normal part of children’s cognitive development (Martin & Halverson, 1981). Therefore, the function of gender stereotyping can be understood as a useful way to approach the complexities of social cognition, including thinking about gender. Stereotypes do not lead inevitably to bias (Per- rin, Heesacker, & Shrivastav, 2008), but a great deal of evidence indicates that stereotyping produces such large distortions and incorrect generalizations that its disadvantages outweigh the advantages (Bobo, 1999; Glick & Fiske, 2001; Hegarty & Pratto, 2004).

Stereotyping, Prejudice, and Discrimination

Gender stereotypes provide not only descriptions of how people think about women and men but also prescriptions about what women and men should be, which means that gender stereotyping places limits and evaluations on what traits and behaviors are allowed (Pren- tice & Carranza, 2002). The process of stereotyping results in the formation of cognitive categories, and people have the tendency to use one of those categories as the norm and the others as deviant from the norm (Hegarty & Pratto, 2004). For example, in forming cognitive categories for men and women, men are cast as the norm; in categorizing sexual orientation, heterosexuality is the norm. This process leaves women and gays and lesbians as deviant from the norm categories. Thus, perceived differences will be attributed to the “deviants” rather than the norm categories, which tends to create negative evaluations for women, gays, and lesbians. Such negative evaluations should create problems, and prejudice and discrimination are among the effects that fl ow from stereotyping.

Prejudice is a negative evaluation of an entire group, which allows prejudiced people to react to members of the group without any personal contact or without knowing anything about people in the group as individuals. Discrimination is behavior that holds people or groups apart from others and results in different treatments for those people. Thus, prejudice is an attitude, but discrimination is behavior. Figure 3.2 shows the relationship among these

Figure 3.2 Relationships among Stereotyping, Prejudice, and Discrimination

Stereotyping [cognitive process]

Prejudice [attitude]

Discrimination [behavior]

54 Gender Stereotypes

three factors. People may be prejudiced yet not actively discriminate, but the two often go together. Perceptions of women and men are important in these processes.

Perceptions of Women and Men Perception is the basis for the cognitive processing that can become a stereotype. The per- ception that men spend time playing video games and even become competitive with their own children is one of the reasons that men might be perceived as immature, as Douglas Todd’s headline story (2013) suggested. But how do these perceptions become stereotypes?

The content of gender stereotypes may be analyzed into four separate components that people use to differentiate male from female—traits, behaviors, physical characteristics, and occupations (Deaux & Lewis, 1984). All these components are relatively independent, but people associate one set of features from each of these with women and another set with men. On the basis of knowledge of one dimension, people extend judgments to the other three. Figure 3.3 shows the components of this model; the arrows indicate the associations people make among components. For example, given a gender label for a target person, people will make inferences concerning the person’s appearance, traits, gender role behav- iors, and occupation. Information about one component can affect inferences made about the others, and people will attempt to maintain consistency among the components.

Physical features seem to be central: People viewed men and women as differing more in physical features than in psychological characteristics (Deaux & Lewis, 1984), but research with children (Miller, Lurye, Zosuls, & Ruble, 2009) suggests that the application of stereo- type components may not be equal: Girls were described in terms of physical appearance, whereas descriptions of boys focused more on traits and activities. As Figure 3.3 shows, when people have information about behaviors, they make inferences about traits, and information about occupations can affect judgments about behaviors. However, physical appearance affected judgments about the other components more strongly than information about traits, behaviors, or occupations infl uenced judgments about appearance. In addition,

Figure 3.3 Components of Deaux and Lewis’s Model of Gender Stereotyping

Gender Stereotypes 55

specifi c personal information can outweigh gender as a factor in subsequent judgments about a person. For example, men who were described as managing the house or taking care of children were also judged as likely to be emotional and gentle. Such counterstereotypical information about men also increased the likelihood that such men would be judged as likely to be homosexual—“those who don’t fi t the mold in one way . . . are often confused with those who do not fi t in another way” (Sell, 2004, p. 134).

Although the participants in a stereotyping study (Deaux & Lewis, 1984) saw differ- ences in the physical characteristics, traits, behaviors, and occupations of women and men, their ratings of the two categories refl ected the possibility that women may have some characteristics more typical of men, or men may have some characteristics more typical of women. That is, people do not view the stereotypes for women and men as completely separate categories but as probabilistic and overlapping. Participants judged the probabil- ity of a man and woman having certain characteristics on a scale of 0 (no chance) to 1.00 (certainty). The participants judged the probability that a man would be strong as .66, a high probability but not a certainty. However, they also judged the chances that a woman would be strong as .44, a lower probability but far from unlikely. An analysis of physical and stereotypical characteristics of men and women as well as dozens of psychological and behavioral factors (Carothers & Reis, 2013) showed that people tend to perceive the physi- cal and stereotypical characteristics of women and men as falling into two categories, but they see most behavioral and psychological factors as falling somewhere on a continuum. These fi ndings support the notion that people do think of behavior and psychological characteristics as dimensions that include overlap between women and men.

Therefore, adults and children use several dimensions to categorize men and women, draw- ing inferences on one dimension based on information from another. What traits are ste- reotypically associated with these categories? Studies in the 1960s and 1970s often found evidence for beliefs that matched elements of the Male Gender Role Identity or the Cult of True Womanhood, and studies continue to fi nd remnants of these beliefs (Ferrar, Olds, & Walters, 2012; Hundhammer & Mussweiler, 2012). (See According to the Media and According to the Research for examples of stereotyping in the media and its potential effects.) However, recent research also indicates changes in attitudes.

Beliefs held by college students in the 1960s showed strong acceptance of gender stereotypes by both college men and women (Rosenkrantz, Vogel, Bee, Broverman, & Broverman, 1968). Table 3.2 shows how some of the items that differentiated women and men match the com- ponents in the Cult of True Womanhood and Male Gender Role Identity. Not all of the traits these college students named match these categories; for example, one of the characteristics of women was “talkative,” which does not fi t into traits for the Cult of True Womanhood, and college students in the 1960s did not mention sexual purity as a defi ning trait of women. They did, however, mention several characteristics of men that relate to sex, including “worldly” and “talks freely with men about sex,” which matches the suggestion (Good & Sherrod, 2001) for an additional component of the Male Gender Role—Be a Stud. Both the women and men in early studies (Broverman, Vogel, Broverman, Clarkson, & Rosenkrantz, 1972; Rosenkrantz et al., 1968) gave more positive ratings to the characteristics associated with men than with women, which suggests that these stereotypes include gender bias.

Have subsequent changes prompted decreased bias? Administrations of the Attitudes Toward Women Scale (AWS) to students at the same university over a 20-year period showed that college students in the United States (Spence & Hahn, 1997) and Canada (Loo & Thorpe, 1998) became more egalitarian between the 1970s and the 1990s. A meta-analysis of studies that used the AWS revealed a positive relationship between feminist attitudes and the year of administration—but a stronger relationship for women (Twenge, 1997). Two additional studies (Diekman & Eagly, 2000; Prentice & Carranza, 2002) showed larger

56 Gender Stereotypes

According to the Media . . . White Men Are in Charge

In both television commercials and entertainment programming, White men are more common, more prominent, and more dominant than others. According to content analyses of commercials, White male characters were more prominent than any other group (Ganahl, Prinsen, & Netzley, 2003; Smith, Choueiti, Scofi eld, & Pieper, 2013). Women tended to be cast into supporting roles, and male prominence extended even to those who appeared in voice only: Male voices narrated commer- cials more than 10 times more often than female voices. The patterns of men in posi- tions of authority and men as the voice of authority exist in the United Kingdom, Europe, Australia, Asia, and the United States (Furnham & Mak, 1999) as well as in Saudi Arabia (Nassif & Gunter, 2008) and Spain (Valls-Fernández & Martínez- Vincente, 2007).

In U.S. entertainment programming, women have a history of underrepresenta- tion. Despite increases in female characters during the 1980s and 1990s, women have failed to reach parity, even in the 21st century (Smith et al., 2013). Women’s roles also tend to be less signifi cant and less serious (Harwood & Anderson, 2002). This pattern also emerged in an analysis of feature fi lms (Eschholz, Bufkin, & Long, 2002). Women are more likely to be shown as dependent, and around the world, women appear more often at home than in other settings (Furnham & Mak, 1999).

Women are not the only stereotyped group on television. In prime time televi- sion programming in the United States, 74% of characters were White, whereas only 16% were African American, 5% were Latino/Latina, and less than 2% were Asian American (Monk-Turner, Heiserman, Johnson, Cotton, & Jackson, 2010). These percentages have not changed signifi cantly in more than a decade and rep- resent a severe underrepresentation for Latinos/Latinas and an overrepresentation of White characters. African American characters are underrepresented by being less likely to be a leading character than Whites or Latinos. Within each ethnic group, female characters appear less frequently than male characters (Smith et al., 2013).

Ethnic stereotyping has decreased over the past decade in some ways but persists in some aspects (Monk-Turner et al., 2010). For example, no differences appeared among characters from the different ethnic groups in terms of grooming or dress, but Latino/Latina characters spoke with heavier accents than those from other eth- nic groups. The intelligence of characters varied by ethnicity: African American and Latino/Latina characters were sometimes portrayed as the most intelligent but also as the least intelligent character. White characters were very rarely depicted as least intelligent.

The combination of these stereotypical characterizations of gender and ethnicity place White men in dominant positions throughout television.

Gender Stereotypes 57

According to the Research . . . Biased Media Portrayals Perpetuate Stereotyping

When people see women and ethnic minorities portrayed in stereotypical ways, those presentations infl uence the way they think about and judge individuals from those groups: “Most viewers do not just consume the images and storylines in the media and just walk away untouched” (Eschholz et al., 2002, p. 301). Rather, media por- trayals infl uence people’s perceptions of women and ethnic minorities. That is, biased portrayals perpetuate stereotyping (Brescoll & Lafrance, 2004) and encourage women and men to behave in stereotypical ways (Hundhammer & Mussweiler, 2012). Several studies using the “priming” technique demonstrated this effect. In one study (Murphy, 1998), participants read a fake autobiography about an African American man who was aggressive, lazy, unintelligent, and criminal—the most prominent of the negative characteristics associated with this ethnic group. This presentation primed participants to accept negative views of African American men, affecting their later judgments of Rodney King (receiving a beating from police) and Magic Johnson (being infected with HIV). Participants who read neutral or counterstereotypical stories made judg- ments that differed signifi cantly. Later studies (Dixon, 2008; Dixon & Azocar, 2007; Hundhammer & Mussweiler, 2012) showed similar effects. Another priming study (Brown Givens & Monahan, 2005) demonstrated that negative video portrayals of African American women affected subsequent judgments about an African American woman in a job interview.

Another view of the power of stereotyping on television (and in other media) occurs through its representation of various groups (Harwood & Anderson, 2002). This position holds that the way ethnic groups, women, children, and older people appear in the media refl ects their power and vitality in society. Groups that are minimized, distorted, or marginalized are at risk because these portrayals make the groups seem less signifi cant than they really are. Thus, media content is important not only for the power that it exerts on individuals’ views and behavior but also for how it refl ects and shapes cultural values.

Concerning gender stereotypes on television, there is bad news and good news. The bad news is that stereotypical portrayals of women and ethnic minorities abound on television, and these presentations have the power to do harm. Regard- less of people’s knowledge that “it’s only on television,” these messages are per- suasive and powerful (Eschholz et al., 2002; Ward & Harrison, 2005). The good news is that the media can also work to counteract stereotyping. Commercials and programming that present counterstereotypical information can counteract stereo- types. These presentations can offer models who behave in ways contrary to stereo- types and open behavioral possibilities (Browne, 1998). Therefore, the media tend to perpetuate negative stereotypes, but programming can—and sometimes does— counteract stereotyping.

58 Gender Stereotypes

Table 3.2 Stereotypical Traits of Men and Women Matched to Descriptions from Rosenkrantz et al. (1968)

Male Gender Role Identity Component

Men Women

Stereotypic Traits in Study Cult of True Womanhood Component

Stereotypic Traits in Study

Give ’Em Hell Aggressive Pious Religious

Not uncomfortable about being aggressive

Adventurous

Competitive

Sturdy Oak Unemotional Submissive Aware of feelings of others

Hides emotions Gentle

Not excitable in a minor crisis Tactful

Able to separate feelings from ideas Quiet

Big Wheel Dominant Domestic Neat in habits

Skilled in business Strong need for security

Knows the ways of the world

Acts as a leader

Self-confi dent

Ambitious

Worldly

No Sissy Stuff Never cries Purity Does not use harsh language

Not dependent

Direct

Thinks men are superior to women

Not conceited about appearance

Source: Based on “Sex-Role Stereotypes and Self-Concepts in College Students” by P. Rosenkrantz, S. Vogel, H. Bee, I. Broverman, and D. M. Broverman, 1968, Journal of Consulting and Clinical Psychology, 32, p. 291. Adapted by permission of Helen Bee.

changes in the stereotypes for women than for men. Other research indicated a liberalization of gender roles over the past 30 years (Bolzendahl & Myers, 2004). A study that examined age and endorsement of stereotypical personality traits (Strough, Leszczynski, Neely, Flinn, & Margrett, 2007) found that women who were adolescents during or after the feminist move- ment of the 1960s endorsed more masculine personality traits than older women did. A study of gender stereotyping (Lopez-Zafra & Garcia-Retamero, 2012) showed that gender stereotypes among adolescents and adults in Spain included fl exible dimensions, especially for the stereotypes of women. Therefore, these studies show that attitudes toward women have become more egalitarian and less biased, which signals some changes in the traditional stereotypes of women, but attitudes toward men have not shown parallel changes.

The stereotype for men seems to be more stable, and men may be the victims of more stringent stereotyping than women. As Douglas Todd’s (2013) headline article pointed out, the stereotyping applied to men possibly surpasses that applied to women. However, this pattern of thought is not new. College students who described their views of women and men applied more stereotypical terms to men than to women more than two decades ago (Hort, Fagot, & Leinbach, 1990). Masculinity is also viewed as more diffi cult to maintain

Gender Stereotypes 59

and more easily threatened (Vandello, Bosson, Cohen, Burnaford, & Weaver, 2008) and more strongly determined by biology (Smiler & Gelman, 2008).

In addition, men are the targets of some negative attitudes. Assessments of women’s attitudes toward men have revealed that women hold ambivalent (Glick & Fiske, 1999; Glick et al., 2004) and negative (Stephan, Stephan, Demitrakis, Yamada, & Clason, 2000) attitudes toward men. The ambivalence includes feelings of hostility toward men and their gender role combined with admiration and attraction. The disapproving attitudes originate with women’s negative contacts with men more than with the infl uence of negative stereotypes of men. Indeed, the results of a study of evaluations of same- and other-gender individuals (Edmonds & Cahoon, 1993) showed that women tended to believe that men held higher degrees of bias concerning women than the men expressed. That is, women showed negative stereotyping of men.

Gendered Voices: The Problem Disappeared

“Our car was having some problem, and my wife took it to be repaired,” a man said. “She called me from the auto repair place, furious with the treatment she had received. The men there were stonewalling her—failing to listen to what she was telling them and treating her as though she couldn’t possibly be capable of relating problems concerning an automobile. She was steamed.

“I went down there, and the problem disappeared. I was a man and apparently privy to the innermost secrets of automobiles. They treated me as though I would understand everything perfectly. Both my wife and I thought it was really absurd.”

“One of my friends was upset that it cost $3.20 to get her shirt dry-cleaned,” a woman told me. “She asked them why it was so much—the shirt was a tailored, plain shirt. They told her that women’s blouses cost more than men’s shirts, regardless of the style, because women’s clothes don’t fi t on the standard machine for pressing and must be hand-pressed. She wondered if that was really true, and she gave the shirt to a male friend to take to the same dry cleaners. The problem apparently disappeared, because they charged him $1.25 for the very same garment. Isn’t that beyond stereotyping?”

Some evidence suggests that a process moderates the application of gender stereotypes: Men and women may not apply stereotypes to themselves as strictly as they apply these stereotypes to others. U.S. college students hold stereotypical beliefs about gender, but they have also shown that they are willing to exempt themselves from these stereotypes (Williams & Best, 1990). That is, these students rated themselves as varying from the stereotype. By allowing such personal exceptions as routine, people decrease the power of stereotypes to control and restrict their lives.

Therefore, some of the positive attitudes about men and negative attitudes about women found in earlier studies seem to show some changes. More recent studies have shown a shift toward greater acceptance of gender role fl exibility for women and an increase in positive attitudes toward women. But how—and when—do these stereotypes develop? And how do they change over the lifespan?

Stereotypes over the Lifespan

In order to develop gender stereotypes, children must have gender knowledge, which begins to develop during the fi rst years of their lives. By age 2, children apply gender labels, which predict future behavior based on gender (Zosuls et al., 2009). Children as young as 3 years old start to show signs of gender stereotyping (Martin & Little, 1990). This development

60 Gender Stereotypes

is not uniform or simple; 6-year-old children showed a pattern of selective stereotyping in which they made gender-stereotypical judgments about children whose toy interests were similar to their own but failed to make stereotypical judgments for children whose interests were different from their own. This behavior probably refl ected a more complete develop- ment of knowledge about self and others like self, which extended to gender. As they get older, children’s gender stereotyping becomes stronger (Martin, Wood, & Little, 1990). By age 4 some strong gender stereotyping appears, such a girl’s fondness for pink, frilly dresses (Halim, Ruble, & Amodio, 2011). Between ages 8 and 10 , children’s judgments of both genders tend to be stereotypical (Martin et al., 1990).

This pattern of stereotype development appears in Table 3.3 . Children in the fi rst stage have learned characteristics and behaviors associated directly with each gender, such as the toy preferences of each. However, in this stage, children have not learned the many indirect associations with gender, associations that are essential for the formation of stereotypes. In the second stage, children have begun to develop the indirect associations for behaviors associated with their own gender but not yet for the other gender. In the third stage, children have learned these indirect associations for the other gender as well as their own, allowing them to make stereotypical judgments of both women and men.

A specifi c cognitive process called illusory correlation allows children (and adults) to form and maintain stereotypes (Sherman et al., 2009). This process may be described as “the erroneous perception of covariation between two events when no correlation exists, or the perception of a correlation as stronger than it actually is” (Meehan & Janik, 1990, p. 84). The cognitive process of category accentuation also aids stereotyping, exaggerating existing differences (Sherman et al., 2009). Gender fi ts into this conceptualization; people perceive that relationships exist between gender and various behaviors when no relationship exists or when the relationship is not as strong as their perception indicates, and people accentuate the existing differences to sharpen the categories.

Illusory correlation operates in second- and fourth-grade children in a way that is con- sistent with developing gender stereotypes (Meehan & Janik, 1990; Susskind, 2003). Fur- thermore, children’s tendency to gender stereotype creates distortions in their memory for gender-related information. The perception of correlations can be an important factor in maintaining stereotypes for both children and adults; when people believe that activities are related to one or the other gender, they feel comfortable thinking in terms of these catego- rizations. This perceptual bias acts to maintain stereotypes. However, one study (Susskind, 2003) indicated that children do not ignore counterstereotypical information, and the pre- sentation of such information may be a way to diminish gender stereotyping. Thus, when children see fathers cooking and mothers performing home repairs, these observations may act to decrease stereotyping by breaking down illusory correlations.

Table 3.3 Stages of Gender Stereotype Development

Stage Gender Knowledge Status of Gender Stereotypes

1 Behaviors and characteristics directly associated with gender

Undeveloped

2 Beginnings of indirect associations with gender for own sex but not other sex

Self-stereotype but none for other sex

3 Complex, indirect gender-related associations for same and other sex

Stereotypes for self and other sex

Source: Based on data from “The Development of Gender Stereotype Components,” by C. L. Martin, C. H. Wood, and J. K. Little, 1990, Child Development, 61, pp. 1891–1904.

Gender Stereotypes 61

Gender stereotyping follows age-related trends similar to the development of other gen- der knowledge. That is, young children show less gender stereotyping than older children (Durkin & Nugent, 1998), men are subject to harsher stereotyping than women, and girls stereotype less strongly than boys. Younger children look for male–female differences and try to understand and categorize such differences (Martin & Ruble, 2004; Miller et al., 2009), whereas older children are more acceptant of deviations from gender stereotypes. Studying gender stereotyping in individuals ranging from kindergarten children to college students showed that the gender stereotyping increases to a point between ages 5 and 7 and then becomes more fl exible with age (Biernat, 1991; Trautner et al., 2005).

Another period of infl exibility occurs during adolescence, followed by greater fl exibility that begins to develop during young adulthood (Lobel, Nov-Krispin, Schiller, Lobel, & Feldman, 2004). However, gender stereotyping does not disappear; some adults stereotype more strongly than others. The tendency for girls to stereotype less than boys extends into adulthood; women show less strict gender stereotyping than men in many countries, including Great Britain (Sweeting, Bhaskar, Benzeval, Popham, & Hunt, 2014) and Ghana (Akotia & Anum, 2012). However, both children and adults show a tendency to attribute gender-stereotypical traits to women, men, and children, including a reluctance to attribute feminine characteristics to males and a tendency to associate femininity with being childlike (Powlishta, 2000).

Older adults may seem to have a stronger tendency to stereotype on the basis of gender than younger adults, but this difference may not be as strong as many people imagine or may be due to the process of aging. In a study that compared gender stereotyping by contrasting the responses of younger and older adults (Robertson et al., 2002), strong gender stereotypes appeared for both age groups. The apparent strength of gender stereotyping among older people may refl ect a generational rather than age difference; these older adults grew up dur- ing a time before the changes in gender roles that occurred over the past 40 years. Thus the tendency for younger adults to show less gender stereotyping than older adults may refl ect their experience more than their age.

In summary, the development of gender stereotypes begins early, with 3-year-old children knowing about gender-related differences in behavior. As children acquire information about gender, they become capable of forming and maintaining elaborate stereotypes for men and women, including a conceptualization of masculinity and femininity. Even when adults become less tied to gender stereotypes, those stereotypes may not lose their power to infl u- ence attitudes and behavior.

Negative Effects of Stereotyping

Overt prejudice and discrimination are obvious negative effects of stereotyping, but the decreas- ing acceptability of such expressions have diminished their expression. However, implicit ste- reotyping continues, which opens the possibility that the negative effects of stereotyping may be taking more subtle forms. Stereotype threat and benevolent sexism are two effects of gender stereotyping that are negative but less obvious than explicit prejudice and discrimination.

Stereotype Threat

Stereotypes have the power to prompt prejudice and discrimination from others. In addition, members of stereotyped groups may handicap themselves by accepting the negative evalua- tions of others. In 1995, Claude Steele and Joshua Aronson reported on a study that showed how the existence of negative stereotypes affects those who are part of the stereotyped groups. They proposed that people feel threatened when they believe that their performance will identify them as examples of their group’s negative stereotype. Steele and Aronson labeled

62 Gender Stereotypes

this situation stereotype threat because the presence of these negative stereotypes threatens performance and self-concept. Even if the person does not believe or accept the stereotype, the threat of being identifi ed with a negative stereotype can be an ever-present factor that puts a person in the spotlight and creates tension and anxiety about performance.

By manipulating the expectations of the implications of taking a test, Steele and Aronson showed that those expectations affected participants’ performance. Steele and Aronson’s early research focused on African Americans and academic achievement, but Steele (1997) drew on the stereotype of women and math to expand the scope of stereotype threat. He demonstrated a decrease in math performance in women who believed that the test they were taking was a test of mathematics ability; these women performed worse than women who thought the test was just another test. African Americans and women performed more poorly than White men, who are not threatened by negative stereotypes of their abilities in math. Women who accepted the negative stereotype about women and math ability showed greater susceptibility to stereotype threat than women who were less accepting of the stereo- type, which affected math performance and career expectations for the two groups of women (Schmader, Johns, & Barquissau, 2004).

How infl uential is stereotype threat? A meta-analysis of experimental studies on stereo- type threat (Nguyen & Ryan, 2008) indicated a small to moderate effect overall, but the infl uence was stronger for some groups and some situations. For example, women expe- rienced more of a performance decrease when the cues concerning their group member- ship were subtle rather than blatant. Minority ethnic groups are even more infl uenced by stereotype threat than are women, but some people get a double dose of stereotype threat, such as Latina women, who were affected by stereotype threat on a test of mathematical and spatial ability (Gonzales, Blanton, & Williams, 2002).

Photo 3.1 Stereotype threat can cause people to fear confi rming a stereotype, and thus they perform more poorly than they otherwise might.

Gender Stereotypes 63

Stereotype threat applies to a variety of people in many situations. The critical elements include the perception that one is a member of a stereotyped group and a situation that evokes the stereotype. For example, White men can be threatened by stereotypes of math ability when reminded that Asians are superior at math (Smith & White, 2002). Men’s per- formance on a social sensitivity task decreased after being reminded that men tend not to be socially sensitive (Koenig & Eagly, 2005). The threat can be very subtle but still infl uential; for example, women who fi lled out a questionnaire about menstruation before taking a math test did more poorly on the math than women who received positive information about menstruation (Wister, Stubbs, & Shipman, 2013).

Speculations concerning the mechanisms through which stereotype threat functions include an effect on working memory (Schmader, 2010). If individuals in the stereotyped groups think about the negative information presented to them, this cognitive activity would diminish a resource that is important to solving the task and thus decrease perfor- mance. Other speculation about how stereotype threat works involves motivation (Forbes & Schmader, 2010): Stereotype threat can also have negative effects on motivation (Thoman, Smith, Brown, Chase, & Lee, 2013), which persist long after the delivery of the threat. Table 3.4 summarizes some of the conditions of stereotype threat.

Children begin to be subject to stereotype threat when they become aware of the stereo- typing that others do (between ages 6 and 10 years). Individuals from stigmatized groups (such as African American and Latino children) became aware of others’ stereotyping before children from more privileged groups (McKown & Weinstein, 2003). This knowledge builds the basis for stereotype threat, and children with knowledge of the stereotyping process from stigmatized groups were more likely to exhibit the negative performance effects of stereotype threat than other children.

Stereotype threat appears to be easily summoned, but research also suggests that nullify- ing stereotype threat may not be too diffi cult. Just the suggestion that men and women perform equally well on a test was enough to avert the effects of stereotype threat on a math test (Smith & White, 2002) and so was a request for the critical information after rather than before people complete the test (Kirnan, Alfi eri, Bragger, & Harris, 2009; Wister et al., 2013). Notifying women about stereotype threat is not suffi cient ( Tomasetto & Appoloni, 2013), but discussing the existence of stereotype threat diminished its effects for women’s performance on a math test (Johns, Schmader, & Martens, 2005). Research on brain function (Krendl, Richeson, Kelley, & Heatherton, 2008; Wraga, Helt, Jacobs, & Sullivan, 2007) has revealed that a certain area of the brain is activated by stereotype threat, and different areas become more active when stereotype threat is nullifi ed. Therefore,

Table 3.4 Conditions and Results of Stereotype Threat

Targets Threatening Statement Lower Performance if Targets Believed the Test Assessed

African American college students African Americans perform worse Academic aptitude

Women Women perform worse Math ability

African Americans and women African Americans and women perform worse

Math ability

Latina women Latinas perform worse Math ability

Women Filling out a questionnaire about menstruation

Math test

White men Men are not socially sensitive Social sensitivity task

64 Gender Stereotypes

stereotypes that individuals carry around with them may threaten their performance in situations that match the stereotyped ones, but nullifying those stereotypes may avoid these negative effects.

Benevolent Sexism

Psychology’s traditional view of prejudice holds that people within a group (the in-group) form negative feelings about those in another group (the out-group) (Allport, 1954). The identifi cation of the out-group may include stereotyping that sharpens the difference between the two groups and erases the individual differences of those people in the out-group. The results of prejudice include a combination of increased feelings of worth for people in the in- group and a devaluation of those in the out-group. For example, women and people of color are frequent targets of derogatory public remarks based on ethnicity and gender (Nielsen, 2002). Every one of the African Americans in this study reported that he or she had been the target of offensive racist remarks made by a stranger in public. Does gender fi t into this model? Are men and women in-groups and out-groups to each other?

Listening to the conversations of groups of women or men saying terrible things about the other may seem to confi rm this view, but research results do not support it. Although women are the targets of various types of discrimination in terms of economic, political, educational, and professional achievement, attitudes about women are not uniformly nega- tive. Indeed, one line of research from Alice Eagly and her colleagues (Eagly, Mladinic, & Otto, 1991) showed that women as a category receive more favorable evaluations than men. Results from a meta-analysis (Feingold, 1998) indicated that women received slightly more favorable ratings than men. Thus, people in general have positive feelings about the char- acteristics stereotypically associated with women, which is not consistent with an overall prejudice against women.

Peter Glick, Susan Fiske, and their colleagues (Fiske, 2012; Fiske, Cuddy, Glick, & Xu, 2002; Glick & Fiske, 2001; Glick et al., 2000) have researched this puzzle in gender ste- reotyping and formulated an answer that demonstrates another negative yet subtle effect of stereotyping. Their focus has been on separating positive from negative aspects of sex- ism (prejudice based on sex or gender). They call the negative aspects hostile sexism , which includes negative attitudes toward women. They also proposed the concept of benevolent sexism , which they defi ned as positive attitudes that nonetheless serve to belittle women and keep them subservient. Benevolent sexism is represented in the attitudes that women deserve special treatment, should be set on a pedestal, and should be revered. Despite the positive nature of these beliefs, people who hold such attitudes tend to see women as weaker, more in need of protection, and less competent than men (Fiske, 2012; Fiske et al., 2002).

Ironically, it may be the favorable traits stereotypically associated with women that serve to perpetuate their lower status (Fiske, 2012; Glick & Fiske, 2001). When people see women as warm and caring but less competent than men, they may give women positive evaluations but still feel that women need men to protect and take care of them, which justifi es women’s subservience. When women accept these stereotypes, they endorse prejudice against them- selves and help to perpetuate negative stereotyping (Jost & Kay, 2005; Sibley, Overall, & Duckitt, 2007). These stereotypes are consistent with romantic chivalry and thus are attrac- tive to both women and men (Viki, Abrams, & Hutchinson, 2003). This type of benevolent prejudice may rationalize racism as well as sexism, casting the dominant group as benevolent protectors rather than oppressors.

Research on the contents of stereotypes (Eckes, 2002; Fiske, 2012; Fiske et al., 2002; Wade & Brewer, 2006) has shown that combinations of two dimensions—competence and warmth—capture many beliefs about stereotyped groups. The mixed values of low

Gender Stereotypes 65

competence–high warmth and high competence–low warmth have been of most interest to researchers, but the two other combinations of high warmth–high competence and low warmth–low competence also occur. Figure 3.4 shows these combinations, the feelings asso- ciated with each, and examples. Research on this stereotype content model (Eckes, 2002; Fiske, 2012; Fiske et al., 2002) confi rmed that people evaluated a number of lower-status groups (women, ethnic minority groups, older people, disabled people) as less competent but warm and thus rated them positively. People from some high-status groups were not so well liked; they were respected and judged as competent but not warm. Indeed, fi nding examples of women who receive ratings high in both warmth and competence is diffi cult (Cikara & Fiske, 2009). Therefore, this view promotes a complex analysis of the components of stereotypes as well as a broad view of the effects of such stereotyping as it applies to gender and other stereotyped categories.

Men are not exempt from ambivalent sexism; the stereotypic characteristics of men can also be analyzed into hostile and benevolent components that are analogous to those that apply to women (Glick & Fiske, 1999; Glick et al., 2004). However, hostile attitudes toward men do not erase men’s dominant status because men are “bad but bold.” These characteris- tics are not necessarily consistent with men as kind but signal that they should be in charge (Glick & Whitehead, 2010).

Considering Diversity

Gender stereotypes affect how women and men think of themselves and how they evaluate their own behaviors as well as the behaviors of others. “Although every individual belongs to at least one sexual, racial, and social class category simultaneously, such categories do not have an equal social meaning” (Unger, 1995, p. 427). How do different societies construct masculinity and femininity? Do cultures around the world stereotype gender-related behav- iors in ways that are similar to those in North America?

Figure 3.4 Combinations of the Two Dimensions of the Stereotype Content Model and Examples of Each Combination

66 Gender Stereotypes

Stereotypes exist for ethnicity as well as for gender, and these stereotypes may interact. Evidence exists that African American and White women hold similar conceptualizations of womanhood (Settles, Pratt-Hyatt, & Buchanan, 2008). But whether ethnic or gender stereotypes are more important varies according to situation. For example, young Hispanic American women were able to use their ethnic identity as a positive factor in becoming successful students, but young Hispanic men often found that their ethnic identity was a handicap in becoming a good student (Lasley Barajas & Pierce, 2001). For African American college students, the situation of attending a predominantly White or predominantly African American campus contributed more heavily to the feeling of being stereotyped than gender did (Chavous, Harris, Rivas, Helaire, & Green, 2004).

Cross-cultural investigations of gender stereotypes have often sought universals but have found both similarities and differences in the concepts of masculinity and femininity. One extensive investigation (Williams & Best, 1990) took place in 30 different countries in North America, South America, Europe, Asia, Africa, and Oceania. College students in these countries rated a list of 300 adjectives according to the extent to which each was more frequently (and thus stereotypically) associated with men or women. The results revealed more similarities than differences in these gender stereotypes. Six adjectives were associated with males in all of the cultures— adventurous , dominant , forceful , independent , masculine , and strong —and three adjectives were identifi ed with females in all cultures— sentimental , submissive , and superstitious . In addition, a long list of adjectives appeared as male-associated or female-associated in a large majority of the cultures, and only a few adjectives were male- associated in one culture and female-associated in another. These fi ndings furnish evidence for similarities in gender stereotypes across cultures, but the similarities were far short of being universal.

A reanalysis of some of these data in terms of the Five Factor Model of personality (Wil- liams, Satterwhite, & Best, 1999) revealed even more similarities across cultures than the original analysis. Using averages for 25 countries, differences in gender stereotypes appeared in all fi ve factors. Participants scored the male stereotype higher in Extraversion, Conscien- tiousness, Emotional Stability, and Openness to Experience and placed the female stereotype higher on Agreeableness. Not all countries adhered to this pattern, and individuals within the countries did not necessarily believe they fi t the stereotypes. Later research using the Five Factor Model of personality (Costa, Terracciano, & McCrae, 2001; Löckenhoff et al., 2014) confi rmed a pattern of cross-cultural gender differences that match gender stereotypes in many ways but also reported that these stereotypical gender differences were small.

Despite cross-cultural similarities of gender stereotypes, not all cultures hold the same views of what traits, characteristics, and patterns of behavior men and women should exhibit. One cross-cultural review (Gibbons, Hamby, & Dennis, 1997) found that no single gender distinction applied to all cultures.

Japan was one of the cultures that showed a different pattern of gender stereotypes than many others (Williams & Best, 1990; Williams et al., 1999). Research on gender roles in Japan (Sugihara & Katsurada, 2002) showed that the characteristics that differentiate women and men in the United States, such as independent, assertive, and self-reliant, do not do so in Japan. Indeed, these characteristics are not considered desirable for either Japanese women or men. As Richard Nisbett (2003) discussed, Asian culture promotes the development of strong family ties and obligations, making conformity and obedience valued traits for every- one. In the United States and Europe, these characteristics would be considered feminine, but in Japan, they are not gendered.

In China, another Asian culture, the ideal man is a warrior but also a cook, a teacher, an artist, and a musician (Chia, Moore, Lam, Chuang, & Cheng, 1994). People in both Japan (Sugihara & Katsurada, 2002) and China (Hong, Veach, & Lawrenz, 2003) exhibit gender

Gender Stereotypes 67

stereotyping, and there is some indication (Pugsley, 2010; Tan, Shaw, Cheng, & Kim, 2013) that the global media are changing Asian views of masculinity in a direction more consis- tent with Western standards. However, this transition is not yet complete: A cross-cultural study with participants from Korea and the United States (Cuddy et al., 2015) found that the cultural values of each society affected the evaluation of whether a trait was masculine or feminine. In Korea, collectivism was rated as masculine, whereas in the United States, collectivism was viewed as a feminine trait.

Other cross-cultural research on gender stereotypes has shown that some of those stereo- types are inaccurate. For example, many people in the United States believe that people in their society are less guilty of gender stereotyping than others. Research comparing Italian and American men (Tager & Good, 2005) showed that Italian male students endorsed tra- ditional masculinity less than American male students. Another misconception about gender applies to Arab women, whom many see as veiled, passive, and secluded within the home. Research on Arab women in the United States (Read, 2003) showed that Arab women are more diverse and less traditional than the stereotype suggests, especially Arab women who are Christian rather than Muslim.

Going beyond variation in specifi c gender-related characteristics, some scholars have asked questions concerning how gender stereotyping creates gender-related attitudes that are com- mon over many cultures. The prevalence of male dominance has prompted a broader ques- tion: Are men dominant and women subordinate in all cultures? Is this pattern universal and thus the basis for most gender stereotyping?

The answer from anthropology to the question of universal male dominance is “no” (Bol- ger, 2010; Bonvillain, 2000; Marler, 2006; Salzman, 1999). Some societies have included equal access to resources and power for both women and men. But egalitarian cultures tend to be simple, pastoral societies rather than complex, industrialized cultures. Many more societies have placed men rather than women in positions of power and control; few have enacted egalitarian arrangements. A possible reason for this dominance is men’s tendency to a social dominance orientation versus women’s greater emphasis on forming relationships (Pratto, Sidanius, & Levin, 2006; Sidanius, Pratto, & Bobo, 1994). Research on sexist atti- tudes (Christopher & Mull, 2006; Sibley, Wilson, & Duckitt, 2007) confi rmed the relation- ship between social dominance orientation and sexist attitudes among men.

Another view is based on the confl icts that come from women and men living in male- dominated societies that depend on and value women. This situation sets up attitudes that demean women yet still include positive components. Peter Glick et al. (2000) have delin- eated the concepts of benevolent and hostile sexism toward women, which relate to the stereotypically positive (warm, nurturing) and negative (incompetent, need to be cared for) characteristics of women. These researchers demonstrated the implications of these two components of gender stereotypes in a large (more than 15,000 people) cross-cultural study in 19 countries around the world. They found a positive relationship between hostile and benevolent sexism in every one of the 19 nations: Higher hostile sexism scores were related to higher benevolent sexism scores. They explained the connection as being a result of the relationships between men and women in male-dominated cultures, which create both women’s subordination and their value as sexual and domestic companions and caregivers. For such systems to remain stable, both women and men must hold attitudes that support the system, and some research (Connelly & Heesacker, 2012; Roets, Van Hiel, & Dhont, 2012) indicates that they do. These ideologies form a complementary system that main- tains societies in which men dominate, and research from Belgium (Delacollette, Dumont, Sarlet, & Dardenne, 2013) has shown that men understand their advantage in this respect. Thus, gender stereotypes seem to perpetuate sexist discrimination in many cultures (Désert & Leyens, 2006).

68 Gender Stereotypes

Similar research on hostile and benevolent attitudes about men (Glick et al., 2004) revealed similar patterns across 16 nations. Ratings of men were not as positive as ratings of women; participants saw men as more ruthless, unfeeling, and self-centered than women. However, both female and male participants tended to see men as more powerful and bold. Ratings of men as “bad but bold” are consistent with their dominant position in societies (Glick & Whitehead, 2010).

Results from these studies on benevolent and hostile attitudes toward women and men show that both men and women hold these attitudes. Although women and men were likely to have more positive opinions of their own sex, both endorsed beliefs of hostility and benevolence. Furthermore, the degree of acceptance of hostile and benevolent sexism predicted the level of gender inequality in these societies. Thus, these stereotypes are related to the continuance of gender inequality in many countries.

As the Glick et al. (2000) results showed, women often hold more egalitarian views of women and women’s roles than men endorse, but even this difference is not universal. No differences in attitudes toward women appeared in a study (Gibbons et al., 1997) of people in Malaysia or Pakistan, and men in Brazil expressed more liberal views of women than women did. The distinction between traditional beliefs and beliefs concerning equal opportunity and equal power might apply to all cultures, but the specifi cs of what constitutes traditionalism vary. The division of activities and behaviors into male and female domains is universal, without worldwide agreement about what those activities and characteristics are. Such divisions of activities, however, form the basis for gender roles and furnish the potential for gender stereotyping.

Summary

The term gender stereotype refers to the beliefs associated with the characteristics and per- sonalities appropriate to men and women. Current stereotypes of women and men have been infl uenced by historical views of women and men. The Cult of True Womanhood that arose during Victorian times held that women should be pious, pure, submissive, and domestic. For men, several models of masculinity show gender role stereotypes. One of these is the Male Gender Role Identity, which holds that to be successful as men, males must identify with the elements of that role, including the need to avoid all femi- nine activities and interests, have an achievement orientation, suppress emotions, and be aggressive and assertive.

The concepts of masculinity and femininity have a long history in the fi eld of psychol- ogy as personality traits measured by various psychological tests. The fi rst such test was the Attitude Interest Analysis Survey, which conceptualized masculinity and femininity as opposite poles of one continuum. The Minnesota Multiphasic Personality Inventory still uses this unidimensional approach. A more recent approach to the measurement of mas- culinity and femininity includes the concept of androgyny. Several tests have adopted this strategy, including the Bem Sex Role Inventory and the Personal Attributes Questionnaire. These tests include separate scales for masculinity and femininity, allowing the classifi cation of people as not only masculine or feminine but also as androgynous. These assessments focus on the explicit components of stereotyping that people are aware of, but stereotyping also includes implicit components that are unconscious. Assessment of implicit stereotypes reveals that even people who say that they reject gender stereotypes may accept them on an unconscious level.

Gender stereotypes have four different aspects—physical characteristics, traits, behav- iors, and occupations. Each aspect may vary independently, but people make judgments about one based on information about another, to form an interdependent network of

Gender Stereotypes 69

associations. People use this network of information in making deductions about gender- related characteristics.

Gender stereotyping begins early in development and results in simplifi ed cognitive pro- cessing that allows children to make easier decisions and judgments but also leads children to hold rigid rules for gender-related behavior. Stereotyping is maintained by the illusion that more activities and characteristics are associated with gender than actually are. Children become more fl exible in applying gender rules after about age 7, allowing themselves more exceptions for individual variation. Adolescents go through another period of rigid stereo- typing, followed by greater fl exibility during adulthood. Stereotyping may not be necessary for adults, but the process continues during adulthood, along with its negative implications.

Negative aspects of stereotyping include not only prejudice and discrimination but also stereotype threat and benevolent sexism. Stereotype threat occurs when people feel that their performance in certain situations will identify them as examples of their group’s negative stereotype. This perception may negatively affect their performance. Invoking stereotype threat is easy, but dispelling it may also be easy. Benevolent sexism consists of positive atti- tudes that nonetheless serve to belittle women and keep them subservient. Hostile sexism and benevolent sexism are related, and both women and men hold such attitudes.

Cross-cultural research on gender roles and gender stereotyping indicates that all cultures delegate different roles to men and women, but what traits are associated with each show some cultural variation. Gender stereotypes have more similarities than differences across cultures, with the male stereotype fi tting the instrumental, or agentic, model and the female stereotype fi tting the expressive, or communal, model.

Glossary

androgyny a blending of masculinity and femininity, in which the desirable characteristics associated with both men and women are combined within individuals.

benevolent sexism positive attitudes that nonetheless serve to belittle women and keep them subservient.

gender stereotype the beliefs about the characteristics associated with, and the activities appropriate to, men or women.

illusory correlation the incorrect belief that two events vary together, or the perception that the relationship is strong when little or no actual relationship exists.

implicit attitudes attitudes that people hold on an unconscious level, which may differ from their explicit, conscious attitudes.

stereotype threat a phenomenon that occurs in situations in which the presence of negative stereotypes affects the performance of those to whom the stereotype applies.

validation the process of demonstrating that a psychological test measures what it claims to measure; the procedure that demonstrates the accuracy of a test.

Suggested Readings

Fiske, Susan T. (2012). Managing ambivalent prejudices: Smart-but-cold and warm-but-dumb stereotypes. Annals of the American Academy of Political and Social Science, 639 (1), 33–48. Fiske reviews the research on ambivalent sexism and integrates that concept and its components into the

dynamics of several types of prejudice.

Hoffman, Rose Marie. (2001). The measurement of masculinity and femininity: Historical perspective and implications for counseling. Journal of Counseling and Development, 79 , 472–485. This review traces psychologists’ attempts to measure masculinity and femininity, including a critique of

criticism by others.

70 Gender Stereotypes

Kite, Mary E. (2001). Changing times, changing gender roles: Who do we want women and men to be? In Rhoda Unger (Ed.), Handbook of the psychology of women and gender (pp. 215–227). New York: Wiley. Kite reviews gender belief systems, gender stereotypes and their measurement, and what men and women

think of men and women. In addition, she carefully considers the cost of violating these gender stereotypes.

Yong, Ed. (2013). Armor against prejudice. Scientifi c American, 308 (6), 76–80. This article presents an up-to-date and easy-to-read review of the extensive research on stereotype threat.

Suggested Websites

Explore some of the subtleties of stereotyping at Project Implicit (https://implicit.harvard.edu/implicit/). This website is an extension of the research on implicit associations, which reveal stereotypes that people may not recognize that they have. This website allows visitors to take a variety of implicit associations assessments, includ- ing gender-career and gender-science.

Understanding Prejudice is an organization that maintains an extensive website with many resources, includ- ing a section on ambivalent sexism (http://www.understandingprejudice.org/asi/faq). Take the Ambivalent Sex- ism Inventory and see how subtle sexism can be.

The Let Toys Be Toys-For Girls and Boys campaign (http://www.lettoysbetoys.org.uk/), which originated in Great Britain, urges toymakers and children’s book publishers to eliminate the gendering of toys and books as a way to diminish the rampant gender stereotyping in those infl uential materials.

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Headline: “Venus and Mars Collide,” New Scientist, March 5, 2011

John Gray’s (1992) metaphor of women from Venus and men from Mars encouraged people to think that differences between the sexes are astronomical. Those differences should be most obvious in biology; chromosomes and hormones should produce clear differences in building female and male bodies. But as Laura Spinney’s (2011) headline article pointed out, some of those differences are not as clear as most people imagine.

Spinney consulted gender researchers in physiology and psychology, some of whom expressed frustration with media reports of their fi ndings, which tend to focus on the biological bases of all gender differences. These researchers know that this representation is wrong: A growing body of research shows a complex interaction of biological and social infl uences in molding body and behavior. In addition, researchers complained that media reporting fails to highlight the biological gender differences that are well established, leaving the impression that social factors determine all behavioral differences between the sexes. This impression is also incorrect. The complex interaction of biological and social infl uences that affects bodies also applies to behavior. That complexity yields important questions: What roles do hormones and chromosomes play in the behavior of men and women? How do these biological factors interact with environment to produce gender differences and similarities?

This chapter begins to answer these questions with an exploration of the contribution of biology—chromosomes and hormones—on human development from conception through- out prenatal development and again during puberty. Additional questions about the infl u- ence of hormones appear in an examination of individuals who fail to develop according to a clear female or male pattern of physiology. Finally, this chapter examines the role of hormones in adult behavior, including an examination of PMS and the role of testosterone in behavior.

The Endocrine System and Steroid Hormones

Hormones are substances released from endocrine glands to circulate throughout the body in the bloodstream. Receptors on various organs are sensitive to specifi c hormones, which produce many different actions throughout the body. Although the body contains many endocrine glands that secrete a variety of hormones, steroid hormones are the ones that relate to reproduction and differences between the sexes. The reproductive organs, the ovaries and testes, are the gonads . These organs are obviously among the physical characteristics differentiating the sexes and are also essential to reproduction, but the ovaries and testes are not the only endocrine glands that are important for sexual development and functioning. Two brain structures, the hypothalamus and the pituitary gland, begin a cascade of hormone

Hormones and Chromosomes 4

78 Hormones and Chromosomes

release that results in the regulation of hormone release by the gonads. Figure 4.1 summarizes the action of these glands and hormones.

Gonadal hormones are called steroid hormones and consist of two main classes, andro- gens and estrogens . Although people tend to think of androgens as male hormones and estrogens as female hormones, that belief is inaccurate—each sex produces both types of hormones. The most common of the androgens is testosterone , and the most common of the estrogens is estradiol . Men typically produce a greater proportion of androgens than estrogens, and women typically produce a greater portion of estrogens than androgens. The gonads also secrete a third type of hormone, the progestins . The most common progestin is progesterone, which plays a role in preparing a woman’s body for pregnancy. Men also secrete progesterone, which has a variety of regulatory functions in the endocrine system (Oettel & Mukhopadhyay, 2004).

The gonads are not the only glands that produce steroid hormones; the adrenal glands also produce small amounts of both classes of steroid hormone. These hormones are important in developing the differences between male and female.

Figure 4.1 A Summary Model of the Regulation of Gonadal Hormones

Source: From Biopsychology by John Pinel, 2nd ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

Hormones and Chromosomes 79

Sexual Differentiation

Humans (and most other animals) are sexually dimorphic; that is, they come in two different physical versions—female and male. This sexual dimorphism is the result of development that begins with conception and ends at puberty, resulting in men and women who are capable of sexual reproduction.

Chromosomes

The development of sexual differences starts at conception—the fertilization of an ovum by a sperm cell. Most cells in the human body contain 23 pairs of chromosomes, but ova and sperm carry half that amount of chromosomal material. The combination of the two into the fertilized ovum furnishes the full amount of genetic material, with half coming from the mother’s ovum and half from the father’s sperm.

Of the 23 pairs of human chromosomes, pair number 23 is the one that is critical. Although most chromosomes are X shaped, only those in pair 23 are called X chromo- somes . An individual who inherits two of these X chromosomes (one X from the mother and the other X from the father) will have the genetic endowment to develop according to the female pattern. Individuals who inherit one X and one Y chromosome (the X from the mother and the Y from the father) will have the genetic information to develop according to the male pattern. Therefore, the normal female pattern is XX in chromosome pair 23, and the normal male pattern is XY.

The presence of the XY chromosome constellation is only the fi rst factor that produces male physiology, and its presence is not suffi cient to make a male. Other confi gurations are possible for pair 23, but those patterns are considered abnormalities, discussed later, in the section titled “Variations in Sexual Development.”

Prenatal Development of Male and Female Physiology

After conception, the fertilized ovum starts to grow, fi rst by dividing into two cells, then four, and so on. The ball of cells becomes larger and starts to differentiate, forming the basis for different structures and organs. Within the fi rst 6 weeks of prenatal development, no differ- ence exists between male and female embryos, even in their gonads. Both the embryos with the XX pattern and those with the XY pattern have the same structures, and this replication signifi es that both types of embryos have the potential to develop into individuals who look like and have the internal reproductive organs of either boys or girls.

The Reproductive Organs

Both male and female embryos have a Wolffi an system , which has the capacity to develop into the male internal reproductive system, and a Müllerian system , which has the capacity to develop into the female internal reproductive system. About six weeks after conception, two processes typically begin in fetuses with the XY chromosome pattern to further the developing male pattern.

The fi rst involves the production of androgens. A gene on the Y chromosome prompts the development of fetal testes, which produce androgens (Hiort, Thyen, & Holterhus, 2005). The presence of androgens stimulates the development of the Wolffi an system, which further increases production of testosterone and stimulates development of the male pattern. The second process that prompts male development is the production of Müllerian-inhibiting substance, which causes the Müllerian system to degenerate. Therefore, one type of secre- tion prompts the Wolffi an system to develop into the male internal reproductive organs

80 Hormones and Chromosomes

(masculinization), and the other causes the female Müllerian system to degenerate (defemi- nization). These actions result in male internal reproductive organs in the fetus. Figure 4.2 shows how the male reproductive system develops from the Wolffi an system, creating testes, vas deferens, and seminal vesicles. This fi gure also illustrates how both male and female reproductive structures originate from the same prenatal structures.

Differentiation of the ovaries also occurs through the action of genes (Hiort et al., 2005), but the fetal ovaries produce few estrogens, suggesting that no surge of fetal hormones is necessary to produce ovaries. In female embryos, the Wolffi an system degenerates and the Müllerian system develops, resulting in ovaries, uterus, Fallopian tubes, and the upper part of the vagina. Figure 4.2 also shows how the female reproductive system develops from the Müllerian system.

Figure 4.2 Development of Internal Reproductive Systems

Source: From Biopsychology by John Pinel, 2nd ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

Hormones and Chromosomes 81

Until the ninth week after conception, the external genitalia of male and female fetuses are also identical, with the potential to develop into either. The structures that will become the penis and scrotum in males and the clitoris, outer and inner labia, and vaginal opening in females have not yet differentiated but begin to do so after that time. Again, the presence of androgens, especially testosterone, is important. Figure 4.3 shows the development of the external genitalia for both the male and female patterns.

Prenatal production of androgens generates the male pattern, but a surge of estrogens does not seem to be essential to development of the female pattern. Until recently, development

Figure 4.3 Development of Male and Female External Genitalia

Source: From Biopsychology by John Pinel, 2nd ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

82 Hormones and Chromosomes

of the female pattern was often described as a “default” option, but an update (Parma et al., 2006) pointed out that this view is wrong. For example, a gene on chromosome 1 produces a protein that is essential to the development of ovaries. Indeed, genes on the X, Y, and other chromosomes are important in the development of male and female reproductive organs. Efforts to formulate a simple view of chromosomal sex have been inaccurate and misleading (Richardson, 2012). The same warning applies to the role of hormones: A simple view will never be accurate.

The Nervous System

Several possibilities exist for hormones to infl uence the nervous system and thus to affect brain organization during prenatal development and brain functioning through the lifes- pan. This hypothesis has gone from an intriguing possibility to an underlying assumption of much of the neuroscience research on sex differences (Jordan-Young & Rumiati, 2012). Many brain structures contain receptors that are sensitive to androgens and estrogens, creat- ing the possibility for infl uence not just during prenatal development but also later in the lifespan, especially during puberty (Ahmed et al., 2008; Peper et al., 2009). This latter pos- sibility has begun to switch the focus of this line of research, suggesting that sex differences in the brain and nervous system are not “hard-wired” by exposure to prenatal hormones. Rather, hormone exposure later in life may be more infl uential (Jordan-Young & Rumiati, 2012; Wade, 2013).

Another widely researched possibility for sex differences in the brain comes from dif- ferences between the two cerebral hemispheres (Springer & Deutsch, 1998; Wade, 2013). Figure 4.4 presents a drawing of the brain. The concept of lateralization holds that the left and right hemispheres are each specialized for different functions; the left hemisphere is spe- cialized for language and speech, and the right hemisphere for spatial abilities. A great deal

Figure 4.4 Cerebral Commissures and the Hemispheres of the Human Brain

Source: From Biopsychology by John Pinel, 2nd ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

Hormones and Chromosomes 83

of research and theory have explored gender differences in the lateralization of the cerebral hemispheres, but a meta-analysis (Sommer, Aleman, Bouma, & Kahn, 2004) and a critical review (Wallentin, 2009) indicated that lateralization of function does not differ signifi cantly for women and men.

The evidence for sexual dimorphism in the brain is strongest for a small section of the hypothalamus called the sexually dimorphic nucleus (SDN). This structure is larger in male rats and in men than in female rats and in women (Gorski, 1987; Swaab & Fliers, 1985). Although its function is not well understood, that function may be related to sexual behavior or gender identity (Garcia-Falgueras & Swaab, 2008). This nucleus is very sensitive to testosterone and estrogen, so the presence or absence of these hormones infl uences its development. In humans, gender differences in this structure do not exist at birth but develop between birth and ages 2 to 4 years (Swaab, Gooren, & Hofman, 1995). Otherwise, the differences in structure between female and male brains are small. Table 4.1 summarizes the results of studies on structural differences between women’s and men’s brains.

Gonadal, hormonal, genital, and brain organization are not suffi cient to produce sexually interested and sexually active people capable of reproduction. Such changes depend on the activating effects of hormones during puberty.

Changes during Puberty

The levels of circulating hormones are low during infancy and childhood, but these levels increase before puberty, the onset of sexual maturity. The changes that occur during this period include not only fertility but also the characteristic adolescent growth spurt and the development of secondary sex characteristics. These characteristics constitute the differ- ences between male and female bodies other than reproductive ones (see Figure 4.5 ). Both sexes experience the growth of body and pubic hair and the appearance of acne. Young men experience the growth of facial hair, larynx enlargement, hairline recession, and muscle development, whereas young women experience breast development, rounding of body contours, and menarche—the beginning of menstruation. All of these changes are prompted by changes in the release of hormones.

The adolescent growth spurt is the result of muscle and bone growth in response to increased release of growth hormone by the pituitary. Increased production of tropic hor- mones by the pituitary act on the adrenal glands, and the gonads increases the production of gonadal and adrenal hormones. These hormones stimulate the gonads to increase their pro- duction of estrogens and androgens. Increased circulation of these gonadal hormones results

Table 4.1 Summary of Brain Differences between Men and Women

Structure Difference

Cerebral hemispheres Men may be more lateralized than women for language and spatial functions

Sexually dimorphic nucleus (SDN) of hypothalamus SDN in men is 2.5 times larger than in women

Splenium of corpus callosum Early studies indicated larger and more bulbous splenium in women; later studies found an interaction with age and gender

Anterior commissure Evidence for sexual dimorphism is sketchy

Massa intermedia of the thalamus Evidence for sexual dimorphism is sketchy

84 Hormones and Chromosomes

in maturation of the genitals, that is, the development of fertility as well as the development of secondary sex characteristics.

In adolescent boys and adult men, the production of androgens is proportionately higher than their production of estrogens; in adolescent girls and in women, the production of estrogens is proportionately higher than their production of androgens. The changes in repro- ductive and secondary sex characteristics associated with puberty occur through the action of estrogens and androgens. In girls, these changes produce cyclic variations in hormone levels that are associated with the maturation and release of an ovum approximately every month. If a sperm fertilizes this ovum, and the fertilized ovum implants in the uterus, pregnancy occurs. If no fertilization occurs, the lining of the uterus is shed in menstruation, and the process will reoccur. In boys, the changes during puberty produce the growth of the penis and maturation of the internal reproductive system, which will allow them to produce and ejaculate sperm.

Again, it would be inaccurate to think of androgens as “male” hormones and estrogens as “female” hormones. An example of the infl uence of one hormone on both sexes is the

Figure 4.5 Changes Occurring in Males and Females during Puberty

Source: From Biopsychology by John Pinel, 2nd ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

Hormones and Chromosomes 85

growth of pubic and underarm hair; the androgen produced by both boys and girls results in the growth of pubic and underarm hair in both.

Hormones are also important for the development of sexual interest in humans (Bancroft, 2002), but sexual interest usually precedes puberty (Hyde & Jaffee, 2000). Around age 10, many children begin to show great curiosity (and perhaps even feelings) concerning sex. One possible mechanism for this development is the maturation of the adrenal glands, which occurs at this time and produce both androgens and estrogens. Nevertheless, people who do not undergo puberty generally fail to develop much interest in sexual activity (Meyer- Bahlburg, 1980), so hormonal events during preadolescence and puberty may form a cascade of circumstances crucial for the development of sexual interest. The development of sexual interest and fertility sets the stage for adult fertility and thus reproduction.

Changes during Adulthood

Hormones are clearly important for sexual activity but more important in some animals than others. In rats, for example, the cyclic production of hormones by the females relates to sexual receptivity, and male rats respond to that receptivity. Hormone levels are also important for the development and maintenance of sexual interest. Rats that have their gonads removed before puberty fail to develop any interest in sexual activity. If their gonads are removed after puberty, their sexual interest fades.

In humans, the relationship between hormonal levels and sexual interest is less clear-cut. However, some fl uctuations in sexual desire in women show a relationship to periods of fer- tility, but these effects are small (Giles, 2008). In addition, the normal range of sex hormones varies substantially within men and within women, creating a less than clear relationship between hormone levels and sexual interest. Testosterone seems to be more important for sexual interest than the estrogens, even for women (Giles, 2008), but adults produce both estrogens and androgens, including testosterone.

The story is even more complex concerning the maintenance of sexual activity in humans who experience a decline of hormone levels. Such declines can occur for a number of reasons, including removal of the gonads or decreased hormone production associated with aging. For men, removal of the testes tends to produce a decrease in sexual activity, but the extent and rate of decrease varies enormously from person to person (Bancroft, 2002). Some men experience the signifi cant and rapid loss of either ability to get erections or ability to ejaculate or both. Other men experience a slowly decreasing interest in sexual activity, followed by diffi culty in ejaculating, and then by a loss of ability to achieve erections. Few men remain unaffected by loss of androgens, but the popularity of drugs for erectile problems are strong evidence that sexual interest declines more slowly than sexual performance. Replacement testosterone can reverse the decline in sexual interest and possibly in sexual performance. Testosterone replacement therapy increased with the creation of the testosterone patch and testosterone gel, and its short-term effects are clear (Sullivan, 2003), but safety concerns have arisen (Bassil, Alkaade, & Morley, 2009).

Women’s sexual interest seems less affected by the removal of ovaries. Indeed, some women report increased sexual motivation after such surgery. The most likely explanation is that the hormones important for the maintenance of sexual interest in women are androgens, and so a decrease in estrogen is not critical. Adrenal androgens may be suffi cient to maintain sexual interest. Another possibility is that human sexuality is infl uenced by learned and sexual factors as well as hormones, and thus drastic physical changes in sexually mature adults are mediated by experience and expectation.

Table 4.2 summarizes sexual development, beginning with the critically important pre- natal period. For a clear pronouncement of “It’s a boy” or “It’s a girl,” a great many prenatal

86 Hormones and Chromosomes

events must occur in a coordinated sequence. When this complex process fails to follow the typical sequence, the result is a baby whose sex may be ambiguous, combining characteristics of male and female. These cases are rather rare, but their existence is revealing because they provide a means of understanding the necessary elements of typical development.

Variations in Sexual Development

A number of events relating to the development of the reproductive system can, but usually do not, vary from the typical patterns during prenatal development. Problems can originate at several points, beginning before conception with the formation of the mother’s ovum or the father’s sperm. Yet other problems can arise when the prenatal hormones are not consistent with the genetic confi guration of the developing fetus. These variations provide contrasts to typical development and highlight the complexities of defi ning male and female.

Beginning with the single cell that is the fertilized ovum, males differ from females in their chromosomes, but the presence of the XX or XY sex chromosome pattern does not guarantee the development of a normal boy or girl. Variations sometimes occur in the assortment of chromosomes carried by the sperm and ova. Instead of the typical 23, sometimes chromo- somes are missing, or extra ones appear. Several types of chromosomal variations have direct effects on the development of the internal reproductive system, the external genitalia, or both, with resulting hormonal differences.

Variations in Number of Sex Chromosomes

Variations from the typical number of sex chromosomes produce syndromes that often affect reproductive organs, genitalia, hormone production, fertility, growth, cognitive abilities, and

Table 4.2 Effects of Sex Hormones over the Lifespan

Age Span Results of Hormone Action Effects for Men Effects for Women

During Prenatal Development

Development of internal and external genitalia

6 weeks after conception Embryos develop testes, which produce androgens; Wolffi an system develops; Müllerian system deteriorates

Embryos do not produce androgens; Müllerian system develops; Wolffi an system deteriorates

3–4 months into gestation

Androgens prompt development of male pattern external genitalia

Without androgens, external genitalia develop the female pattern

During Puberty Development of secondary sex characteristics; development of sexual interest; beginning of fertility

Growth of body and pubic hair; appearance of acne; larynx enlargement; hairline recession; muscle enlargement

Growth of body and pubic hair; appearance of acne; breast development; rounding body contours; beginning menstruation

During Young Adulthood

Fertility and Reproduction Sperm production depends on specifi c hormone action

Maturing and releasing ova and implantation of fertilized ova depend on specifi c hormone action

During Older Adulthood

Hormone production falls Lower testosterone decreases but does not end fertility and affects erectile ability

Menopause ends fertility; lower hormone production affects sexual interest

Hormones and Chromosomes 87

other aspects of development. Turner syndrome (or Turner’s syndrome ) occurs when the fertilized ovum has only one chromosome of pair 23—that is, one X. This syndrome is usu- ally described as X0, where the zero stands for the missing chromosome (Ranke & Saenger, 2001). Individuals with Turner syndrome appear female at birth, because their external geni- tals develop according to the female pattern. Their prenatal development begins normally, but their Müllerian systems degenerate, producing individuals with no functioning ovaries, and their brains vary in small ways from those of other women (Cutter et al., 2006). At birth the appearance of the external genitalia prompts identifi cation as female, but without ovaries, they produce no estrogens, so they do not undergo puberty or produce ova. With hormone supplements, they appear female. They do not produce ova, but donated ova and medical assistance can allow them to bear children.

Another mistake in chromosome number is the presence of an extra X chromosome— the XXX confi guration (Harmon, Bender, Linden, & Robinson, 1998). Individuals with the XXX confi guration develop prenatally as female, but women with the XXX pattern may have normal intelligence or may have developmental disabilities that affect cognitive ability. They also may have problems that affect their reproductive ability, including menstrual irregularities or amenorrhea (absence of menstrual periods) that results in sterility, but they may not. Women with this chromosomal pattern have been known to have children. Individuals with the XXXX pattern and XXXXX pattern have also been identifi ed (Linden, Bender, & Robinson, 1995). These individuals tend to have more severe developmental problems and are very likely to be seriously develop- mentally disabled as well as sterile.

Klinefelter syndrome is characterized by the XXY confi guration, and this variation is the most common of the sex chromosome abnormalities, occurring in 1 case per 1,000 male births (Wattendorf & Muenke, 2005). Individuals with Klinefelter syndrome have male internal and external genitalia, but their testes are small and usually cannot produce sperm, resulting in sterility. They may also fail to develop the body shape typical of men; during puberty, they may develop breasts and wider hips. Alternatively, these individuals may expe- rience much less serious symptoms, with only slight variations from the characteristic male body shape (Richardson, 2012). Like other people with extra chromosomal material, indi- viduals with Klinefelter syndrome have an increased chance of developmental disabilities. Other confi gurations of chromosomes are similar to Klinefelter syndrome, including XXXY and XXXXY, which produce more severe problems in the skeletal and reproductive systems as well as severe developmental disabilities.

The XYY chromosome pattern was the subject of a great deal of publicity during the 1960s. Articles appeared linking the XYY gene pattern to “aggressive tendencies” and “crimi- nality” (Hubbard & Wald, 1993). These sensational reports were largely unfounded; the early association of XYY with imprisonment was based on faulty research. The large majority of XYY men are not aggressive or criminal. They tend to be very tall and may be more likely to be in prison than men with the XY chromosome pattern (Witkin et al., 1976). However, their offenses were no more likely to be violent than other inmates. Thus, the presence of an extra Y chromosome produces an increased risk for developmental disabilities but not a tendency to higher levels of aggression.

In summary, missing or extra sex chromosomes often affect the development of the sexual organs and more often affect other areas of development, especially cognitive abilities. Both missing chromosomes (Turner syndrome) and extra chromosomes (Klinefelter syndrome) result in sterility, but individuals with the XXX pattern and the XYY pattern may be fertile. This extra chromosomal material does not make individuals “hypermasculine” or “superfemi- nine.” Indeed, extra chromosomes produce developmental problems rather than enhance- ments. Table 4.3 summarizes characteristics of these variations in number of sex chromosomes.

88 Hormones and Chromosomes

Problems Related to Prenatal Hormone Exposure

The presence of the XY chromosome pattern is not necessary (or suffi cient) for the develop- ment of male internal or external genitalia; the hormone testosterone is the key to these devel- opments. Therefore, a fetus that is genetically female (XX pattern) can be masculinized by the addition of testosterone during the period of the third and fourth months of prenatal develop- ment. Typically, female fetuses do not produce testosterone during this important period, but prenatal exposure to androgens may occur, either through the action of tumors in the adrenal gland or through the pregnant woman’s inadvertent or intentional exposure to androgens.

Congenital adrenal hyperplasia (CAH, also called adrenogenital syndrome ) occurs when the adrenal gland decreases its production of the hormone cortisol, which prompts an increase in adrenal androgens. For a male fetus, relatively few problems occur; for a boy, increased androgen production accelerates the onset of puberty. For a developing female fetus, however, the presence of excessive androgens produces masculinization of the exter- nal genitalia during prenatal development. The excess androgens occur too late to affect the internal genitals, which are usually normal, but these girls are born with a clitoris that may look very much like a small penis. If their genitals appear atypical at birth, physicians often recommend to parents surgical intervention to alter the genitals toward a more typical female appearance. This procedure has become very controversial (Cohen-Kettenis, 2005b; Meyer-Bahlburg et al., 2004), partly because the surgery may damage nerves to the clitoris, producing permanent problems in sexual responsiveness.

These girls interest researchers because their brains were exposed to androgens during prenatal development, which may affect their behavior, gender identity, and even sexual orientation. However, hormone exposure is not their only difference—the early medical and parental attention focused on their genitals makes these girls different from others. Research has suggested that CAH is associated with play activities more typical of boys than girls; that is, these girls are more likely to be “tomboys” (Berenbaum, 2006; Hines, Brook, & Conway, 2004). As adults, women affected by CAH are more likely than other women to show reduced heterosexual interest, but as girls (Meyer-Bahlburg et al., 2004) and as women (Berenbaum, 2006), those affected by CAH showed neither gender confusion nor dissatisfac- tion. Indeed, the majority of women affected by CAH become heterosexual women with no doubts about their female gender identity.

Androgen insensitivity syndrome occurs in XY male fetuses whose body cells are insensitive to androgens. The androgens produced by their fetal testes will not induce masculinization because the androgen receptors in their bodies do not function nor- mally (Mazur, 2005; Simpson, 2001). These fetuses will develop as though no androgens were present, and at birth the XY baby will appear to be a girl. The internal genita- lia are not female, however, because the presence of the Y chromosome prompted the development of testes (that remain within the abdominal cavity) and the production of

Table 4.3 Types and Effects of Variations in Number of Sex Chromosomes

Syndrome/Description Chromosome Confi guration Effects Individuals Identifi ed as

Turner syndrome Missing chromosome—X0 Incomplete internal reproductive organs; no fertility

Female

Klinefelter syndrome Extra X chromosome— XXY, XXXY, XXXXY

Feminized male; no fertility Male

Extra X XXX, XXXXX, XXXXX Uncertain fertility or no fertility; developmental disabilities

Female

Extra Y XYY Very tall individuals Male

Hormones and Chromosomes 89

Müllerian-inhibiting substance caused the normal degeneration of the Müllerian system. Thus, these individuals have undescended testes and incomplete female internal repro- ductive systems, but their external genitalia appear female.

Individuals with androgen insensitivity syndrome (and their families) can be completely unaware of the disorder. Complicating the diagnosis, their testes produce suffi cient estrogen to prompt breast development during puberty, increasing their feminine appearance. They have no ovaries, Fallopian tubes, or uterus, so they will not reach menarche , the begin- ning of menstruation. Nor will they grow pubic hair, a characteristic under the control of the androgens, to which they are insensitive. No amount of added androgens will reverse this condition, because their body cells are insensitive to it. Indeed, the levels of androgens circulating in their bloodstream are within the normal range for men, but their bodies are “deaf” to these hormones.

Individuals with androgen insensitivity syndrome are identifi ed as girls at birth, raised as girls, and have no reason to doubt their gender identifi cation for years. At puberty they grow breasts and begin to look like young women, giving them no reason to imagine they are anything but women. Typically, few suspicions arise concerning any abnormality until they fail to grow pubic hair and fail to reach menarche. Even then these symptoms may be discounted for several years due to the variability of sexual development.

When gynecological examination reveals the abnormality of their internal genitalia, these individuals and their families learn that they are male at the chromosomal and hormonal levels. This information contradicts years of gender role development. Not surprisingly, some of these individuals have diffi culty adjusting to this information. No treatments exist to masculinize these individuals, so no attempt is made to change them. A longitudinal study of individuals with androgen insensitivity syndrome (Hines, Ahmed, & Hughes, 2003) indicated that they are similar to other women in gender identity, esteem, and well-being. Despite their male chromosomes, these individuals are women in terms of gender identity, physical appearance, and behavior.

All of these examples of variation in sexual development illustrate individuals born with characteristics of both sexes. The modern term for these conditions is intersexuality or disorders of sexual development ( DSD ). The traditional diagnosis for these individuals was hermaphroditism , now called gonadal intersexuality . This description refers to individuals who have both ovarian and testicular tissue—either an ovary on one side of the body and a testicle on the other side, or both types of tissue combined into a structure called an ovotestis. This condition is extremely rare, with no more than 60 cases being identifi ed in Europe and North America within the last century (Money, 1986).

Another provocative example of intersexuality comes from individuals with a genetic enzyme (5-alpha-reductase) defi ciency that prevents chromosomal males from developing male external genitalia during the prenatal period (Cohen-Kettenis, 2005a; Herdt, 1994). Like individuals with androgen insensitivity syndrome, these babies may appear more female than male at birth and are often identifi ed as girls. The appearance of their external genitals is ambiguous, not truly female but defi nitely not male. Unlike people with androgen insensitiv- ity syndrome, these individuals respond to androgens during puberty and develop masculine characteristics. That is, their voice deepens, their muscles develop, their testes descend into the scrotum, and their penis enlarges. For those identifi ed as girls, they no longer fi t into that category. However, most of these individuals do not clearly fi t into the category of male, either.

An early study of these intersex individuals (Imperato-McGinley, Guerrero, Gautier, & Peterson, 1974) indicated that the majority had made at least fairly successful transitions to the male role, but an analysis of studies on this topic (Berenbaum, 2006; Cohen-Kettenis, 2005a) indicated that about 40% of individuals with this syndrome retained a female gender identity. A few individuals identifi ed themselves as men but dressed and lived the social role of women, not clearly fi tting either role. Indeed, the New Guinea culture in which this form

90 Hormones and Chromosomes

of intersexuality is relatively common acknowledges the existence of individuals who do not fi t either sex by devising a third category of sex to describe them (Herdt, 1981). Table 4.4 summarizes the characteristics of these intersex conditions.

A third sex or some continuum for sex seems a better choice than the gender binary that most people assume (Fausto-Sterling, 2000). The intersex individuals represent cases in which chromosomal, hormonal, gonadal, and genital sex are not consistent. As Sheri Beren- baum (2006) pointed out, the determination of sex does not necessarily require complete consistency. For example, individuals with androgen insensitivity syndrome have a male chromosome confi guration and normal levels of androgens for men, but they look and feel female—they are female in their own opinion and in the opinion of society (Mazur, 2005). Although individuals with 5-alpha-reductase defi ciency usually identify as either male or female, some experience diffi culties. If hormones and chromosomes were the determining factors in gender identity, then these individuals should all become male, and individuals with androgen insensitivity syndrome would be male. Such is not the case. If exposure to prenatal androgens were the determining factor for gender identity, girls with CAH would experience many problems. They do experience more problems with their gender identity than other girls, but a majority of them have no gender confusion or dissatisfaction (Beren- baum, 2006). Although hormones play a very important role in determining reproductive physiology, sex and gender are more than the function of hormones.

Hormones and Behavior Instability

In addition to their role in sexual development and activity, many people consider hormones to affect a wide range of other behaviors. The concept of premenstrual syndrome (PMS) and its many negative effects have received wide publicity, as has the relationship between testos- terone and aggression. People tend to attribute unstable, problem behavior to “raging hor- mones,” but how accurate is this belief? How powerful are hormones in affecting behavior?

Premenstrual Syndrome

The notion that women’s reproductive systems affect their mood is ancient (Chrisler & Caplan, 2002), but the concept of premenstrual syndrome is quite modern—it can be traced to the 1960s. During this time, Katharina Dalton published research (reviewed by Parlee, 1973) suggesting that women experience a wide variety of negative emotional, cognitive,

Table 4.4 Intersex Conditions Produced during Prenatal Development

Syndrome Cause Effect Individual Identifi ed as

Congenital Adrenal Hyperplasia

Genetic defect causes increased androgen production

In XX fetuses— Masculinization of external genitalia In XY males— Minimal prenatal effects; early puberty

Female Male

Androgen Insensitivity Syndrome

Genetic defect in androgen receptors

Androgens fail to masculinize XY fetus

Female

5-alpha Reductase Defi ciency

Insensitivity to androgens during prenatal development

Ambiguous external genitalia

Female, which changes to male during puberty

Androgen Insensitivity Syndrome

Genetic defect in androgen receptors

Androgens fail to masculinize XY fetus

Female

Hormones and Chromosomes 91

and physical effects due to the hormonal changes that precede menstruation. These effects became known as a syndrome , although the list of symptoms extended to over 150, and some of the symptoms were mutually exclusive (such as elevated mood and depression ).

The symptoms associated with the premenstrual phase of the cycle include headache; backache; abdominal bloating and discomfort; breast tenderness; tension or irritability; depression; increased analgesic, alcohol, or sedative use; decreased energy; and disrup- tion in eating, sleeping, sexual behavior, work, and interpersonal relationships (Dickerson, Mazyck, & Hunter, 2003). The most common among these symptoms are tension and irritability, and the widespread belief is that hormones are the underlying cause.

The cyclic variation of hormones in the menstrual cycle affects the release of estrogens and progesterone. In the middle of the cycle, the follicles produce larger amounts of one of the estrogens (estradiol) than during other times of the cycle. With the release of the matured ovum, and the remainder of the follicle from which it was released then starts to produce progesterone. Therefore, during the ovulatory phase of the cycle, estrogen levels are higher than progesterone levels. During the premenstrual phase of the cycle, both estradiol and progesterone fall, and progesterone is at a higher level than estradiol. During the menstrual phase, the levels of both hormones are relatively low.

All of the hormonal changes that occur during the menstrual cycle have been candidates for the underlying cause of premenstrual syndrome (Dickerson et al., 2003). The possibilities include an excess of estrogens, falling progesterone levels, and the ratio of estrogens to pro- gesterone. However, hormonal differences show no consistent relationship with symptoms (Hsiao, Liu, & Hsiao, 2004), and one recent study (Ziomkiewicz et al., 2012) showed a relationship of high progesterone levels to decreased (rather than increased) irritability and fatigue. This failure to tie any pattern of hormonal changes to the symptoms of PMS is a major problem for the concept of PMS.

Photo 4.1 Although the diagnosis of PMS is controversial, many women are willing to label their symptoms as this disorder.

92 Hormones and Chromosomes

The lack of relationship between hormone levels and the experience of PMS also presents a problem for diagnosis; there is no hormone or laboratory test for PMS (Freeman, 2003), and the diagnostic criteria have presented problems for researchers (O’Brien et al., 2011; Weisz & Knaapen, 2009). Women from a variety of cultures report premenstrual symptoms, with some saying that the symptoms are serious enough to interfere with their lives. In France, about 12% of women reported problems serious enough to interfere with their lives (Potter, Bouyer, Trussell, & Moreau, 2009). In the United States, almost 19% of women said they experienced menstrual-related problems (Strine, Chapman, & Ahluwalia, 2005), but these problems include menstrual symptoms—heavy fl ow and cramping—as well as symptoms associated with PMS—anxiety, depression, and sleep problems. In China, 21% showed symptoms of PMS (Qiao et al., 2012), whereas in India, only 4.7% of women reported severe symptoms associated with the premenstrual period (Joshi, Pandey, Galvanker, & Gogate, 2010). Even women who experience no troublesome problems associated with menstruation still report premenstrual symptoms (Gonda et al., 2008).

The existence of premenstrual dysphoric disorder (PMDD) makes the diagnosis of PMS even more confusing. PMDD was added to an appendix of the fourth edition of the Diag- nostic and Statistical Manual of Mental Disorders (DSM), the offi cial guidelines for diagnosing mental disorders published by the American Psychiatric Association, and moved into the body of the DSM in its fi fth edition as one of the depressive disorders (American Psychiatric Association, 2013). PMDD is a more severe version of PMS; its treatment includes prescrip- tion antidepressant drugs.

According to the Media . . . PMS Is a Joke

For many years, television did not mention any type of menstrual process, either in its entertainment programming or in advertising. Even before PMS could be mentioned by name on television, it was a topic in sitcoms (Parsons, 2004). In 1973, the charac- ter of Gloria in the sitcom All in the Family expressed unreasonable irritation clearly attributable to premenstrual tension.

Over the next 30 years, PMS continued to be the topic of humor on television, and it began to be named (Parsons, 2004). Menarche, the beginning of menstruation, and meno- pause, the ending of menstrual periods, were portrayed on dramas as well as comedies in ways that educated as well as entertained (Kissling, 2002). PMS, on the other hand, appeared only as a comedy ploy. Women in sitcoms such as Taxi, Married with Children, Roseanne, and Everybody Loves Raymond showed symptoms of PMS—always the emotional rather than physical ones. In these sitcoms, the male characters suffer more than the female characters from the female characters’ PMS (Parsons, 2004). These puzzled men bear the brunt of angry outbursts, crying spells, mood swings, and temper tantrums, without any suggestion in the script that the men’s behavior might contribute to their partners’ irritation.

Other media have followed in the steps of TV sitcoms by portraying PMS as a joke. An analysis of over 2,000 tweets on Twitter (Thornton, 2013) on the subject of menstruation revealed comments about PMS featuring moody, irrational women and victimized, suffering men. A California advertising fi rm formulated a campaign for milk focused around the notion that the calcium in milk can help with PMS (Elliott, 2011). The ads were intended to be humorous, showing desperate husbands buying gallons and gallons of milk and even raiding milk delivery trucks in their desperate attempts to relieve their wives’ PMS. Many people failed to fi nd this portrayal funny. The ads provoked a storm of controversy and were discontinued quickly.

Hormones and Chromosomes 93

According to the Research . . . PMS is not so Funny

About 19% of women in the United States between the ages of 18 and 55 report some type of distress associated with menstruation (Strine et al., 2005). Many of these unpleas- ant symptoms are not associated with PMS but rather with the menstrual period, such as heavy bleeding or painful cramping. However, PMS was among the problems mentioned by these women. The list of symptoms associated with PMS is extensive, numbering over 100 (Chrisler & Caplan, 2002). The most commonly mentioned symptom is fl uid retention, especially in the breasts and abdomen, rather than the emotional symptoms portrayed on sitcoms (Parsons, 2004). Other symptoms include additional physical man- ifestations such as acne, headaches, aches or pain in the muscles or joints, fatigue, sleep problems, alterations in sex drive, cravings for sweet or salty food, and constipation or diarrhea, as well as emotional symptoms such as bursts of energy, sadness, depression, anxiety, tension, moodiness, and feeling out of control. To present such symptoms as amusing requires substantial insensitivity to the women who experience these symptoms.

Television sitcoms portray men as the victims of women’s PMS, but some research (Skatssoon, 2005) suggested that men may be more than innocent bystanders: Women who lived with men were more likely to report PMS than women who lived with other women. Consistent with portrayals on television, research indicates that women often experience problems during the premenstrual period that involve relationship issues. PMS researcher Jane Ussher (Ussher & Perz, 2013) reported that relationship issues were often the source of stress and problems that become the focus of confl ict during the premenstrual period. An alternative explanation to women’s irrationality and oversensitivity is that women’s anger may be justifi ed, but they (and their male partners) are willing to blame themselves and PMS for women’s reactions. This interpretation is quite consistent with television sitcoms but may not be best for women’s health or, in the long run, for their relationships.

Distinguishing among premenstrual symptoms, PMS, and PMDD presents a challenge for researchers and clinicians (O’Brien et al., 2011; Weisz & Knaapen, 2009; Yonkers, Pearl- stein, & Rosenheck, 2003). About half the women seeking treatment from a gynecology practice reported that they experienced symptoms of PMS, but about a third of that group did not meet the criteria for PMS. In other studies (McFarlane, Martin, & Williams, 1988; McFarlane & Williams, 1994), about half the women who met and about half who failed to meet diagnostic criteria consistent with PMS reported that they had it. A random survey of women (Deuster, Adera, & South-Paul, 1999) indicated that only 8.3% experienced PMS. A recent review of studies that followed women through at least one menstrual cycle and col- lected data on mood during each phrase (Romans, Clarkson, Einstein, Petrovic, & Stewart, 2012) came to the conclusion that there is no evidence for the association of negative mood and the premenstrual phase of the cycle.

These results suggest that the belief in PMS is more widespread than PMS. What has contributed to the widespread belief that most women are victims of their hormones and suffer not only during their menstrual periods but also during the two or three weeks before (which totals three out of four weeks of the month)? Media publicity may be one answer (see According to the Media and According to the Research), but researchers have explored some additional possibilities.

Two longitudinal studies by Jessica McFarlane and her colleagues (McFarlane et al., 1988; McFarlane & Williams, 1994) offer some insight into beliefs about PMS. Both studies

94 Hormones and Chromosomes

involved instructing women (and men) to keep records of their daily moods without know- ing that the menstrual cycle was the focus of the study (to avoid bias by alerting participants to the topic of the study). Both studies included women who were cycling normally, women who were taking oral contraceptives and thus not ovulating, and men. The main result of the study by McFarlane et al. (1988) was that no differences in mood stability appeared when comparing the young men and the young women who participated in the study. All participants experienced similar mood changes within a day as well as from day to day. Also, the men and women reported similar variability in mood during the 70 days of the study. These results offer no support for the existence of PMS.

A second study (McFarlane & Williams, 1994) recruited participants who were older than the typical college students and lasted at least 12 weeks to cover more menstrual cycles. The analysis for this study included an evaluation of each participant’s cyclic mood variation over time. This study also revealed that people experienced cyclic mood variations—but not in the PMS pattern. In comparing women who were cycling normally to women taking oral contraceptives and to the men, the women who were cycling normally reported more pleas- ant moods during and immediately after their periods than in the ovulatory or premenstrual periods (McFarlane et al., 1988), and few reported emotional symptoms consistent with PMS (McFarlane & Williams, 1994). A recent review of menstrual cycle research (Romans et al., 2012) supports these fi ndings: There is no consistent pattern of negative mood associ- ated with the premenstrual period.

Why do so many women believe that they have PMS? One reason is perception of the signals that predict the onset of menstruation. Women around the world experience pre- menstrual symptoms, recognizing their bodies’ signals that their periods are going to start (Adewuya, Loto, & Adewumi, 2009; Lee, So-Kum Tang, & Chong, 2009; Miller, 2002). Some people are more responsive to body signals than others. Comparing women who showed higher sensitivity to bodily cues to those who showed less revealed that women with high body sensitivity reported more emotional responses during the premenstrual periods than women less sensitive to their bodies’ changes (Schnall, Abrahamson, & Laird, 2002). Indeed, the experience of physical symptoms is a major factor in accepting PMS (Kiesner, 2009). However, about half of the women reported positive emotional changes, including greater energy and happiness.

Recognizing symptoms of an impending menstrual period also allows women to attribute negative moods to PMS rather than to some other source (such as stress, pressure at work or school, or relationship confl icts). This cognitive process of attribution allows for distortion of cognitive processes that maintain beliefs in PMS, even if an individual’s experience does not. For example, by imagining that all women have PMS and by believing that one’s own symptoms are less severe than the norm, a woman can feel superior to the average woman (Chrisler, Rose, Dutch, Sklarsky, & Grant, 2006). Women (and the men around them) may be more comfortable in attributing negative emotions to PMS rather than accepting those negative emotions as part of the self (Chrisler, 2008; Chrisler & Caplan, 2002). After all, women are supposed to be sweet, kind, and nurturant; if they behave otherwise, PMS is a good excuse.

Both women and men are willing to attribute moody behavior to PMS (Koeske & Koeske, 1975). When furnished with information about a woman’s cycle, both men and women tended to use this information as a partial explanation for the woman’s emotional behavior. If people believe that these symptoms are associated with the premenstrual period as well as menstruation, they can apply this explanation at least half the time—the week (or two) before and the week during menstruation. When they experience the same situations and reactions at other phases of their cycle, they seek other explanations. In

Hormones and Chromosomes 95

this way, premenstrual syndrome can become a self-perpetuating myth for the women who react to problems, stresses, and irritations in their lives as well as for the people who observe the reactions.

Does this explanation of PMS mean that the syndrome is not “real”? Are women imagin- ing all their premenstrual symptoms? And what about those women who experience very serious symptoms that meet the diagnosis of PMDD? None of the fi ndings on expectancy and attribution of symptoms indicates that the symptoms are not real; women are not imag- ining their discomfort, irritation, anxiety, bloating, sleep problems, and cramps. They may, however, be misattributing these symptoms to PMS when other explanations would be more accurate. For example, anxiety varies across the menstrual cycle in some women (Szollos, Thyrum, & Martin, 2006), and those women often show symptoms consistent with PMS. A recent study (Hoyer et al., 2013) showed that women diagnosed with PMS exhibited higher stress and more physiological indicators of a stress response when they worked on resolving an emotional confl ict during the premenstrual phase of their cycle. A survey of women in the United States (Strine et al., 2005) indicated that women who reported severe menstrual problems also reported problems with depression, anxiety, and stress. Perhaps the concept of PMS provides a convenient label—it is more acceptable to label women’s distress as PMS rather than to consider and address more complex sources for problems, such as work and relationships that produce tension, stress, anxiety, and depression (Chrisler et al., 2006; Chrisler & Caplan, 2002).

Gendered Voices: People Believe That Hormones Make People Crazy

People tend to attribute too much power to hormones, often confusing the action of hormones with neurotransmitters, which are neurochemicals that guide the activity of the brain and nervous system. I became aware of this confusion due to a class activity in which I asked students to survey people about what behaviors hormones control. Some of the responses:

21-year-old male lab technician: “I believe that hormones control about 70% of emo- tion and behavior, especially when the hormone levels aren’t balanced.”

18-year-old female student: “Women have periods, which makes their hormones crazy, and men have raging hormones that makes them a bit crazy.”

20-year-old female college student : “I cry all the time because of my hormones. I liter- ally cry over the smallest things all because of my hormones.”

51-year-old man: “High levels of hormones can make people crazy.” 68-year-old grandmother: “Hormones infl uence young men the most because all they

think about is sex.” 15-year-old female student: “A girl on her period, she may want to kill somebody.” 20-year-old male college student: “I would think that hormones dictate everything

about behavior. I would think that they would completely guide a person’s behav- ior. For everybody.”

One insightful student’s analysis of the responses she heard: “It seems as though people let stereotypes trump actual science, and that’s pretty sad.”

96 Hormones and Chromosomes

But what about premenstrual dysphoric disorder (PMDD), which is a more serious ver- sion of PMS and classifi ed as a psychiatric disorder? Thousands of women have received that diagnosis, but might PMDD also be subject to misattribution? That diagnosis has been the center of continuing controversy oriented around that possibility. Proponents claim that the disorder has a physiological basis and requires pharmacological treatment (Epperson et al., 2012). Opponents claim that the diagnosis creates the impression of pathology where none exists (Ussher, 2013) and offers unwarranted opportunities for prescribing drugs (Cosgrove & Wheeler, 2013). Women diagnosed with PMS and PMDD respond favorably to antidepres- sant drugs (Steiner & Li, 2013), but the possibility exists that these women may actually experi- ence depression that is exacerbated by hormonal variations (Miller & Miller, 2001). As some researchers contend, PMDD may be a created disorder with little validity as a separate diagnosis (Flora & Sellers, 2003). Despite the arguments against this diagnosis, PMDD moved from the appendix of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2000) to the section on depressive disorders (American Psychiatric Association, 2013), guaranteeing that the controversy will continue.

In summary, PMS has received wide publicity and wide acceptance, but research has failed to confi rm a clear biological basis, and emotional symptoms are subject to expectation and attribution. It may be convenient to explain women’s negative moods in terms of PMS or even PMDD, but it is probably not accurate to do so.

Testosterone and Aggression

The collision between Mars and Venus was not the only confl ict discussed in Spinney’s (2011) headline article, which also touched on confl ict and aggression between men. Spin- ney cited statistics about confl ict and competition between men, saying that it is common to 90% of human societies, but the form and severity of male aggression varies enormously among those societies. The widespread assumption is that men’s higher levels of testosterone are the source of all this aggression. Do men’s hormones prepare them to be warriors? And how does testosterone affect women’s behavior?

What is the role of testosterone in aggression? This relationship has three possibilities: (1) Testosterone may cause increases in aggression, (2) aggressive behavior may cause increases in testosterone levels, or (3) levels of testosterone and aggression may be mediated through some other biological or social mechanism (Mazur, 2009; Ramirez, 2003). Although many people assume the fi rst view, research has provided more evidence for the second and third possibilities.

The relationship between testosterone levels and aggression is complex rather than a sim- ple, linear relationship. James Dabbs and his colleagues (Dabbs, 2000) conducted dozens of studies on hormone levels and behavior in both men and women. These studies revealed that high testosterone levels were related to impulsive and antisocial (what Dabbs called “rambunctious”) behaviors, but few studies found a link to aggressive or violent behaviors.

Within the normal range of testosterone (which varies by a great deal), testosterone may not be a major factor in behavior. However, for men with the highest levels of testosterone, problems appeared in a variety of behaviors. For example, U.S. military veterans showed a positive relationship between testosterone level and drug and alcohol abuse, antisocial behavior, and affective disorders (Dabbs, Hopper, & Jurkovic, 1990). Men whose testoster- one fell within the upper 10% of testosterone levels had a history of trouble with parents, teachers, and classmates as well as a history of drug use and more instances of going Absent Without Leave (AWOL) while in the military (Dabbs & Morris, 1990). Men with high lev- els of testosterone also tend to have lower-status occupations, which may indicate that high

Hormones and Chromosomes 97

testosterone levels are related to behaviors that make success less likely, such as impulsiveness and antisocial behavior (Dabbs, 1992, 2000).

Dabbs and his colleagues found relationships between testosterone levels and a variety of problem behaviors, including delinquency (Banks & Dabbs, 1996), membership in a “rowdy” fraternity (Dabbs, Hargrove, & Heusel, 1996), and a greater likelihood of quit- ting or being fi red from a job (Heusel & Dabbs, 1996). A more specifi c example of the relationship between testosterone and violence appeared in a study of male prisoners who had committed crimes against individuals involving sex and violence and those who had committed property crimes (Dabbs, Carr, Frady, & Riad, 1995). Table 4.5 summarizes the fi ndings from research by Dabbs and his colleagues. Confi rming this body of research, meta- analyses (Archer, Graham-Kevan, & Davies, 2005; Book & Quinsey, 2005) have shown a small relationship between testosterone levels and aggression in men, in delinquent boys (van Bokhoven et al., 2006), and in adolescent girls with conduct disorder (Pajer et al., 2006).

Women also produce testosterone, and Dabbs and his colleagues investigated the rela- tionship between testosterone levels and aggression in women. This research yielded even more complex relationships between testosterone levels and behavior. For women in prison (Dabbs, Ruback, Frady, Hopper, & Sgoutas, 1988), the highest levels of testosterone corre- lated with incidents of unprovoked violence. However, women who had committed violence in protecting themselves, such as those who had murdered an abusive spouse, had the lowest levels of testosterone in the prison group. Interestingly, the mean levels of testosterone were similar for the inmates and the college students used as the comparison group, and both averages fell within the normal range for women.

The failure to fi nd differences between women convicted of crimes and female students indicates that aggression and violence are infl uenced by factors other than testosterone level,

Photo 4.2 Contrary to its popular image, testosterone may play a role in preparing men to be nurturant fathers.

98 Hormones and Chromosomes

including SES, which moderates the relationship between testosterone and problem behavior in men. A more recent study (Ellis & Das, 2013) found that androgen level was related to delinquency, but so was the relationship that adolescents had with their parents. Thus, the evidence is weak that testosterone is the underlying cause of aggression.

Although the evidence that testosterone causes aggression is lacking, a causal relation- ship might still exist in the other direction—aggression may cause increases in testosterone. Although this relationship is not what most people imagine, both laboratory experiments and descriptive fi eld studies have demonstrated this effect. In two laboratory studies (Carré & McCormick, 2008; Carré, Putnam, & McCormick, 2009), no initial relationship appeared between testosterone level and aggressive behavior, but men who behaved aggressively showed raised testosterone levels. Another laboratory study showed that symbolic aggres- sion produce an effect—handling a gun increased testosterone levels in men (Klinesmith, Kasser, & McAndrew, 2006).

A number of fi eld studies have examined the relationship between testosterone level and winning versus losing in sports competitions. An early study (Booth, Shelley, Mazur, Tharp, & Kittok, 1989) is representative: Tennis players showed increases of testosterone on days when they played, and their hormone levels were highest before the game. The effects of winning and losing were complex, moderated by players’ evaluations of their performance; players who felt positively about their performance tended to have higher testosterone levels after games.

Later research has produced fi ndings consistent with this early study. Competition boosts testosterone levels, and the effects apply to both women and men. For example, athletic competition increased testosterone levels in both male and female soccer players (Edwards, Wetzel, & Wyner, 2006). For female rugby players, testosterone levels were higher on the days of matches and increased during the matches (Bateup, Booth, Shirtcliff, & Granger, 2002). An examination of hormone levels among male and female rowing competitors also showed effects of competition (Kivlighan, Granger, & Booth, 2005). Both of the studies that included male and female athletes showed different patterns of testosterone changes for women and men that related to social relationships with teammates, but a later study

Table 4.5 Relationship of Testosterone to Various Behaviors in Men and Women

In Men In Women

Behaviors Associated with Higher Testosterone Levels

Lower-status occupations Unprovoked violence among prisoners Drug and alcohol abuse among veterans Antisocial disorders among veterans Affective disorders among veterans Trouble getting along with parents, teachers, and classmates among veterans Delinquent behaviors while young Membership in a “rowdy” fraternity Job loss Incarceration for crimes involving sex or violence Rule violations and personal confrontations among prisoners

Behaviors Not Associated with Higher Testosterone Levels Personality traits among students Violent criminal acts

Prisoner versus student status

Hormones and Chromosomes 99

(Jimémez, Aguilar, & Alvero-Cruz, 2012) found similar patterns of testosterone change for male and female athletes.

Competition, winning, and losing are not the only circumstances that prompt changes in testosterone levels. For male soccer players, playing on the home fi eld increased testosterone levels signifi cantly more than playing “away” games (Wolfson & Neave, 2004). Watching a fi lm of an earlier hockey victory boosted testosterone levels among players (Carré & Putman, 2010). Therefore, research evidence suggests that competition raises testosterone, but the fi ndings also hint that other factors may be important in the equation.

Another possibility for a relationship holds that violence and aggression are the product of an interaction in which testosterone is only one component (Ramirez, 2003). A growing body of research and theory supports this view. In addition to testosterone, one model holds that cortisol (a stress-related hormone secreted by the adrenal gland) and the neurotransmitter serotonin (a neurotransmitter related to mood) interact with testosterone in complex ways to predispose various types of aggression (Montoya, Terburg, Bos, & van Honk, 2012). Situ- ations in which individuals are put into competition or strive to exert dominance tend to boost testosterone. High levels of cortisol occur when a person experiences threat or fear, and this model hypothesizes that this reaction should inhibit aggression, even with high levels of testosterone. When individuals experience the combination of high testosterone and low levels of cortisol, however, social aggression becomes more likely. When low levels of serotonin are added to this imbalance, the likelihood of aggression as a reaction to threat or insult increases (van Honk, Harmon-Jones, Morgan, & Schutter, 2010). This model also attempts to tie the effects of these chemicals to brain structures that mediate fear and aggression.

Most of the research on this model has focused on men (Montoya et al., 2012; van Honk et al., 2010), but some research has measured women’s aggression as a function of testos- terone and cortisol levels. One study (Denson, Mehta, & Ho Tan, 2013) found that high levels of both hormones were related to higher levels of retaliatory aggression in a laboratory task. Thus, this model has received support from a variety of studies and supports a complex interaction testosterone, cortisol, and serotonin in aggressive behavior.

Considering Diversity

“The polarity of male-female is taken to be an absolute in modern Western cultures” (Sell, 2004, p. 133). This point of view creates limited possibilities for cultural variations in sexual development; biological sex is a matter of chromosomes and hormones. However, non-Western cultures include a variety of possibilities in how they divide those categories, including a category for a third sex.

In Western cultures, individuals born with some intersex condition are evaluated as abnor- mal and in need of medical attention, but in some cultures, these individuals are considered special (Sell, 2004). For example, a defi ciency of 5-alpha-reductase, an enzyme necessary in the body’s use of testosterone, produces individuals with normal male internal genitalia but with external genitals that more closely resemble a girl’s than a boy’s. These differences include a clitoris-like penis, an unfused scrotum that resembles labia, and undescended testes. At birth, these babies are sometimes identifi ed as boys but are more often identifi ed and reared as girls. At puberty they produce testosterone and become “masculinized”: Their penis grows, their testes descend, they grow facial hair, and their musculature increases. That is, they change from individuals who look more like girls to ones who look more like boys.

This rare disorder is more common in the Dominican Republic and New Guinea than in most other parts of the world (Herdt, 1981, 1994), and these two cultures have a term for a third sex, one that is neither male nor female but that starts out as female and becomes

100 Hormones and Chromosomes

male. Even after these individuals develop masculine characteristics, the Sambia culture of New Guinea does not grant them full male status, but they may gain prestige and power in their culture as healers or shamans.

More than 130 Native American societies identifi ed individuals whose “spirit” did not match the sex of their bodies. Modern anthropologists often classify these individuals as berdaches— men or women who adopted the gender-related behaviors of the other gender (Roscoe, 1993; Wieringa, 1994), but Native American societies had specifi c terms in their languages; contemporary Native American scholars prefer the term two-spirit people. These individuals were not intersex, but instead individuals who chose to blend masculine and feminine roles. The tradition of men who adopted characteristics of women was more com- mon, but both male and female two-spirit people existed. Lakota, Navajo, Crow, and Zuni societies all included two-spirit people who were not thought of as homosexual but as a merging of feminine and masculine spirits, which they attained through a blessing from the spirits, achieving high spiritual status in their societies. Not all Native American societies were acceptant of these individuals, but most accepted these departures from ordinary gender roles rather than viewing them as deviations.

India also has a “third sex,” the hijras , who are men who wish to become women (Nanda, 2000; Reddy, 2005). These men may be intersex (individuals whose genitals are not clearly male or female), transvestites (men who dress in women’s clothing), or transgendered men (who wish to or have undergone genital surgery to become female). The hijras trace their origin to Hindu mythology as men who worship the goddess Bedhraj Matá, sacrifi ce their genitals to her, and live without sexuality. Hijras are believed to have the power to confer fertility and thus are welcomed at weddings and births.

In several cultures, women can assume the male gender role (Nanda, 2000). For example, several African societies allow “female husbands.” These women assume the male role and receive recognition as men. They may have wives, but they may also be a wife, conferring a status that is neither male nor female. In northern Albania, women may also become men in the form of “sworn virgins,” who dress and behave as men but who do not form any type of sexual relationships with women or men (Littlewood, 2002).

Thus, some cultures have a category for a third sex, providing for individuals whose biol- ogy has not clearly designated them male or female and for those who choose to blend roles. In addition, some cultures designate a category for third sex as anyone who fails to fi t clearly within the two categories designated by their society. This classifi cation arose after 1900 with the movement of women into the workforce in Europe and North America (Murat, 2005). These “emancipated” women performed jobs that removed them from the female gender role but did not make them into men, resulting in a failure to fi t into either gender category. Many Western women are categorized as a third sex in Muslim countries, such as Saudi Ara- bia (Lagace, 2002), when they perform jobs that these cultures consider the domain of men and fail to wear the clothing considered proper for women. Thus women who hold jobs in business, law, medicine, journalism, and higher education fi t into this category.

Summary

Several steroid hormones are important to sexual development and behavior, including the androgens, the estrogens, and the progestins. Men and women produce all of these hor- mones, but women produce proportionately more estrogens and progestins, whereas men produce more androgens. The prenatal production of these hormones prompts the bodies and brains of fetuses to organize in either the male or the female pattern. During puberty, these hormones work toward developing fertility and prompt the production of secondary sex characteristics, such as facial hair for men and breasts for women. The role of hormones

Hormones and Chromosomes 101

in the activation and maintenance of sexual interest and activity is less clear in humans than in other species, but humans who do not experience the surge of hormones associated with puberty tend not to develop much interest in sex. Testosterone, one of the androgens, plays a role in maintaining sexual activity in men and possibly in women as well.

The fi rst step in creating a male or female body occurs through genes, the inheritance of either XX or XY chromosomes of pair 23. Although the inheritance of chromosomes occurs at conception, embryos are not sexually dimorphic until around 6 weeks into gestation, when those with the XY pattern develop testes. Androgens produced by the fetal testes mas- culinize the fetus. During the third month of gestation, androgens direct the development of external male genitalia.

The female pattern is not as dependent on the presence of estrogens as the male pattern is on androgens, but various genes on several chromosomes in addition to the Xs contribute to forming a female body. After the sixth week of gestation, the Müllerian structures begin to develop and become the ovaries, Fallopian tubes, uterus, and upper vagina. In addition, their Wolffi an structures start to degenerate. Without exposure to androgens, the external genitalia develop according to the female pattern.

Prenatal hormones also affect brain development, producing differences in the brains of males versus females. Several brain structures are affected, but the sexually dimorphic nucleus of the hypothalamus shows the biggest difference. Its function is not yet understood.

Variances from the typical female or male patterns may occur at any stage of sexual devel- opment, beginning with the inheritance of the X and Y chromosomes. A number of disorders exist that create individuals with fewer or more sex chromosomes than typical, and some of these confi gurations produce problems with the development of internal or external genita- lia. In addition, several of these disorders produce individuals with developmental disorders, especially lowered intelligence. Individuals with Turner syndrome (X0) appear to be female but lack ovaries; individuals with Klinefelter syndrome (XXY) appear to be male, often with feminized body contours, but have nonfunctional testes; XXX individuals are female and may vary little from XX individuals; XYY individuals are tall males who may be reproduc- tively normal but with low intelligence.

Even having 46 chromosomes does not guarantee typical development in subsequent stages, and several types of intersexuality exist. These cases of individuals who have the physiology of both males and females highlight the complexity of sexual development and suggest that many components contribute to gender identity and functioning.

Media reports tend to indicate a role for hormones in two areas of problem behavior— premenstrual syndrome (PMS) and aggression. Careful research has indicated that the pre- menstrual phase of the cycle often includes some physical symptoms, but it also suggests that expectation and attribution, not hormones, are the factors that underlie widespread reports of PMS. Both women and men may attribute behavioral symptoms to PMS and the more severe PMDD, when those symptoms may actually indicate other problems.

Research on the role of testosterone in aggression has revealed that the relationship is not a simple, linear one. Men with higher-than-average testosterone levels tend to engage in a wide variety of antisocial behaviors but usually not violence. Indeed, studies of competition and testosterone show that aggression increases testosterone rather than the other way around. Another possibility is that testosterone and aggression are mediated through some other fac- tor, and recent research has implicated the stress hormone cortisol and the neurotransmitter serotonin as interacting with testosterone to increases the chances of aggression.

The role of hormones in sexual development is not subject to cultural variation, but how culture delineates the sexes varies enormously. In addition to male and female, some cultures defi ne a third sex. In some non-Western cultures, intersex individuals may be considered to be a third sex. Another basis for a third sex was a belief common among Native American

102 Hormones and Chromosomes

societies that allowed for a melding of the two spirits, male and female, in an individual. The hijras in India are another group designated a third sex. Women who take the roles of men may vary from the female gender role so much that they are no longer considered women but some third sex.

Glossary

androgen insensitivity syndrome a disorder in which body cells are unable to respond to androgens, resulting in the feminization of chromosomal males.

androgens a class of hormones that includes testosterone and other steroid hormones. Men typically produce a greater proportion of androgens than estrogens.

congenital adrenal hyperplasia (CAH) a disorder that results in masculinization, produc- ing premature puberty in boys and masculinization of the external genitalia in girls; also called adrenogenital syndrome .

endocrine glands glands that secrete hormones into the circulatory system. estradiol the most common of the estrogen hormones. estrogens a class of hormones that includes estradiol and other steroid hormones. Women

typically produce a greater proportion of estrogens than androgens. external genitalia the reproductive structures that can be seen without internal examination:

clitoris, labia, and vaginal opening in women and penis and scrotum in men. gonads reproductive organs. hermaphroditism a disorder in which individuals have characteristics of both sexes. hormones chemical substances released from endocrine glands that circulate throughout

the body and affect target organs that have receptors sensitive to the specifi c hormones. intersexuality a more modern term for hermaphroditism. Klinefelter syndrome the disorder that occurs when a chromosomal male has an extra X

chromosome, resulting in the XXY pattern of chromosome pair 23. These individuals have the appearance of males, including external genitalia, but they may also develop breasts and a feminized body shape. Their testes are not capable of producing sperm, so they are sterile.

lateralization the concept that the two cerebral hemispheres are not functionally equal but rather that each hemisphere has different purposes.

menarche the fi rst menstruation. Müllerian system a system of ducts occurring in both male and female embryos that forms

the basis for the development of the female internal reproductive system—ovaries, fal- lopian tubes, uterus, and upper vagina.

progestins a group of steroid hormones that prepares the female body for pregnancy; their function for the male body is unknown.

sexual dimorphism the existence of two sexes—male and female—including differences in genetics, gonads, hormones, internal genitalia, and external genitalia.

sexually dimorphic nucleus (SDN) a brain structure in the hypothalamus, near the optic chiasm, that is larger in male rats than in female rats and larger in men than in women.

steroid hormones hormones related to sexual dimorphism and sexual reproduction that are derived from cholesterol and consist of a structure that includes four carbon rings.

testosterone the most common of the androgen hormones. Turner syndrome the disorder that occurs when an individual has only one chromosome of

pair 23, one X chromosome. These individuals appear to be female (have the external genitalia of females) but do not have fully developed internal genitalia. They do not produce estrogens, do not undergo puberty, and are not fertile.

Hormones and Chromosomes 103

Wolffi an system a system of ducts occurring in both male and female embryos that forms the basis for the development of the male internal reproductive system—testes, seminal vesicles, and vas deferens.

X chromosome one of the possible alternatives for chromosome pair 23. Two X chromosomes make a genetic female, whereas genetic males have only one X chromosome in pair 23.

Y chromosome one of the possible alternatives for chromosome pair 23. One X and one Y chromosome make a genetic male, whereas genetic females have two X chromosomes in pair 23.

Suggested Readings

Berenbaum, Sheri A. (2006). Psychological outcome in children with disorders of sex development: Implications for treatment and understanding typical development. Annual Review of Sex Research, 17 , 1–38. Berenbaum’s thoughtful article evaluates variations of sexual development, exploring the complexity of the

biology and psychology of gender development.

Mazur, Allan. (2009). A hormonal interpretation of Collins’s micro-social theory of violence. Journal for the Theory of Social Behaviour, 39 (4), 434–447. Mazur’s article is not easy reading, but his careful translation of a sociological analysis of violence into terms

compatible with current hormonal theories provides a thorough review of this model of hormones and aggression.

Ussher, Jane M. (2013). Diagnosing diffi cult women and pathologising femininity: Gender bias in psychiatric nosology. Feminism & Psychology, 23 (1), 63–69. Ussher situates the controversy over PMS in historical context and takes the point of view that psychiatry has

a long history of interpreting women’s behavior as abnormal.

Wade, Lisa. (2013). The new science of sex differences. Sociology Compass, 7 (4), 278–293. This recent article on the genes, hormones, and social context of sexual development offers a good review of

the complexities of these interacting factors.

Suggested Websites

The website health-cares.net includes a variety of topics on health, including several sections on premenstrual syndrome (http://womens-health.health-cares.net/premenstrual-syndrome.php). “What is Premenstrual Syn- drome” and “Causes of Premenstrual Syndrome” are particularly informative.

The Intersex Society of North America is dedicated to developing an understanding of intersex conditions and ending the shame associated with such conditions. Their website (http://www.isna.org/) provides information about the condition, including advice for parents of children with intersex conditions.

The Androgen Insensitivity Support Group’s website (http://www.aissg.org/) provides not only an online support group for individuals with and parents of children with androgen insensitivity syndrome, but it also provides information about androgen insensitivity syndrome and other intersex conditions. The Personal Stories page of the website humanizes this medical condition.

References

Adewuya, Abiodun O.; Loto, Olabisi M.; Adewumi, Tomi A. (2009). Pattern and correlates of premenstrual symptomatology amongst Nigerian university students. Journal of Psychosomatic Obstetrics & Gynecology, 30 (2), 127–132.

Ahmed, Eman I.; Zehr, Julia L.; Schulz, Kalynn M.; Lorenz, Betty H.; DonCarlos, Lydia L.; & Sisk, Cheryl L. (2008). Pubertal hormones modulate the addition of new cells to sexually dimorphic brain regions. Nature Neuroscience, 11 (9), 995–997.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text revision). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Wash- ington, DC: American Psychiatric Publishing.

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Archer, John; Graham-Kevan, Nicola; & Davies, Michelle. (2005). Testosterone and aggression: A reanalysis of Book, Starzyk, and Quinsey’s (2001) study. Aggression and Violent Behavior, 10 , 241–261.

Bancroft, John. (2002). Biological factors in human sexuality. Journal of Sex Research, 39 , 15–21. Banks, Terry; & Dabbs, James M., Jr. (1996). Salivary testosterone and cortisol in delinquent and violent urban

subcultures. Journal of Social Psychology, 136 , 49–56. Bassil, Nazem; Alkaade, Saad; & Morley, John E. (2009). The benefi ts and risks of testosterone replacement

therapy: A review. Journal of Therapeutics and Clinical Risk Management, 5 , 427–448. Bateup, Helen S.; Booth, Alan; Shirtcliff, Elizabeth A.; & Granger, Douglas A. (2002). Testosterone, cortisol,

and women’s competition. Evolution and Human Behavior, 23 , 181–192. Berenbaum, Sheri A. (2006). Psychological outcome in children with disorders of sex development: Implications

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Headline: “Code Pink,” Mother Jones, September/October, 2009

Journalist Lauren Sandler (2009) reported that when her daughter was born, she was inun- dated with pink gifts—clothing, toys, accessories—all pink. Sandler grew up during the 1970s, when the fashion was for baby clothes in primary colors that were appropriate for either sex. She was somewhat startled by the degree to which clothing for babies is currently so sharply gendered by the pinks and blues. Despite the current stereotypes, the fi rst associa- tion of color with gender was the opposite; until the 1930s, pink was associated with boys and blue with girls.

The problem is not the colors or which color is paired with which sex, it is the associa- tion of a color with a gender and the messages that this association conveys. With gender color-coding, a baby’s sex is apparent to everyone at a glance, and everyone is able to use gender stereotypes to treat male and female babies differently. Children also notice gender-related cues at a young age and internalize this information. By age 3 or 4, most boys will protest loudly if the possibility of a pink shirt comes along, but many girls have comparable tantrums if one of their pink, frilly dresses is not available (Halim, Ruble, & Amodio, 2011). Color becomes a visible signal of gender and a prominent association with gender roles.

The defi nition of a gender role is the socially signifi cant activities that men and women engage in with different frequencies. The origin of the concept of role was not within social science; the term can be traced to theater, where an actor’s part was printed on a roll of paper. The word role was French for roll, and this usage is particularly meaningful, if we consider that the role, or the part a person plays, differs from the person. Therefore, gender roles are like scripts that men and women follow to fulfi ll their appropriate masculine or feminine parts. Social scientists use the term role to mean expected, socially encouraged patterns of behavior exhibited by individuals in specifi c situations.

Does the color pink make that much difference in learning about gender? These images and their power to shape attitudes and behavior are important for social learning theory, one of the theories of gender development. But gender identity , which is how individuals come to identify themselves as male or female, is more complex than stereotypical associations. How that process occurs is unquestionably important but also controversial, and several very different theories attempt to explain how individuals come to accept themselves as female or male. Social learning theory emphasizes the importance of models and experiences, but the psychodynamic approach does not look to role models to explain the development of gender identity. Gender schema theory holds that the process involves much more than modeling. Each of these theories has advocates and supporting evidence, which requires an examination of the theories and the evidence.

Theories of Gender Development 5

110 Theories of Gender Development

The Psychodynamic Approach to Gender Development

Sigmund Freud, a Viennese neurologist, devised a theory that emphasizes the differences between personality development and functioning of men and women. Developed during the last part of the 19th century, Freud’s theory emphasized the dynamic forces that inter- act in forming personality, especially those originating in the unconscious , a region of the mind that functions beyond conscious personal awareness. His theory was controversial and remains so, partly because his theory casts women as inferior to men. However, his theory has also been extremely infl uential in Western society.

Freud’s View of Gender Identity Development

Freud hypothesized that personality development proceeds through a series of psychosexual stages . Starting at birth, these stages continue through adulthood in a sequence named according to the regions of the body that were most important for sexual gratifi cation. The early stages were the most important for personality development, and this emphasis was the basis of the belief that early childhood is a critical time for personality formation.

Freud termed the fi rst psychosexual stage the oral stage , during which babies receive sexual gratifi cation from oral activities. During the anal stage , the child receives pleasure from excre- tory functions. The phallic stage begins in children around 3 or 4 years and is the fi rst of Freud’s psychosexual stages that describes a different course of personality development for boys and girls (Freud, 1933/1964). Freud believed that the focus on genital activity resulted in a sexual attraction to the parent of the other sex and an increasing desire to have sex with this parent.

These dynamics occur on an unconscious level, outside of children’s awareness, and set the stage for the Oedipus complex . Freud used the Greek tragedy Oedipus Rex as an analogy for the interactions that occur within families during the phallic stage. According to the story, the oracle prophesied that Oedipus would kill his father and marry his mother, and this prophecy came true. Freud hypothesized that all boys feel aggression directed toward their fathers and sexual longing for their mothers, which sets up a situation for the development of gender identity.

Boys in the phallic stage concentrate on their genitals and prize their penises. They notice the anatomical differences between girls and boys, which leads them to realize that everyone does not have a penis (Freud, 1925/1989). The realization that girls lack penises leads boys to believe that penises must be removable. This belief combines with their perception of their fathers’ growing hostility to create the castration complex , the belief that castration will be the punishment for their attraction to their mother. Boys believe that girls have suffered this punishment and are thus mutilated, inferior creatures.

To resolve these feelings, boys must end the competition with their fathers and deny their sexual wishes for their mothers. Both goals can be met through identifi cation with their fathers. This identifi cation accomplishes the goals of removing their sexual attraction to their mothers (thus removing castration anxiety) and replacing the feelings of hostility for their fathers with identifi cation with their fathers. Thus through identifi cation with their fathers, boys become masculine and develop a sexual identity that includes sexual attraction to women.

Freud hypothesized a slightly different resolution to the Oedipus complex in girls. Dur- ing the phallic stage, girls also notice the anatomical differences between the sexes. Aware that they do not have penises, girls become envious of boys and experience penis envy and feelings of inferiority (Freud, 1925/1989). Fathers become the object of their affection, but girls cannot experience the castration complex in the same way that boys do; girls have no

Theories of Gender Development 111

penises to lose. Furthermore, girls hold their mothers responsible for their lack of penises and develop feelings of hostility toward them. Girls must still surrender their sexual desires for their fathers and identify with their mothers, but the process is not as quick or as complete as it is for boys (Freud, 1933/1964).

After the resolution of the Oedipus complex, children enter the latency stage , during which little overt sexual activity occurs. This stage lasts until puberty, when physiological changes bring about a reawakening of sexuality and entry into the genital stage . During the genital stage, the regions of the body that have furnished sexual pleasure during childhood are now secondary to genital pleasure obtained through intercourse.

Table 5.1 shows Freud’s psychosexual stages and the types of gender-related differences that he hypothesized for these stages. Development is similar for girls and boys in several stages but differs drastically in the phallic stage. Freud also believed that women have a more diffi cult time achieving a mature sexual relationship than men. He described the sexuality of the phallic stage, with its emphasis on masturbation, as immature sexuality that should be replaced in the genital stage with mature, heterosexual intercourse. For men, such activity involves their penises, but women must redirect their sexual impulses away from their clitorises and toward their vaginas. Freud knew that his theory was uncomplimentary to women, because his female associates, such as Karen Horney, told him so (Gay, 1988).

Horney’s Theory of Gender

Horney was one of the fi rst German women to enter medical school, where she specialized in psychiatry. After completing a training analysis with one of Freud’s close associates, she began to attend seminars and to write papers on psychoanalysis (Feist, Feist, & Roberts, 2013). Soon, however, Horney became a vocal critic of Freud’s theory of personality, especially concerning gender differences in personality development. Horney reexamined Freud’s concepts of penis envy, inferiority feelings in women, the masculinity complex (the expression of masculine behavior and attitudes in women), and masochism (deriving pleasure from pain).

Table 5.1 Freud’s Psychosexual Stages and Gender-Related Differences in Each Stage

Stage Gender-Related Difference

Oral None

Anal None

Phallic Boys notice that they have penises and that girls do not Girls notice that boys have penises and that they do not Oedipus complex Boys experience extreme trauma connected with the Oedipus complex, undergo stronger identifi cation with their fathers, and develop a stronger sense of morality Girls experience less Oedipal trauma, undergo weaker identifi cation with their mothers, and develop a weaker sense of morality

Latency None

Genital Women must transfer their sexual pleasure from their clitorises to their vaginas, making mature sexuality more diffi cult for them Men’s penises remain the center of their sexuality, making mature sexuality easier for them

112 Theories of Gender Development

Horney also pointed out the masculine bias in psychoanalytic theory (Miletic, 2002; Quinn, 1987) but stayed within the framework of psychodynamic theory, as shown by her acceptance of the unconscious as a motivating force in personality, her emphasis on sexual feelings and events in personality development, and her belief in the importance of early childhood experiences for personality formation. She differed from Freud in her interpreta- tion of the signifi cance of the events of early childhood and her growing belief in the impor- tance of social rather than instinctual forces in personality development.

Part of Horney’s reinterpretation of psychoanalysis was an alternative view of the notion of penis envy, the feelings of envy that girls have when they discover that boys’ penises are larger than their own clitorises. Horney argued that penis envy was a symbolic longing for the social prestige and position that men experience, rather than a literal physical desire for penises. Indeed, she hypothesized that men envy women’s capability to reproduce and proposed the concept of womb envy . She interpreted the male strivings for achievement as overcompensation for their lack of ability to create by giving birth.

Horney believed that men fear and attribute evil to women because men feel inadequate when comparing themselves to women. To feel more adequate, men must see women as infe- rior, which keeps men from contending with their own feelings of inferiority. She explained that men still retain the feelings of inferiority that originated with the perception of the small size of their penises during childhood, when they initially noticed them. Therefore, men go through life needing to prove their masculinity, and failures make men constantly vulnerable to feelings of inferiority. This resentment can lead men to attempt to diminish women, and these attempts may succeed, leaving women with feelings of inferiority. Therefore, female inferiority originates with male insecurities rather than, as Freud hypothesized, with the female perception of inferior genitals. These female feelings of inferiority are perpetuated by men’s behavior toward women and by the masculine bias in society.

Table 5.2 shows the points of agreement and disagreement between Horney’s and Freud’s psychodynamic theories. As this table shows, both theories accept the importance of uncon- scious forces and early childhood experiences. However, the difference in their interpretations of the importance and causes of other events makes the two theories substantially different.

Table 5.2 Points of Agreement and Disagreement in Horney’s and Freud’s Psychoanalytic Theories

Concept Horney’s Theory Freud’s Theory

Existence of unconscious Yes Yes

Importance of early childhood experiences

Yes Yes

Gender differences in personality Yes Yes

Source of differences Social Biological

Feelings of envy for other gender Men envy women’s ability to give birth

Women envy men’s penises

Feelings of inferiority Constant need to perform sexually leads men to feel inferior

Lack of penises leads women to feel inferior

Masculinity complex Driven by girls’ lack of acceptance of femininity and identifi cation with their fathers

Driven by girls’ feeling of inferiority

Masochism Socially determined part of development that is abnormal for women as well as men

Biologically determined, inevitable part of feminine development; abnormal in men

Theories of Gender Development 113

Contemporary Psychodynamic Theories of Gender Development

Freud’s theory of personality appeared during the late 19th and early 20th centuries in a Victorian culture that viewed women as passive, dependent, and intellectually inferior to men. This view of women was easy for Freud to accept, but Freud’s view dominated for 50 years.

Discontent with the Freudian view emerged during the 1970s, when feminist scholars turned their attention to gender development (Bell, 2004). Some created psychodynamic theories of personality and gender development that not only removed the objectionable elements of Freud’s theory but also created revisions of his theory that include a positive view of women. Sociologist Nancy Chodorow (1978, 1979, 1994, 2005) and psychologist Ellyn Kaschak (1992) have formulated psychodynamic theories that are signifi cant depar- tures from earlier views. Chodorow’s theory proposes a progression of development that gives women advantages, and Kaschak’s theory replaces the emphasis on male psychological development with a woman-centered view of personality. Both theories are examples of feminist psychoanalytic theory.

Chodorow’s Emphasis on Mothering

Like Freud, Chodorow (1979) expressed pessimism about any potential equality between men and women. Unlike Freud—who concentrated on the perception of anatomical differences—Chodorow’s reasons for believing in the continuation of inequality focused on the early experiences of children in relation to their mother. Chodorow’s theory concentrates on the pre-Oedipal period during early childhood, before the Oedipus complex, and cen- ters on the process of being mothered by a woman.

Although Chodorow (1978) acknowledged that women are not unique in their capacity to care for infants, she also granted that mothers (or other women) provide most nurturing, and fathers (or other men) do little caregiving. Thus, Chodorow explained how this early relation- ship between mother and infant makes a permanent imprint on personality development—an imprint that differs for boys and girls. Chodorow described babies as having no sense of self versus other people or the world; infants are one with the world, and most of their world is their mother. The early mother–daughter relationship is closer than the mother–son relation- ship, because mothers and daughters are of the same sex. Infants have no initial perception of their sex or gender, but mothers always know about the sex of their infants and treat girls and boys differently.

Chodorow (1978) hypothesized that when children start to develop a sense of self and separate from their mothers, events differ for girls and boys. Girls have an easier task in developing a sense of self because they have already identifi ed with their mothers. This identifi cation gives them an advantage in developing a separate identity, because this identity will likely be feminine and much like their mothers. Boys, on the other hand, have a more diffi cult time in developing separate identities because they too have already identifi ed with their mothers. To become masculine, boys must reject the femininity of their mothers and develop an identity that is not only separate but also different. Thus, boys have a more diffi cult task than girls in accomplishing these developmental goals of separation and identity.

But according to Chodorow, girls never separate from their mothers as completely as boys do. The gender similarity is something that both mothers and daughters know, and this similarity infl uences both the mother and the daughter. One study (Benenson, Morash, & Petrakos, 1998) confi rmed the difference in emotional closeness between daughters and sons, as Chodorow’s theory hypothesizes. Boys must work to accomplish their separation, even

114 Theories of Gender Development

with the aid of their mothers. This effort extracts a price. Chodorow (1978) described the aftermath of boys’ separation in terms of their rejection of all femininity and the develop- ment of fear and mistrust of the feminine. Chodorow thus explained the almost worldwide denigration of women by men as a by-product of boys’ efforts to distinguish and separate themselves from their mothers. On the other hand, girls have no such need, and they accept their mothers and the feminine role without the turbulence that boys experience. Girls grow into women and reproduce their early relationships with their mothers in their own mothering.

Table 5.3 shows the differences between Chodorow’s feminist psychoanalytic theory and traditional psychoanalytic theory. Notice that the differences lie not only in the outcomes but

Photo 5.1 According to Chodorow’s theory, girls are similar to their mothers, which eases the course of their gender development.

Table 5.3 Differences between Chodorow’s Feminist Psychodynamic Theory and Traditional Freudian Theory

Stages Gender-Related Outcome

Chodorow’s Theory Pre-Oedipal stages Boys work toward separation from mother, rejecting femininity. Girls retain connectedness with mother, becoming feminine

Oedipus confl ict Gender differences have already emerged

Freud’s Theory Pre-Oedipal stages No gender-related differences emerge Oedipus confl ict Family dynamics and perception of differences in genitals

prompt personality differences

Theories of Gender Development 115

also in the stage of development that each theory hypothesizes to be important in personality development and in gender-related differences.

Thus, Chodorow’s psychodynamic theory represents an alternative to Freud’s theory. Although she retained the emphasis on early childhood, Chodorow concentrated on the pre-Oedipal period and on the early infant–mother relationship. She also hypothesized a different course of personality development for boys than for girls, but in Chodorow’s theory girls have an easier time in developing gender. Their similarity to their mothers makes femi- ninity an easier identity to develop than boys, who must fi nd ways to separate themselves from their mothers and fi nd masculine gender identity.

Kaschak’s Antigone Phase

Like Freud, Ellyn Kaschak’s (1992) psychodynamic theory drew from the Oedipus legend in the Greek plays by Sophocles. Kaschak argued that the minor changes Freud made to accommodate women in his female Oedipus complex were inadequate. Instead, Kaschak casts female personality development in terms of Antigone, Oedipus’s daughter (and half- sister). In Sophocles’s plays, Antigone was the daughter of Oedipus and Jocasta (who was Oedipus’s mother). After Oedipus learned of his incest with Jocasta, he destroyed his eyes, and Antigone then became her father’s guide and caretaker. Antigone sacrifi ced an inde- pendent life to care for her blind father, and he considered it his right to have this level of devotion. Kaschak (1992) interpreted personality development of men and women in similar terms: “As Oedipus’ dilemma became a symbol for the dilemma of the son, so might that of Antigone be considered representative of the inevitable fate of the good daughter in the patriarchal family” (p. 60).

Men grow and develop in societies that allow them power, both in those societies and in their families. In taking this power, men come to consider women their possessions. Women grow and develop in situations of subservience in which they are men’s possessions, and women’s lives and personalities refl ect this status. Kaschak hypothesized that many men and women never resolve these complexes because the social structure perpetuates differential power for women and men, encouraging both to adhere to these different roles.

For men, an unresolved Oedipus complex results in treating women as extensions of themselves rather than as independent people. With this sense of entitlement, men tend to seek power and sex in self-centered ways that may be destructive to others, such as family violence, incest, and rape. Consistent with Kaschak’s formulation, Michael Johnson (1995; Johnson & Leone, 2005) researched family violence and proposed that some men engage in systematic violence within their families because they feel that they have the right to do so. He called this form of family violence patriarchal terrorism .

When women fail to resolve the Antigone phase, they allow themselves to be extensions of others rather than striving for independence. Girls learn that men are important and their own wishes are less so, thus allowing this belief to limit their lives. Among those limits are restrictions on what women may do in the world and conforming to a limited sexuality, all defi ned and controlled by men. In addition, women learn to deny their physicality and try to make their bodies invisible, and this denial can be expressed in terms of eating disorders. These limits can lead to feelings of self-hatred and shame and the need to form relationships with others to feel self-worth.

Women who successfully resolve the Antigone phase achieve separation from their fathers and other men to become independent people. This independence allows them to form relationships with women, which Kaschak believes to be a problem for women who have not resolved the Antigone phase. In their relationships with men, women who have resolved these issues are able to stop making men central to their lives and can

116 Theories of Gender Development

form interdependent, fl exible relationships. Men who resolve their Oedipus complex relinquish their grandiosity and drive for power, see women as whole persons rather than possessions, and come to see themselves as individuals who act within boundaries and limits, rather than as kings. Table 5.4 shows the four possibilities in Kaschak’s view of personality development—men and women who have and have not resolved major developmental issues.

Is feminist psychodynamic theory an improvement over traditional psychoanalytic theory? All versions of psychoanalytic theory have the shortcoming of relying heavily on unconscious mental processes to explain important events in personality development, which poses prob- lems for scientifi c testability. Therefore, any psychoanalytic theory shares the problem of providing adequately observable research evidence.

Both traditional and modern psychoanalytic theories emphasize the importance and inevi- tability of gender differences, but other theories of gender development do not share this view. Several theories concentrate on the social factors in children’s lives to explain how gen- der develops. The infl uence of social factors forms the foundation for social learning theory, cognitive developmental theory, and gender schema theory.

Social Learning Theory and Gender

Social learning theory explains gender development in the same way that it explains other types of learned behaviors, by classifying gender development as learned behaviors. This pos- sibility was what distressed Lauren Sandler (2009); if gender development proceeds through learning gender-related associations, then the pinks and blues may convey messages that encourage stereotyping.

Social learning theory emphasizes the infl uence of the social environment, including the media. Biological sex differences furnish the basis for gender identity, but social learning theorists contend that a great many other characteristics and behaviors that have no rela- tion to sex have been tied to gender, such as the colors pink and blue. In this view, gender identity development is determined by social factors (Bandura, 1986; Bandura & Bussey, 2004; Bussey & Bandura, 1999).

Table 5.4 Possible Outcomes of Personality Development According to Kaschak

Not Resolved Resolved

Men (Oedipal phase) Patriarchal Nonpatriarchal Gaining power a major goal Gaining power not a major issue See women as extensions of self—they have the right to have women serve them

See women as independent

Sexually self-centered Sexually unselfi sh

Women (Antigone phase) Accept subservience Reject subservient role Passive and dependent Assertive and independent Accept male-defi ned sexuality Defi ne their own sexuality Deny their own needs, including physical needs

Accept and express their own needs

Cannot form friendships with other women

Form friendships with other women

Theories of Gender Development 117

The social learning approach is a variation of traditional learning theory, which includes the principles of operant conditioning developed by B. F. Skinner. Operant conditioning is a form of learning based on applying reinforcement and punishment . A reinforcer is any stimulus that increases the probability that a behavior will recur. A behavior is more likely to be repeated in the future if that person (or animal) has received a reinforcer after performing the behavior in the past. On the other hand, a person is less likely to repeat a behavior in the future if that person has been punished after performing the behavior. Punishment is any stimulus that decreases the probability that a behavior will recur. The reinforcements and punishments in each individual’s history contribute to present and future behavior. Thus, future behavior can be predicted from past experience. Table 5.5 gives an example of how personal experience of reinforcements and punishments can work to mold gender-related behaviors.

Traditional learning theorists reject all concepts of internal mental processes and termi- nology in their explanations of behavior, relying on objectively observable behaviors, but social learning theory extends learning theory to include cognitive processes. This addition changes the focus of learning by emphasizing the importance of observation. Social learning theorists consider observation more important than reinforcement in the process of learning. To these theorists, learning is cognitive, whereas performance is behavioral. The social learn- ing approach thus separates learning from performing learned behaviors, and it investigates factors that affect both (Mischel, 1966, 1993).

Observation provides many opportunities for learning, including the learning of gender- related behaviors among children (Bandura & Bussey, 2004; Bussey, 2011; Bussey & Ban- dura, 1999). The social environment provides children with examples of male and female models who perform different behaviors, including behaviors that vary by gender. The mod- els that infl uence children include mothers, fathers, and siblings, but also many others, both real people and media images of boys, girls, men, women, and cartoon characters. In observing these many male and female models, children have abundant opportunities to learn. However, not all models have the same infl uence for all children, and not all behaviors are equally likely to be imitated.

The differential infl uence of models relates to their power or prestige as well as to the observer’s attention and perception of the similarity between model and observer. Children tend to be more infl uenced by powerful models than by models with less power (Bussey & Bandura, 1984), but children are also more infl uenced by models who are similar to them. This similarity extends to gender, with children more likely to imitate same-sex models than other-sex models and models of similar age (Grace, David, & Ryan, 2008).

Table 5.5 Results of Reinforcement and Punishment for Gender-Related Behaviors

Behavior Consequences Result

Little girl plays with tea set Reinforcement: Her mother praises her toy choice

Girl plays with tea set again

Little girl plays with truck Punishment: Her mother scolds her for choosing a truck

Girl does not play with truck again

Little boy plays with tea set Punishment: His mother scolds him for choosing a tea set

Boy does not play with tea set again

Little boy plays with truck Reinforcement: His mother praises his toy choice

Boy plays with truck again

118 Theories of Gender Development

Observing the consequences of a behavior is another important factor in performing a learned behavior. If people observe a behavior being rewarded, then they are more likely to perform that behavior than if they see the same behavior punished or unrewarded. Social learning theorists believe that reinforcement and punishment are not essential for learning, which occurs through observation. Instead, reinforcement and punishment are more impor- tant to performance, affecting the likelihood that a learned behavior will be performed in circumstances similar to those observed.

Children develop in an atmosphere in which they are exposed to models of gender- stereotypic behaviors “in the home, in schools, on playgrounds, in readers and storybooks, and in representations of society on the television screens of every household” (Bandura, 1986,

Photo 5.2 Parents are powerful models for developing gender-related behaviors.

Theories of Gender Development 119

p. 93). These presentations do two things. First, all children are exposed to both female and male models, so all children learn the gender-related behaviors associated with both genders. Second, children learn which behaviors are gender-appropriate for them. Children learn that certain behaviors are rewarded for girls but not for boys; for other behaviors, the rewards come to boys and not to girls.

For example, children see girls rewarded for playing with dolls, whereas they see boys discouraged and ridiculed for this same behavior. Children see boys rewarded for playing with toy guns, but they may see girls discouraged from that behavior. Both boys and girls learn how to play with dolls and guns, but they are not equally likely to do so due to the differential rewards they have seen others receive. Figure 5.1 illustrates some possibilities of this process.

Their learning is not based on observation of merely a few models; the world is fi lled with examples of men and women who are rewarded and punished for gender-related behaviors. The portrayals of gender-related behavior are especially stereotypical in the media (Lauzen, Dozier, & Horan, 2008; Signorielli, 2004) and offer a multitude of sexist examples for children to model (see According to the Media and According to the Research). Therefore, children may behave in ways different from their parents, including expressing sexist views that their parents do not endorse.

Not all observed consequences are consistent with each other; some people are rewarded and others punished for the same behavior. But consistency is not necessary for children to learn gender-related behaviors (Bandura, 1986). Children observe many models; they notice the consistencies among the behaviors of some models and start to overlook the exceptions. As more same-sex models exhibit a behavior, the more likely children are to connect that behavior with one or the other sex. Through this process, behaviors come to be gendered, although these behaviors may have no direct relationship to sex. Children learn to pay attention to individuals’ sex and the activities associated with each, and thus they become selective in their modeling.

When Children Observe Female Model Male Model Playing with Dolls

Take good care Dolls are for girlsof that baby

= = Encouragement/ Discouragement/ Reward Punishment

Most Likely Future Behavior

Girls Boys

Play with dolls Avoid dolls

Female Model Male Model Playing with Guns

Guns are for boys Good shot for a beginner

= = Discouragement/ Encouragement/ Punishment Reward

Most Likely Future Behavior

Girls Boys

Avoid guns Play with guns

Figure 5.1 Results of Observing Models of Gendered Behaviors

120 Theories of Gender Development

According to the Media . . . Girls are in the Background in Children’s Television

Children’s television programming has always been oriented toward boys. Pro- gramming executives believe that boys will not watch cartoons with female lead characters but that girls will watch programs with male lead characters (Thomp- son & Zerbinos, 1995). Early analyses of cartoon programming indicated that male characters outnumbered female characters by more than three to one. An analysis of American cartoons over 65 years (Klein & Shiffman, 2009) indicated that female characters had always been underrepresented, but their presence had increased since the 1960s. In both analyses, female characters displayed stereo- typically feminine behavior, and cartoons tend to show girls and women in tra- ditional roles.

Cartoon programming changed from the 1970s to the 1990s, going from an emphasis on exaggerated tripping, falling, and action to those with continu- ing adventures (Thompson & Zerbinos, 1995). Female characters became more independent, assertive, intelligent, competent, and responsible and less emo- tional and tentative. The male characters continued to behave in stereotypical ways for men, giving orders and being brave and aggressive. Female superhero characters are also brave and aggressive, but they are less common than male superheroes and show some stereotypically feminine behavior, such as emotion- ality (Baker & Raney, 2007).

Not all programming aimed at children portrays female characters in stereotypical terms. In programs for middle school children, female and male scientists were por- trayed as having similar characteristics in terms of their professional positions, marital status, and parental status (Long et al., 2010). Not surprisingly, TV scientists were presented as intelligent, and the female scientists were as smart as the male scientists. The equality was restricted to characteristics, however; these programs featured fewer female scientists.

Television advertising oriented toward children also has a history of biased gender portrayals, but changes have also occurred (Larson, 2001). The number of girls in commercials now equals the number of boys, but girls are still in the background in terms of activities. The advertisements oriented toward boys contain more action, competition, control, and destruction, whereas those oriented toward girls contain more limited activity and more nurturing (Johnson & Young, 2002). Commercials convey clear messages about which toys are for girls and which are for boys; few advertisements offer attractive portrayals of children deviating from gender stereo- types (Pike & Jennings, 2005). All of these presentations tend to leave girls in the background.

Theories of Gender Development 121

Children experience many sources of modeling and reinforcement, and these sources infl uence the development of gender-related behaviors (Bussey, 2011). Beginning before birth, parents often have some preference for a boy or a girl—more often for a boy. When their children are infants, parents interact differently with their sons and daughters. For example, young children do not show strong preferences for gender-typical toys, but when parents choose toys for play, they tend to pick masculine toys for boys and feminine or neutral toys for girls (Wood, Des- marais, & Gugula, 2002). Parents are not alone in these preferences; in one study (Campenni, 1999), adults who were not parents showed even more stereotypical toy choices than parents did—recall Lauren Sandler’s friends who inundated her with pink everything for her baby girl.

Studies that observe parental interactions with children have confi rmed gender differences in treatment. Mothers and fathers created different amounts of emotional availability during interactions with their toddlers, and the sex of the child also infl uenced the situation (Lovas, 2005). Sons were involved in less positive interactions than daughters. An early study that

According to the Research . . . Gender Depictions on Television Convey a Message

Cartoons and advertisements on children’s television tend to portray gender-related behaviors in stereotypical ways, selling not only products but also gender ideology (Lewin-Jones & Mitra, 2009). Television provides many more opportunities for chil- dren to observe stereotypical gender behaviors than actual experience does (Bussey & Bandura, 1999), and television has become more prominent than parents in the lives of many children (Burguera, 2011). Children not only notice but are also infl uenced by gender portrayals in cartoons and in advertisements; however, some evidence hints that television can easily send more positive messages.

Interviews with children between ages 4 and 9 years (Thompson & Zerbinos, 1997) showed that 78% noticed that cartoons contained more male than female characters, and 68% noticed that boys talked more in cartoons. Of elementary school children who watched the Pokémon cartoons, less than 50% could name a female Pokémon character, and children were much more likely to name a male than a female character or trainer as a favorite (Ogletree, Martinez, Turner, & Mason, 2004).

Gender-related perceptions of cartoon characters infl uenced 4- to 9-year-old chil- dren’s thoughts about their careers (Thompson & Zerbinos, 1997). Children who noticed the gender differences in the cartoon characters’ behavior tended to be more likely to envision themselves in a gender-stereotypical job than did children who were less aware of the gender portrayals in cartoons. This tendency was stronger for boys than for girls. In contrast, the children who noticed characters behaving in nonstereo- typical ways were the ones who were more likely to see themselves in nontraditional jobs. This tendency applied to both girls and boys.

Children exposed to gender-stereotypical television advertising for boys’ toys were more likely to say that the toys were appropriate for boys rather than for either boys or girls (Pike & Jennings, 2005). However, changing the gender of the child in the adver- tisement to a girl was successful in prompting signifi cantly more children to say that the advertised toy could be for either girls or boys, but boys were affected more strongly.

Therefore, the gendered presentation of characters in cartoons has the power to do harm. Children notice and are infl uenced by these stereotypical presentations, and young children take this information into account when they imagine themselves in an occupation. But counterstereotypical portrayals have the power to alter stereotypes.

122 Theories of Gender Development

examined toy choices (Fagot & Hagan, 1991) found larger differences than a more recent study (Wood et al., 2002) on the topic, but the tendency persisted to choose “masculine” toys when playing with boys and “feminine” or gender-neutral toys for girls. During the preschool years, boys come to believe that their fathers disapprove of cross-gender toy choices and behave accordingly, rejecting these toys (Raag & Rackliff, 1998). That belief may be correct: When reading picture books with their children, fathers made more comments endorsing gender-stereotypical behaviors than mothers (Endendijk et al., 2014). Thus, parents encour- age some and discourage other gender-related behaviors.

Gendered Voices: I Wouldn’t Know How to Be a Man

“I never thought of myself as very feminine, but I wouldn’t begin to know how to be a man,” said a woman in her thirties. “There are thousands of things about being a man or being a woman that the other doesn’t know. It takes years to learn all those things. I have been struck several times by the differences in women’s and men’s experience, by small things.

“During college one of my roommate’s boyfriends decided to paint one of his fi ngernails. It was an odd thing to do, but he said that it was an experience he hadn’t had, and he just wanted to try it. What was interesting was that he didn’t know how to go about it—didn’t know how to hold the brush, which direction to apply the polish. It was interesting to watch him. That was the fi rst time that I really thought, ‘Men and women have some unique expe- riences that the other does not know.’ I’ve had that thought many times since then, usually about small experiences or skills that women have and men don’t.

“I’m sure that it works the other way, too. There’s a world of little experiences that are part of men’s lives that women don’t have a clue about. For example, I wouldn’t know how to go about shaving my face. In some sense, these experiences are trivial, but they made me think about the differences between the worlds of women and men.”

Social learning theory hypothesizes that these forces affect gender-related thinking, and children come to develop gender knowledge and gender standards for their own behavior. In children age 2 to 4 years, behavior typical of the same sex was more common than behavior typical of the other sex for all ages of children (Bussey & Bandura, 1992). The younger chil- dren in the study reacted to their peers in gender-stereotypical ways but did not regulate their own behavior by these same standards, whereas the older children did both. These results indicate that these 4-year-old children had begun to develop a coherent set of standards that they applied to their gender-related behaviors.

When children start interacting with peers outside the home, these other children become a major source of both modeling and approval. Children’s play groups tend to be gender segregated, especially in school settings. Children often put a great deal of effort into main- taining this segregation and even begin to use insults and severe prohibitions aimed at those who attempt to join an other-sex group (Thorne, 1993). The formation of relationships, including the gender composition of play groups, is a topic explored in Chapter 9 .

The differential treatment of boys and girls is enhanced by parents’ and teachers’ expecta- tions and encouragement during the school years. Both parents and teachers are more likely to urge boys to persist in solving problems than they are to urge girls. By the time children reach adolescence, their models and reinforcements tend to encourage boys toward careers and sexual expression and girls toward domesticity and physical attractiveness (Peters, 1994). Therefore, children develop in environments that contain many sources of social learning that will lead to differences in the gender-related behaviors of boys and girls.

Theories of Gender Development 123

In summary, social learning theory views the development of gender-related behaviors as part of the overall development of many behaviors that children learn through observation and model- ing. This theory emphasizes the contribution of the social environment to learning and behavior. Social learning theory sees learning, which occurs through observation, as cognitive and separate from performance, which is behavioral. Whether a learned behavior is performed depends on the observed consequences of the behavior and the observers’ beliefs about the appropriateness of the behavior. Thus, children have many opportunities to observe gender-related behaviors from a wide variety of models, to develop beliefs about the consequences of those behaviors, and to exhibit gender-related behaviors as a result of their observation of these models.

Cognitive Theories of Gender Development

Sandra Bem (1985) criticized social learning theory, arguing that the theory portrays chil- dren as too passive; she believed that children are more actively involved in developing gender identity than social learning theory hypothesized. Bem argued that children do not exhibit a gradual increase in gender-related behaviors, but rather form cognitive categories for gender and then acquire gender-related knowledge around these categories. In addition, research evidence suggests that children may develop stronger gender stereotypes than their parents convey, which implies that children organize information about gender actively. Thus, another way to look at gender development places an emphasis on cognition. These theories include cognitive developmental theory and gender schema theory.

Cognitive Developmental Theory

The cognitive developmental theorist Lawrence Kohlberg (1966) described this theory by saying, “Our approach to the problems of sexual development starts directly with neither biology nor culture, but with cognition” (p. 82). Cognitive developmental theory views the acquisition of gender-related behaviors as part of children’s general cognitive development. This development occurs as children mature and interact with the environment, forming an increasingly complex and accurate understanding of their bodies and the world around them.

The cognitive developmental approach follows Jean Piaget’s theory of cognitive develop- ment, which places the development of gender-related concepts into the realm of increasing cognitive abilities and which emphasizes children’s active role in organizing their own thoughts (see Ginsburg & Opper, 1969). Piaget described four stages of cognitive development, begin- ning at birth and ending during preadolescence, throughout which children achieve cognitive maturity. During childhood, limitations in cognitive abilities lead children to have problems in classifying objects according to any given physical characteristic such as size or color. During their elementary school years, children gain in cognitive abilities but may still have diffi culty in dealing with abstractions, such as the ability to imagine hypothetical situations—“what if ?” Piaget believed that once children reach cognitive maturity, at around age 11 or 12 years, they no longer have any cognitive limitations on their understanding. (Although lack of information may be a limitation at this or any age, this problem is different from the limits on cognitive ability that appear during childhood.) Thus, Piaget explained cognitive development as a series of stages leading to an increasing ability to understand physical reality and deal with abstract, complex problems. Infants are capable of almost no abstract thought, but by preadolescence, children have fewer limitations on their cognitive abilities.

Cognitive developmental theorists see the development of gender-related behaviors as part of the larger task of cognitive development. Very young children, lacking a concept of self, can have no concept of their gender. Most 2-year-old children are unable to apply the words boy or girl consistently to self or others; thus they fail at gender labeling . When children use

124 Theories of Gender Development

gender labels correctly, they still lack critical gender knowledge—young children do not see gender as a permanent feature. They believe that a boy can become a girl if he wishes or that a girl might become a boy if she dressed in boys’ clothing (Kohlberg, 1966). That is, young children lack gender constancy , the belief that gender will remain the same throughout life. This concept rarely appears before age 4. According to cognitive developmental theory, gen- der constancy is essential for the development of gender identity; children begin to develop a gender identity based on a classifi cation of self and others as irreversibly belonging to one gender or the other.

This gender constancy is part of children’s growing ability to classify objects based on physical criteria. These cognitive developments in conceptualizing gender parallel other cog- nitive changes in children. Before age 5 or 6, children have an incomplete understanding of the qualities of physical objects, and their misunderstanding of gender is part of this limita- tion. By around age 6 years, children have developed a correct, if concrete, understanding of physical reality, including gender identity. Cognitive developmental theory sees changes that occur in gender identity as part of this process, and the mistakes that children make concerning gender identity are seen as part of their general cognitive limitations during the course of development. Consistent with this contention, a study that assessed children’s abil- ity to tell the difference between appearance and reality (Trautner, Gervai, & Németh, 2003) confi rmed that understanding reality develops before or concurrently with gender constancy.

The cognitive developmental approach is similar to the social learning approach in its emphasis on the role of cognition. However, the two approaches differ in several ways. Cognitive developmental theory hypothesizes that development moves through a series of discrete stages. Each stage has internal consistency and a set of differences that delineate it from successive stages. Social learning theory sees development as more continuous and not bounded by stages. Although the environment and culture are important in cognitive devel- opmental theory (Martin, Ruble, & Szkrybalo, 2004), those factors are even more important for social learning theory (Bussey, 2011; Bandura & Bussey, 2004). Figure 5.2 illustrates the difference between development as a continuous process and as a series of stages.

Figure 5.2 Two Views of Development

Theories of Gender Development 125

Cognitive developmental theory views the acquisition of gender-related behaviors as a by-product of the cognitive development of gender identity. Children begin to adopt and exhibit gender-related behaviors because they adopt a gender identity and strive to be consistent with this identity. On the other hand, social learning theory hypothesizes that children come to have a gender identity because they model gender-related behaviors. Through the performance of these behaviors, children conform to either the masculine or the feminine social roles of their culture. Thus, social learning theory sees gender identity as coming from performance of gender-related behaviors, whereas cognitive developmental theory sees gender-related behaviors as coming from the cognitive adop- tion of a gender identity.

When children develop an understanding of categories, including gender categories, they tend to concentrate on the classifi cation rules and show a great reluctance to make excep- tions. Applied to gender, this strategy leads to classifying all women and all men by invariant physical or behavioral characteristics. Therefore, cognitive developmental theory predicts that children will develop gender stereotypes as part of their process of developing gender identity (Martin, Ruble, & Szkrybalo, 2002). Table 5.6 illustrates some of limits on the development of gender identity according to cognitive developmental theory.

As Chapter 3 describes, a great deal of research evidence substantiates the notion that children form stereotypical gender concepts beginning early in their lives. Children as young as 2 years old exhibit stereotypical gender-related knowledge, and this level of knowledge relates to their comprehension of gender identity and gender constancy (Kuhn, Nash, & Brucken, 1978; Poulin-Dubois, Serbin, Eichstedt, Sen, & Beissel, 2002). The process of acquiring gender stereotypes has also been related to the development of gender constancy (Warin, 2000).

One problem with cognitive developmental theory comes from its emphasis on gender constancy as the primary force underlying the development of gender identity. Although Kohlberg’s predictions are not completely clear on this point (Stangor & Ruble, 1987), he hypothesized that gender constancy is pivotal in developing gender identity; all other facets of gender identity stem from establishing gender constancy. Although the interpre- tation of what constitutes gender constancy remains a point of contention (Ruble, Lurye, & Zosuls, 2007), research has failed to substantiate the primacy of gender constancy (Arthur, Bigler, & Ruble, 2009; Martin & Little, 1990), leaving a major component of this theory in doubt.

Another problem with cognitive developmental theory comes from the treatment of gen- der as the same as any other cognitive category. As Sandra Bem (1985) put it, “The theory fails to explicate why sex has primacy over other potential categories of the self such as race, religion, or even eye color” (p. 184). This theory fails to explain why children choose gender as a primary domain around which to organize information. Gender schema theory addresses this problem by extending the concepts in cognitive developmental theory.

Table 5.6 Limitations to Gender Development According to Cognitive Developmental Theory

Age Cognitive Ability/Limitation Consequences for Gender Development

< 1 year old No concept of self No concept of gender

< 2 years Cannot classify objects Cannot distinguish male from female

< 4 years Lack of gender constancy Believes that one sex may become the other

5 or 6 years Can classify objects based on physical properties Concrete understanding of gender

6 > years Infl exible application of concepts Stereotyping on the basis of gender

126 Theories of Gender Development

Gender Schema Theory

Gender schema theory is an extension of the cognitive developmental theory. A schema is “a cognitive structure, a network of associations that organizes and guides an individual’s perceptions” (Bem, 1981, p. 355). Piaget used the term schema (plural, schemata or schemas ) to describe how cognitions are internalized around various topics; gender schema theory hypothesizes that children develop gender-related behaviors because they develop schemas that guide them to adopt such behaviors. In this view, gender-related behaviors appear not only as a result of general cognitive development but also as a specifi c result of developing gender schemas.

According to gender schema theory, culture also plays a role in gender development, providing the reference for the formation of gender schemas. Not only are children ready to encode and organize information about gender, but they also do so in a social environ- ment that defi nes maleness and femaleness (Bem, 1985). As children develop, they acquire schemas that guide their cognitions related to gender. These schemas infl uence informa- tion processing and problem solving in memory and also regulate behavior (Frawley, 2008; Martin & Halverson, 1981; Martin et al., 2002, 2004; Wilansky-Traynor & Lobel, 2008). Gender schema theorists believe that children use these schemas to develop a concept of self versus others, and each child’s gender schema is included in that child’s self-schema, or self-concept. In addition, gender schemas can provide a guide for concepts of personal masculinity and femininity, including personal judgments about how people personally fi t, or fail to fi t, these schemas (Janoff-Bulman & Frieze, 1987). Thus, gender schema theory provides an explanation for the concepts of masculinity and femininity and how people apply these concepts to themselves.

Bem (1985) emphasized the process rather than the content of gender schemata. The information in the schemas is not as important as the process of forming schemas and acting in ways that are consistent with them. Gender schema theory predicts that cogni- tive changes accompany schema formation, leading to alterations in the ways that children process gender-related information, which changes the ways in which they behave (Mar- tin et al., 2004). Confi rming these predictions, gender-schematic preschoolers behaved in more gender-typical ways than less schematic children (Levy, Barth, & Zimmerman, 1998; Wilansky-Traynor & Lobel, 2008).

Gender schema theory also predicts that developing gender schemata increases accuracy and memory for gender-consistent information compared to gender-inconsistent informa- tion. A number of studies have demonstrated such memory effects in both children and adults. Gender-typed college students tended to remember words in clusters related to gender—for example, the women’s proper names in one cluster and the men’s names in another (Bem, 1981). This schematicity did not affect the number of words remembered, but the orga- nization of memory differed according to participants’ gender schemata. In addition, par- ticipants with strong gender schemata were faster at making gender-related judgments that were consistent with their gender schemata than they were at making judgments inconsis- tent with their schemata. A study with both children and adults (Cherney, 2005) found that the effects of gender schemata appeared in incidental but not in an intentional memory task. A study with college students (Harper & Schoeman, 2003) found that gender was a strong, cognitive, organizing principle that affected stereotyping. A longitudinal study with chil- dren in Hong Kong (Lobel, Bar-David, Gruber, Lau, & Bar-Tal, 2000) demonstrated that the process of developing gender schemata is similar for these Asian children and results in similar changes in cognitive processing. Thus, gender schema theory has some validity across cultures.

The types of differences found among gender-schematic college students prompted fur- ther research using a similar approach, but with participants of various ages. A review of

Theories of Gender Development 127

the research on gender schema and information processing (Stangor & Ruble, 1987) indi- cated that children with well-defi ned gender schemata tend to remember gender-consistent information better than gender-inconsistent information. For example, when children see drawings, photos, or videotapes in which men and women perform activities such as cooking and sewing or driving a truck and repairing appliances, gender-schematic children remember the gender-typical pairings (women cooking and sewing and men driving trucks and repair- ing appliances) better than the gender-atypical pairings (women driving trucks and repairing appliances and men cooking and sewing). In addition, children tend to change their memo- ries to fi t the gender-typical activities, such as remembering a man driving a truck when he was pictured as cooking. This tendency to distort memory in ways consistent with gender schemata suggests that the development of gender schemata infl uences the way that people interpret information (Martin & Ruble, 2004).

In developing gender schemas, children become increasingly ready to interpret informa- tion in terms of gender. A tendency to interpret information in gender-schematic terms may lead to gender stereotyping—exaggerated and narrow concepts of what is appropriate and acceptable for each gender. Gender associations tend to be unconventional and a bit odd in young children (“It’s a boy because he’s painting a picture.”) but become more conventional as children reach elementary school age (Tennenbaum, Hill, Joseph, & Roche, 2010). The formation of gender stereotypes can be understood as a natural refl ection of the use of gender schemata (Martin & Halverson, 1981; Martin et al., 2002). Some of the effects of gender stereotyping are positive, such as increased ease in classifying behaviors and objects, which can give children the feeling that the environment is manageable and predictable. But stereotyping can also have negative effects, leading to inaccurate perceptions and failures to accept informa- tion that does not fi t the stereotype (Frawley, 2008). Thus, the existence of gender schemata prompts the formation of gender stereotypes, with both positive and negative consequences.

In summary, gender schema theory extends the cognitive developmental theory by hypoth- esizing the existence of gender schemata, cognitive structures that internally represent gender-related information and guide perception and behavior. Children internalize their schemata for masculinity or femininity to form a self-concept, or self-schema, for gender- related behaviors. Research has indicated that gender schemata can affect the processing of gender-related information and can lead to gender stereotyping.

Which Theory is Best?

Each of these theories of gender development presents an orderly pattern of development, but the research shows a complex pattern with many components that do not necessarily match the theories. That is, none of the theories is able to explain all the data from research on gender identity development.

Social learning theory predicts a process of learning gender roles, which results in a gradual matching of gender-related behaviors to the culturally prescribed pattern through modeling and reinforcement of gender-appropriate behaviors. Although the research shows that chil- dren begin learning information consistent with gender at an early age, gender knowledge consists of several different concepts that do not appear incrementally. The fi nding that children learn gender labeling before gender-typical toy and clothing preferences indicates a pattern of gender knowledge development that social learning theory does not predict.

Research has substantiated the infl uence of parents, siblings, and peers in directing gender- related behaviors. Social learning theory predicts that family, peers, teachers, and media images of men and women affect children in their learning and performance of gender- appropriate behaviors. Modeling can be a powerful force in prompting the performance of

128 Theories of Gender Development

gender-related behaviors (Bandura & Bussey, 2004; Bussey, 2011; Bussey & Bandura, 1984, 1992, 1999), and same-sex siblings, parents, peers, and teachers are all important infl uences in the child’s development of gender fl exibility (Bronstein, 2006). These fi ndings are con- sistent with the predictions of social learning theory.

Gendered Voices: Equal Opportunity Oven

McKenna Pope thought that her younger brother needed an Easy-Bake Oven because he was interested in cooking (Pesta, 2012), and he was trying to cook a tortilla on a light bulb, so he obviously needed help. McKenna persuaded her mother to buy him one. In the store, they found only girly ovens in pink and purple. Thirteen-year-old McKenna “was appalled” because “The oven comes in gender-specifi c hues: purple and pink. I feel that this sends a clear message: women cook, men work” (in Pesta, 2012, p. 3).

McKenna posted a petition on Change.org and collected 45,000 signatures in support, including several famous male chefs. Hasbro, the company that has manufactured the Easy- Bake Oven since the 1960s, responded by developing a model that is black, blue, and silver. This model is intended to be more suitable for boys, but McKenna pronounced “It kind of looks like an appliance you would legitimately have in your kitchen” (in Pesta, 2012, p. 1).

Social learning theory allows that girls and boys might differ not only in their gender- related behaviors but also in their cross-gender behaviors. The male gender role carries more power, and power is one of the factors that affect children’s modeling. During childhood, boys are discouraged from performing feminine behaviors, whereas girls may not be discour- aged from performing behaviors typical of boys (Kane, 2006). These differences lead to the prediction that boys should be more strongly gender-typed than girls, and research supports this difference. Cognitive developmental theory does not allow for a different pattern of development for boys and girls, whereas gender schema theory hypothesizes that parental attitudes and family patterns may produce variations in individual schemas. This theory does not specifi cally address differences in schemas between girls and boys but allows for the possibility.

Cognitive developmental theory hypothesizes that gender identity comes about through cognitive changes that occur through general cognitive development. Research has indicated that gender development produces cognitive changes in accuracy and memory for gender- related information, but gender schema theory makes a similar prediction, so fi ndings that support these cognitive changes are applicable to either theory.

The prediction that gender constancy is the basis for developing all other gender knowl- edge presents problems. Indeed, research has shown that gender constancy develops later than many other components of gender knowledge. This discrepancy is a serious problem for cognitive developmental theory. Another problem for this theory is that gender develop- ment continues during adolescence. According to cognitive developmental theory, children undergo no additional cognitive changes after early adolescence, but research has shown that late adolescence and adulthood are times during which individuals gain fl exibility of gender beliefs. Understanding the development of gender fl exibility is a goal for researchers in this area (Martin & Ruble, 2004).

Gender schema theory predicts that children develop a cognitive organization for gender—a schema—that forms the basis for their understanding of gender and directs their gender-related behaviors. The types of cognitive changes that this theory predicts have been

Theories of Gender Development 129

found in modes of information processing, such as accuracy of judgments and memory effects. In preschool children, gender schematicity was a signifi cant predictor of masculine and feminine gender-typed behaviors, but gender constancy was not related (Levy et al., 1998). A study in which children increased their gender constancy showed no effect on their gender typing (Arthur et al., 2009). In addition, women in traditional versus nontraditional jobs have different conceptualizations of gender-appropriate behavior (Lavallee & Pelletier, 1992), a fi nding consistent with gender schema theory.

Gender development seems to consist of several different cognitive abilities. One team of researchers (Hort, Leinbach, & Fagot, 1991) proposed that the cognitive components of gender development do not have a great deal of coherence; they postulated that such knowl- edge varies among individual children of the same age and stage of cognitive development. In a study of girls in grades 2 through 12, the patterns among measures were more consistent for children than for adolescents (Signorella & Frieze, 2008). That is, gender knowledge may not fall into a pattern suffi ciently coherent to be called a schema.

It is evident from this discussion that all of the social theories of gender development make predictions that research has supported, and all make predictions that research has failed to confi rm. Table 5.7 compares these theories. The picture drawn from the research shows that gender development presents a more complex process than any of the theories can fully explain. Gender development consists of separate components—gender labeling, preferences

Table 5.7 Comparison of Theories of Gender Development

Psychodynamic Theories

Social Learning Theory

Cognitive Developmental Theory

Gender Schema Theory

Gender differences develop through . . .

Early childhood interactions with parents

Reinforcement and observation of models

General cognitive development, especially gender constancy

Development of gender-specifi c schemata

Children’s participation involves . . .

Passively moving through stages

Choosing which models to imitate

Organizing information about physical world

Developing schemata specifi c to gender

Gender development begins . . .

During Oedipal period (Freud); during pre-Oedipal period (Chodorow)

As soon as the culture emphasizes it, usually during infancy

During preschool years

During preschool years

Gender development proceeds . . .

Through resolution of Oedipus complex (Freud); through identifi cation with or separation from mother (Chodorow)

Gradually becoming more like adult knowledge

Through a series of stages

Through development of schemata

Gender development fi nishes . . .

With identifi cation with same-sex parent

During adulthood, if at all

During late childhood or preadolescence

During late childhood

Girls and boys . . . Develop very different personalities; girls are inferior (Freud); boys have a more diffi cult time separating from mother (Chodorow)

May develop different gender knowledge as well as different gender- related behaviors

Develop similar cognitive understanding of gender

May develop different structures and schemata, depending on parents and family patterns

130 Theories of Gender Development

for gender-typed activities, gender stereotyping, and gender constancy. These components appear to develop in a pattern, but the pattern does not exactly conform to any of those predicted by the theories. Thus, all of the social theories of personality development have been useful and have been partially confi rmed, but none is without weaknesses.

Summary

Psychoanalytic theory, originated by Freud, is the traditional approach to psychodynamic personality theory and relies on the concepts of unconscious forces and biologically deter- mined instincts to explain personality development and functioning. Freud’s theory hypoth- esized a series of psychosexual stages to account for the infl uence of childhood experiences on adult personality. Freud focused on the phallic stage, with its Oedipus complex in which children are attracted to their other-sex parent and feel fear and hostility toward their same- sex parent. Boys experience a more traumatic and a more complete resolution of the Oedipus complex than girls.

Other psychodynamic theories include Horney’s theory, which disputed Freud’s view that women inevitably experience inferiority by arguing that social, not biological, forces form the basis for personality differences between the sexes. Horney hypothesized that men try to feel more adequate by disparaging women. Feminist psychoanalytic theories include those origi- nated by Nancy Chodorow and Ellyn Kaschak. Chodorow’s theory emphasizes the primacy of the early relationship with mothers and hypothesizes that boys have a more diffi cult time separating themselves from the feminine than do girls. Men’s success in forming a mascu- line identity results in a denial of all that is feminine, including a rejection of female values. Kaschak’s theory relies on the Oedipus legend, hypothesizing that Oedipus personifi es men’s drives for power and feelings of entitlement, whereas Antigone, the faithful daughter, repre- sents women’s self-sacrifi ce. She maintained that patriarchal culture perpetuates these roles and makes resolving these complexes diffi cult for men and women.

Alternatives to psychodynamic theory include social learning theory and several cogni- tive theories that explain how infants come to identify themselves as male or female, to understand gender, and to behave in ways that their culture deems gender-appropriate. The social learning approach relies on the concepts of observational learning and model- ing to explain how children learn and perform gender-related behaviors. Initially family members, and later the broader culture, provide models and reinforcements for adopt- ing certain gender-related behaviors while discouraging others. Research has supported the power of children’s family and social surroundings to infl uence the development of gender-related behaviors, but the orderly pattern of gender development that occurs is not consistent with this theory.

Cognitive theories include cognitive developmental theory and gender schema theory. Cognitive developmental theory holds that gender identity is a cognitive concept that chil- dren learn as part of the process of learning about the physical world and their own bodies. Children younger than 2 years have no concept of gender and cannot consistently label themselves or others as male or female. When children have developed gender constancy, the understanding that gender is a permanent personal characteristic that will not change with any other physical transformation, their gender identity is developed. However, research has indicated that gender constancy is among the last types of gender knowledge that children acquire, which presents a problem for this theory.

Gender schema theory is an extension of cognitive developmental theory that explains gender identity in terms of schemas—cognitive structures that underlie complex concepts. When children acquire a gender schema, they change the way that they deal with informa- tion concerning gender and also change their behavior to conform to gender roles. This

Theories of Gender Development 131

theory suggests that gender stereotyping is a natural extension of the process of develop- ing gender schemas, and that children become stereotypical in their gender behavior and judgments.

Psychodynamic theories have little research support, and gathering such evidence is dif- fi cult for these theories because they draw on unconscious factors. Evaluating the social and cognitive theories of gender development leads to the conclusion that although each has sup- porting research, this research fails to confi rm any one theory to the exclusion of the others.

Glossary

castration complex in Freudian theory, the unconscious fear that the father will castrate his son as a punishment for the son’s sexual longings for his mother.

gender constancy the knowledge that gender is a permanent characteristic and will not change with superfi cial alterations.

gender identity individual identifi cation of self as female or male. gender labeling the ability to label self and others as male or female. gender role a set of socially signifi cant activities associated with being male or female. masochism feelings of pleasure as a result of painful or humiliating experiences. Oedipus complex in Freudian theory, the situation that exists during the phallic stage in

which the child feels unconscious hostility toward the same-sex parent and unconscious sexual feelings for the opposite-sex parent. Freud used the story of Oedipus as an analogy for the family dynamics that occur during the phallic stage of personality development.

operant conditioning a type of learning based on the administration of reinforcement or punishment. Receiving reinforcement links the reinforcement with the behavior that preceded it, making the behavior more likely to be repeated.

pre-Oedipal period time during early childhood, before the phallic stage and the Oedipus complex. Some feminist psychoanalytic theorists, including Chodorow, have empha- sized the importance of this period for personality development.

psychosexual stages in Freudian theory, the series of stages ranging from birth to maturity through which the individual’s personality develops. These stages are the oral, anal, phallic, latency, and genital stages.

punishment any stimulus that decreases the probability that a behavior will be repeated. reinforcement any stimulus that increases the probability that a behavior will be repeated. schema an internal cognitive structure that organizes information and guides perception. unconscious in Freudian theory, a region of the mind functioning beyond a person’s con-

scious awareness.

Suggested Readings

Bem, Sandra Lipsitz. (1985). Androgyny and gender schema theory: A conceptual and empirical integration. In Theo B. Sonderegger (Ed.), Nebraska symposium on motivation, 1984: Psychology and gender (pp. 179–226). Lincoln: University of Nebraska Press. Bem evaluates the other theories of gender development and presents gender schema theory, the research

supporting her theory, along with advice about raising nonsexist children.

Bussey, Kay; & Bandura, Albert. (1999). Social-cognitive theory of gender development and differentiation. Psychological Review, 106 , 676–713. This lengthy article presents information in support of social learning theory and makes an argument that

this theory is suffi cient to explain gender development.

Chodorow, Nancy. (1978). The reproduction of mothering: Psychoanalysis and the sociology of gender. Berkeley: University of California Press.

132 Theories of Gender Development

With its psychoanalytic terminology, Chodorow’s book is diffi cult reading, but it offers a compelling alterna- tive to Freud’s theory and has infl uenced many of the scholars who take the feminist standpoint on personality development.

Martin, Carol Lynn; & Ruble, Diane. (2004). Children’s search for gender cues: Cognitive perspectives on gender development. Current Directions in Psychological Science, 15 , 67–70. Martin and Ruble briefl y summarize cognitive developmental and gender schema theory and the evidence

that supports the cognitive view of gender development. Their emphasis is on the active role that children take in understanding how to deal with gender.

Zosuls, Kristina; Miller, Cindy; Ruble, Diane; Martin, Carol; & Fabes, Richard. (2011). Gender development research in Sex Roles : Historical trends and future directions. Sex Roles, 64 (11/12), 826–842. Zosuls and her colleagues review the history of gender research, focusing on gender identity development

research published in this infl uential journal.

Suggested Websites

Psychoanalytic theory and feminism may seem to have no overlap, but psychoanalytic feminism exists. A summary and history appears at http://www.oakton.edu/user/2/hgraff/WGSSummaryPsychoanalyticFemminismS12.html.

To counter the many media models that children see, families may seek information about encouraging media literacy in children. The University of Michigan’s Health System sponsors a website with resources for child development, one of which features information to help parents boost their children’s media literacy (http://www.med.umich.edu/yourchild/topics/media.htm). The site is fi lled with links to papers and materials. The Center for Media Literacy also provides information about developing skills to counteract harmful media messages, including a good article oriented toward preschool children (http://www.medialit.org/reading-room/ abcs-media-literacy-what-can-pre-schooolers-learn).

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6 Developing Gender Identity

Headline: “A Boy’s Life,” The Atlantic, November 2008

Brandon was born looking like a boy, but he knew—even early in his childhood—that he was supposed to be a girl (Rosin, 2008). His fi rst complete sentence, which he said in a restaurant to a woman who was wearing an elegant red dress, was “I like your high heels” (Rosin, 2008, p. 56). He also acted like a girl when he visited the toy store, going to the aisles awash with pink and purple and fi lled with dolls, dollhouses, tea sets, and sparkly clothes. When he was 2½ and visiting his female cousin, Brandon fell in love with one of her many dolls, a Barbie doll wearing a pink sparkly dress. His cousin was kind and let him have the doll. He carried it everywhere, “even slept with it, like a teddy bear” (Rosin, 2008, p. 56).

Brandon is one of a small minority of boys who behaves in ways that are typically associ- ated with girls. Like Brandon, some of these boys wear girls’ clothing and prefer playing with dolls over playing sports. These gender-nonconforming behaviors prompt concerns among parents, as they did with Brandon’s mother. Parents of such children know that their sons’ behavior is different, but publicity about transgender individuals as well as an increas- ing acceptance of gender nonconformity have made parents a bit more hesitant to insist on gender-stereotypical behavior. Brandon’s parents decided to let him live as a girl. Other people are confused and less accepting. The publicity about transgendered individuals hit a new high in 2015, when Olympic gold medal athlete Bruce Jenner made a very public transition to the identity of Caitlyn (Bissinger, 2015).

Boys who fail to fi t the narrow restrictions of the male gender role concern not only par- ents but peers and teachers as well. People associate a childhood failure to conform to gender norms as a signal of problems, including adult behaviors, psychological adjustment, and sexual orientation (Thomas & Blakemore, 2013). Some experts (Pollack, 1998) have called for the type of expansion of the male gender role that has occurred for girls and women. Boys’ gender roles are more rigidly fi xed than girls’, yet boys are more likely to express a desire to be girls than the other way around. The children such as Brandon who experience gender dysphoria , a dissatisfaction and a failure to identify with their biological sex, provide provocative cases for gender development. Although the vast majority of individuals develop a gender identity consistent with their physiology and the pressures that come from many sources in the social environment, some do not.

This chapter fi rst traces the process of gender development, then examines several sources of infl uence in the process of gender development, and fi nally considers those individuals for whom the process diverges.

Gender Identity Development

Traditionally, a child’s sex was announced at birth, but now many parents know their child’s sex during prenatal development, which allows for gender differentiation even

Developing Gender Identity 137

before a child is born. In either event, the pinks and blues appear early in children’s lives. All social theories of gender development rate this type of differential treatment as important in prompting children to attend to and adopt particular behaviors. But to what extent do gender-typical behaviors signal the adoption of gender identity? Is it possible to behave in ways that are not typical for one gender or the other and yet have a fi rm notion of one’s gender identity? Does Brandon’s behavior in the headline story signal confusion over male gender identity or indicate only behaviors that are not typical for the male gender role?

Most people think of gender identity and gender role as the same thing, but many researchers have found it necessary to separate these concepts. The concept of gender identity refers to identifying and accepting the self as male or female. Gender role behaviors are those behaviors that are typically associated with males or females. Thus, children may behave in ways that are not typical for their gender and still have a clear gender identity, but exhibiting gender-atypical behaviors may signal some problem in the development of gender identity.

For gender identity to develop, an individual must have some understanding of the categories of male and female, such as the characteristics that distinguish the two, what labels apply to each gender, what activities are associated with each category, and how she or he fi ts into one or the other category. Research indicates that these elements of gender identity are separable and develop at different times during childhood. This process starts during infancy.

Development during Childhood

Infants seem to possess the ability to tell the difference between male and female faces. Although infants’ thoughts are diffi cult to study, one approach involves showing an infant objects such as photos of faces and measuring how long these objects hold the infant’s atten- tion. When infants see something new, they tend to gaze at the novel object; when they grow bored, their gaze shifts from the object. By noting when infants attend to an object and when they grow bored, researchers can deduce which stimuli infants can distinguish and which they cannot.

Results using such a procedure showed that infants have the ability to distinguish between women and men (Fagot & Leinbach, 1994). Infants as young as 7 months old distinguished male from female faces, mainly by using hair length as the cue. Such distinctions may occur earlier than 6 months of age, possibly based on the amount of experience with each type of face (Ramsey-Rennels & Langlois, 2006). This ability gives infants some basis to begin to make gender distinctions, but 9½-month-old infants showed no sign of gender differences in communication or gestures (Stennes, Burch, Sen, & Bauer, 2005). By age 24 months, however, differences appear in gender-related vocabulary.

Toddlers also showed some knowledge of gender-typical activities (Serbin, Poulin- Dubois, & Eichstedt, 2002). When presented with photographs of women and men performing gender-typical or gender-atypical activities, these young children attended longer to those performing gender-atypical activities; this refl ects their knowledge of what activities were and were not typical of men and women. Another study of children between 12 and 24 months old (Serbin, Poulin-Dubois, Colburne, Sen, & Eichstedt, 2001) showed that girls (but not boys) demonstrated some knowledge of gender-typical toys. These results suggest that gender knowledge begins to develop early, which is a fi rst step toward possessing a gender concept or identity. Even though infants can distinguish between men and women, they use hair length to signal gender, thus missing the true basis of the distinction.

138 Developing Gender Identity

The Sequence of Childhood Gender Role Development

Children may understand gender words before they produce them, but by age 24 months, both boys and girls use words that denote gender (Stennes et al., 2005). That is, they use gender labels to refer to women (or girls) and men (or boys). However, children sometimes misuse gender words by applying them incorrectly or inconsistently. For example, a child may label all people she likes or all members of her family as “girls” and all others as “boys.” Even at this early age, children use more words to refer to their own sex than to the other.

Toddlers under age 18 months fail at gender labeling (Fagot & Leinbach, 1989); few 20-month-olds succeed (Levy, 1999). By age 24 months, 67% of 24-month-olds were cor- rect in their gender labeling (Campbell, Shirley, & Caygill, 2002). In a longitudinal study (Zosuls et al., 2009), the average age for the appearance of gender labeling was 19 months (17 months for girls and 21 months for boys). Therefore, children begin to use gender labels slightly before age 2; between ages 2 and 3 years, the ability develops to use gender words accurately.

Labeling is a necessary step in the sequence of gender development, but success in this task does not assure correct performance on other types of gender knowledge (Levy, 1999). Children’s application of gender labels often occurs on the basis of some external and irrel- evant physical characteristic, such as clothing or hairstyle. Knowledge of gender-related behaviors and the traits and behaviors associated with each gender develop after gender labeling (Zosuls et al., 2009). Children between ages 20 and 28 months showed some indication of understanding for the categories of male and female (Levy, 1999), including objects associated with each category. Three-year-old participants were able to label the sexes, form groupings based on gender, and exhibit some knowledge of the behaviors typi- cally associated with women and men (Martin & Little, 1990; Ruble & Martin, 1998). One longitudinal study (Zosuls et al., 2009) found that gender labeling predicted gender- typed play.

At age 3, most children lack gender constancy; they do not understand that being female or male is a permanent, unchangeable feature. Young children may believe that they can change their sex if they want to or that changes in clothing or hair length will change their sex. The concept of gender constancy is very important in cognitive developmental theory. Kohlberg (1966) contended that developing gender constancy is the basis for other gender development. Research has suggested that this concept develops later than others, casting doubt on Kohlberg’s version of that theory.

Reformulations of cognitive developmental theory place less emphasis on gender con- stancy, acknowledging that this concept may be multifaceted, complex, and not the sole criterion for gender development (Martin, Ruble, & Szkrybalo, 2002; Ruble, Martin, & Berenbaum, 2006). Gender constancy may consist of two separable components: gender stability, the knowledge that gender is a stable personal characteristic, and gender consis- tency, the belief that people retain their gender even when they adopt behaviors or superfi cial physical features associated with the other gender. For example, a child who shows gender stability will say that she was a girl when she was a baby and will be a woman when she grows up. A child who shows gender consistency will say that a boy will remain a boy even if he grows long hair or puts on a dress. Children may show gender stability without gender consistency, but never the other way around (Chauhan, Shastri, & Mohite, 2005; Martin & Little, 1990; Ruble, Taylor et al., 2007). One factor in developing gender stability is the pres- ence of young siblings; children who have younger siblings whose sex is the same as theirs develop gender constancy at earlier ages than children in families with other confi gurations

Developing Gender Identity 139

Photo 6.1 Boys who have not developed gender constancy express the belief that they may choose to become women and even have babies.

Gendered Voices: You Could Be a Boy One Day and a Girl the Next

“When my daughter was 2 or 3 years old, she clearly had no concept of gender or the permanence of gender,” a man told me. “She would say that she was a girl or a boy pretty much randomly, as far as I could tell. One day, she would say one, and maybe even later the same day, the other—for both herself and others. You could be a boy one day and a girl the next. This lack of permanence also extended to skin color. She would say that your skin was the color of your clothes, so that changed from day to day, too. One day, you were blue; the next day, your skin was red. I thought that was very odd, even more odd than being a boy one day and being a girl the next.

“She’s 5 years old now, and gender is a very salient characteristic for her. She seems to realize that she is a girl, and I think that she knows that she will always be a girl, but she is very concerned with gender and gender-related things—as though she is working on sort- ing out all this information and making sense of it.”

(Karniol, 2009). Many children develop gender stability before age 6, but some children in early elementary school may not have (Ruble, Taylor et al., 2007; Warin, 2000); they can be confused by changed appearance or gender-atypical names.

140 Developing Gender Identity

Gender stability may be more important than gender consistency for the development of other, gender-related behaviors (Ruble et al., 2007). For children who have developed both aspects of gender constancy, gender becomes a very salient aspect of their lives: They are more concerned about gender-appropriate behavior and making same-gender friends (Warin, 2000). Children who develop gender constancy become motivated to adopt gender- typical behaviors, causing them to avoid some activities and engage in others (Newman, Cooper, & Ruble, 1995). Children who are gender constant, therefore, have the motiva- tion to conform to gender roles. The pattern is regular: fi rst gender labeling, then gender stereotype knowledge and gender preferences, and then the two components of gender constancy—gender stability and gender consistency. Table 6.1 shows these four stages of development of gender knowledge.

But at what point have children developed the sense of being male or female that is defi ned as gender identity? That question is surprisingly diffi cult to answer. Some say that gender labeling signals gender identity because children are able to categorize on the basis of gender, including themselves. Others argue that children do not really have a gender identity until they exhibit gender consistency; before this point, they misunderstand critical elements of gender. Thus, the sequence of development is less controversial than the point at which gender identity is established.

Differences between Girls and Boys

The course of gender development shows some differences between boys and girls. Such a difference is reasonable, given the greater pressure placed on boys to adopt the typi- cal and approved gender role (Sandnabba & Ahlberg, 1999). As the mother in Rosin’s (2008) headline story reported, boys experience a more severe version of gender socializa- tion. Girls are allowed greater leeway in behaving in ways typical of boys than boys are allowed in acting like girls (Kane, 2006; Martin, 1995; O’Brien et al., 2000). That is, being a “tomboy” is more acceptable than being a “sissy.” Girls who identify as tomboys tend to feel less like typical girls (Ahlqvist, Halim, Greulich, Lurye, & Ruble, 2013), but they are judged to be as attractive as their nontomboy sisters (Bailey, Bechtold, & Berenbaum, 2002). Positive attitudes toward tomboys are common (Morgan, 1998), but many women who were tomboys said that they recall pressures to adopt more feminine behaviors (Carr, 2004, 2007).

Feminine boys experience more serious problems. College men and women (Martin, 1995), elementary school boys (Zucker, Wilson-Smith, Kurita, & Stern, 1995), and parents of young children (Kane, 2006; Sandnabba & Ahlberg, 1999) all expressed nega- tive opinions. Thus it is not surprising that boys begin to show greater knowledge of the male gender role than the female gender role, beginning as early as age 18 months

Table 6.1 Stages of Developing Gender-Related Knowledge

Gender Labeling Gender Preferences or Knowledge Gender Constancy

Stage 1 No No No

Stage 2 Yes No No

Stage 3 Yes Yes As gender stability

Stage 4 Yes Yes Yes

Source: Data from “The Relation of Gender Understanding to Children’s Sex-Typed Preferences and Gender Stereotypes,” by C. L. Martin and J. Little, 1990, Child Development, 61, pp. 1434–1435.

Developing Gender Identity 141

(Stennes et al., 2005). By age 3, boys tend to show greater stability of gender-typed pref- erences (Powlishta, Serbin, & Moller, 1993). However, girls develop gender knowledge faster than boys (Poulin-Dubois, Serbin, Eichstedt, Sen, & Beissel, 2002; Ruble et al., 2007), and they tend to be more knowledgeable about both male and female gender roles than boys are (O’Brien et al., 2000). Children develop strongly gender-typed behaviors between ages 3 and 5; the rigidity of that gender typing is especially strong between ages 3 and 4 (Halim, Ruble, Tamis-LeMonda, & Shrout, 2013).

Gender schema theory predicts that children attend to and master information about their own gender more rapidly than about the other gender (Levy & Fivush, 1993). Research has confi rmed these predictions: Young children have better-organized knowledge of events and behaviors stereotypically associated with their own rather than the other gender (Levy, 1999; Martin, Wood, & Little, 1990). In addition, children evaluate their own gender more positively than the other gender, with girls saying that “girls are better” and boys contending that “boys are better.”

Gendered Voices: Raising a Sissy

“Being twins, my brother and I were closer than most brothers and sisters. We didn’t look alike, but we were together a lot,” a college student told me. “We had different interests. I was the one who went outside and helped my dad, while my brother stayed inside with my mother. Everybody always said I should have been the boy and he should have been the girl.

“He didn’t want to play alone, so he played with me and my friends—dolls, or whatever we played. He never got to choose. And when we played dolls, he got the one that was left after me and my friend chose the ones we wanted. My mom said, ‘Let him play with the Ken doll—you have two Ken dolls—don’t make him play with a Barbie,’ but we didn’t. So he got the Barbie with one arm missing or something.

“I always liked the outdoor activities, and my brother didn’t. I was so upset that I couldn’t join the Cub Scouts. My dad was a troop leader, and I just couldn’t understand why I couldn’t join; I had always done outdoor things with my dad. Besides, the Brownies did wimpy things, and the Cub Scouts did neat stuff. I was so ticked off.

“When we were in about the 7th grade, I told my mother, ‘Mom, you’re raising a sissy,’ and I told her that my brother should stop hanging around with her and start doing things more typical of boys. She was really angry with me for saying so.

“Did we change as we grew up? I don’t consider myself very feminine—I don’t take any- thing off anybody. My mom can’t believe that her daughter acts like I do. I still like outdoor activities—camping, hiking, bicycling. I don’t think I’ve changed as much as my brother has. I wouldn’t consider him a sissy now. In high school he played football, and he started being more in line with what everyone would consider masculine. As an adult, he’s not a sissy at all, but I’m still kind of an adult tomboy.”

Later Development

The emphasis on the sequence of gender development during early childhood has led to the widespread belief that gender development is complete by about age 6 years. This belief has resulted in less research conducted with older children, adolescents, or adults (Zosuls, Miller, Ruble, Martin, & Fabes, 2011). Some researchers have explored the many dimensions of gender identity, but the majority of the research on continuing gender development has concentrated on the development of gender stereotypes and role fl exibility.

142 Developing Gender Identity

Research focusing on middle childhood has examined the relationship between gender- related behavior during this time and during adolescence. One study (McHale, Kim, White- man, & Crouter, 2004) assessed children around age 11 to determine how and with whom they spent their free time and the relationship of these activities to behavior in early adoles- cence. The results indicated that boys spent more time in gender-typed activities and with other boys, whereas girls participated in a greater variety of activities and interacted with both boys and girls. The patterns of activities predicted gender-typed behaviors two years later, which suggests that by middle childhood, children exhibit some stability in terms of gender-typed patterns of activities.

Two studies (Carver, Yunger, & Perry, 2003; Egan & Perry, 2001) explored the dimensions of gender identity in relation to adjustment and acceptance by peers for fourth- through eighth-grade children. These studies assessed the children’s gender identity, how pressured they felt to conform to gender-typical behavior, and how highly they valued their own gen- der. The results indicated that children with stronger gender identities showed better adjust- ment and acceptance by peers, but pressure to conform to gendered behavior prompted negative reactions. These studies suggest that gender identity is multidimensional and that children who have less well-established gender identities may face problems in terms of self- esteem and social acceptance, which is consistent with Brandon’s experience. His attraction to girls’ clothing and activities led to teasing and bullying by his peers.

Early in the course of gender development, knowledge and behaviors remain closely related—with greater knowledge comes stricter application of gender stereotypes. Cognitive development allows children to expand their knowledge of gender roles to include fl exibil- ity (Ruble et al., 2007; Trautner et al., 2005). Indeed, a large percentage of girls who were insistent on pink frilly dresses at age 4 become tomboys in late elementary school, focusing on sports and toys favored by boys (Halim, Ruble, & Amodio, 2011).

As children pass through middle childhood into adolescence, they become more capable of recognizing that the individuals in the categories of male and female vary among themselves and not just between the categories, which lays the basis for increasing gender fl exibility. Most studies have found a linear relationship between gender fl exibility and age—that is, as age increases, so does gender fl exibility (Bartini, 2006; Katz & Ksansnak, 1994; Welch-Ross & Schmidt, 1996). However, it may be possible to augment this process by teaching elementary school children to challenge their peers’ sexist remarks (Lamb, Bigler, Liben, & Green, 2009).

When children acquire gender role knowledge, they tend to apply it infl exibly, but with an increasing comfort with gender role comes an increasing willingness to make exceptions, especially when the standard is applied to self rather than others. However, the transition to junior high school is an event that prompts short-lived increase of gender fl exibility, fol- lowed by fairly rigid stereotyping during junior high school that persists during high school (Alfi eri, Ruble, & Higgins, 1996).

Some indications of infl exible gender stereotyping may be the result of different research methods used and variations in the measurement of fl exibility (Liben & Bigler, 2002; Signo- rella, Bigler, & Liben, 1993). For example, when forced to choose whether a behavior is per- formed by or an occupation is held by women or men, children are likely to show increasing evidence of gender stereotyping as they get older. If allowed the option to indicate that both may perform the behavior or either can have that occupation, even middle school children show signs of gender fl exibility. This difference highlights the importance of the format and wording of questions, especially in research with children.

In addition, gender role fl exibility may include attitudes and behaviors applied to self and others, casting gender fl exibility as a multidimensional concept. A longitudinal study of children in the sixth and seventh grades (Bartini, 2006) revealed that these components are

Developing Gender Identity 143

separable, and their developmental trajectories differ from each other and for girls and boys. Flexibility in attitudes increased over time, whereas self-perceptions and behaviors showed little change during middle school. During adolescence, gender-related behaviors changed in response to situational factors such as the gender of the person with whom the adolescents interacted and the instructions for performing the task (Leszczynski & Strough, 2008).

Children, adolescents, and even adults vary in their gender role fl exibility, and several researchers have explored factors that relate to fl exibility versus infl exibility. In one study (Katz & Ksansnak, 1994), a complex pattern of gender role fl exibility appeared: Both family and peer social environment infl uenced gender-related behavior, but participants showed a general increase in tolerance for gender-atypical activities for self and others with increasing age. Another study (Welch-Ross & Schmidt, 1996) found that increases in gender role knowledge preceded increases in gender role fl exibility, with fl exibility developing during middle child- hood. Other studies have found that gender fl exibility increased with age during childhood to adolescence (Trautner et al., 2005), from adolescence to young adulthood (Lobel, Nov- Krispin, Schiller, Lobel, & Feldman, 2004; Marcel, Eftim, Sonenstein, & Pleck, 2011), from younger to older ages during early adulthood for men (McDermot & Schwartz, 2013), and from middle to late adulthood for both women and men (Jones, Peskin, & Livson, 2011).

Figure 6.1 shows the course of development for gender knowledge and for application of gender-related rules over the lifespan. The knowledge component and application of gender-related rules increase throughout childhood, indicating decreases in fl exibility. Dur- ing adolescence, application of gender-related rules declines, signaling increased fl exibility.

Girls are more likely than boys to endorse gender fl exibility throughout adolescence (Crouter, Whiteman, McHale, & Osgood, 2007; Signorella et al., 1993). Girls show more fl exibility in their own activity preferences and greater tolerance for gender-atypical behaviors in others. Both adolescent girls (Burt & Scott, 2002) and women (Carter, Hall, Carney, & Rosip, 2006; Kulik, 2002) were more likely to endorse egalitarian gender roles than were boys and men. These attitudes apply not only to the United States but also to European countries (Frieze et al., 2003).

Figure 6.1 Course of Knowledge and Application of Gender-Related Rules for Behavior throughout the Lifespan

144 Developing Gender Identity

Some research has traced the correlates of both gender fl exibility and infl exibility in men. Those men who were stereotypically masculine tended to see women as stereotypically feminine; that is, men who show little gender fl exibility in their own roles also show little toward women (Hudak, 1993). In adolescents, infl exibility increases as traditional young men approach high school graduation and begin to contemplate marriage and careers (Jackson & Tein, 1998). Young men who are less strongly gender-typed tend to be more fl exible in their application of gender rules than more strongly gender-typed men (Lobel et al., 2004; Marcell et al., 2011). The experience of bachelorhood also seems to promote more fl exible attitudes; men who lived longer on their own expressed more egalitarian attitudes concerning women’s careers and sharing housework (Pitt & Borland, 2008). Also, greater fl exibility appeared in men whose early life experiences included nurturing fathers and mothers in the workforce as well as an adult relationship with a feminist women (Christian, 1994). These fi ndings suggest that both parenting and the social environment are related to gender fl exibility during young adulthood. Table 6.2 summarizes infl uences on gender fl exibility and infl exibility.

Table 6.2 Factors in the Development of Gender-Related Attitudes in Children

Children Who Exhibit Infl exible Attitudes about Gender

Children Who Exhibit More Flexible Attitudes about Gender

Are male Are female

(Bryant, 2003; Burt & Scott, 2002; Crouter et al., 2007; Frieze et al., 2003; Kulik, 2002)

Are between 5 and 7 years old Are older children, adolescents, or young

(Bartini, 2006; Lobel et al., 2004; Trautner et al., 2005; Welch-Ross & Schmidt, 1996)

Have parents who exhibit traditional attitudes concerning gender-related behaviors

Have parents who question traditional attitudes concerning gender-related behaviors

(Tennenbaum & Leaper, 2002)

Are men who have lived with their families and then in college dorms or with wives

Are men who have lived on their own as bachelors

(Pitt & Borland, 2008)

Interact more with parents Interact less with parents

(Levy, 1989)

Have same-gender siblings who are gender-infl exible Have same-gender siblings who are gender-fl exible

(Katz & Ksansnak,1994)

Have same-gender peers who are gender-infl exible Have same-gender peers who are gender-fl exible

(Katz & Ksansnak,1994)

Are more likely to have mothers who are homemakers Are more likely to have mothers who work outside the home

(Levy, 1989; Riggio & Desrochers, 2005)

Live in two-parent homes dominated by fathers Live in single-parent families with mothers

(Friedman, Leaper, & Bigler, 2007; Mandara, Murray, & Joyner, 2005; McHale, Updegraff, Shanahan, Crouter, & Killoren, 2005; Sidanius & Pena, 2003; Slavkin & Stright, 2000)

Live in families with both boys and girls Live in families with children all the same sex

(McHale, Crouter, & Tucker, 1999)

Are high school boys who are seniors and who are contemplating careers and marriage

Are high school girls who have mothers who work outside the home

(Jackson & Tein, 1998)

Developing Gender Identity 145

Does aging bring increased gender fl exibility? Like younger women, older women tend to endorse equal gender roles more strongly than older men do (Sweeting, Bhaskar, Benzeval, Popham, & Hunt, 2014), but gender role attitudes of young adulthood tend to persist into middle age. Examining those attitudes among different age groups revealed increasing gender role fl exibility in 2007 versus 1991. Adults aged 50 to 64 years old held signifi cantly more traditional gender role attitudes than those aged 20 to 34 years old, suggesting that the changes in societal gender role attitudes affected the younger participants, and the older adults tended to hold the traditional gender role attitudes they had formed years earlier.

However, other studies of older adults have found evidence of increased gender role fl ex- ibility over time. One study that tracked changes in gender role attitudes over time (Kalmijn, 2005) showed that changes occurred in married or cohabiting couples such that their atti- tudes came closer into alignment and that men’s attitudes were more likely to change than women’s. Another study questioned couples who had been married for 45 years or longer, focusing on the changes in their gender roles over the duration of their marriages (Pnina, 2009). The most common pattern of change involved men becoming more fl exible in their gender roles. Two of these studies (Pnina, 2009; Sweeting et al., 2014) showed that gen- der role fl exibility was related to better mental health, suggesting benefi ts to gender role fl exibility.

It is apparent that gender identity continues to develop during adolescence and even into older adulthood. When children have developed the cognitive and motivational components of gender identity, they tend to be infl exible in applying their understanding of these rules; they are intolerant of gender-atypical behavior in themselves and even more so in others. Children are “sexist piglets” who apply rigid rules of gender-related behavior to themselves and to others, but this infl exibility reaches a peak and then dissipates as individuals progress through middle childhood, adolescence, and adulthood.

Infl uences on Gender Identity Development

The process of developing gender identity begins early in childhood and continues into adulthood. Although this process can be divided into stages, individuals vary in how rapidly they proceed through the stages and in the outcome of their gender iden- tity development. The most obvious difference is whether a person develops a male or female gender identity. The factors that infl uence the process are another consideration. Not only biology but also family, peers, and media exert infl uences on gender identity development.

Biological Factors and Gender Development

The most obvious biological infl uence for gender identity is the confi guration of the external genitalia, which lead to labeling an individual as male or female. This pronounce- ment prompts a host of social factors to swing into action. But what role do biological factors such as genes and prenatal exposure to hormones play a role in gender identity development?

The evolutionary view holds that adaptations during human evolutionary history have shaped gender-related behaviors, including the development of gender identity. One exam- ple is the gender difference in toy preference, which develops early in childhood (Alexander, 2003). Evolutionary psychologists argue that these preferences have an evolutionary basis. This claim cannot be true literally—there were no Barbies or toy trucks during human prehistory. However, it is possible that characteristics of typically masculine and feminine

146 Developing Gender Identity

toys express evolved tendencies for girls to nurture and for boys to explore the environment. These tendencies do not determine gender identity, but evolutionary psychologists propose that they provide the basis for its development.

Researchers have also explored the genetic basis for gender-typed behaviors, with incon- sistent results. Comparing twins with nontwins, one study (Iervolino, Hines, Golombok, Rust, & Plomin, 2005) concluded that gender-typed behaviors in 3- to 4-year-olds have a genetic component but are also infl uenced by environmental factors. The contribution of genetics and environment was not equal for boys and girls; genetics contributed more to girls’ behavior than to boys’. However, a study of adult female twins (Burri, Cherkas, Spector, & Rahman, 2011) found no evidence for a genetic component for adult gender identity.

The presence of prenatal testosterone prompts development of reproductive organs but also has the potential to infl uence brain development in ways that may affect gender-typed behaviors. Some of the evidence for hormonal infl uences on gender-related behaviors comes from research on girls with a disorder called congenital adrenal hyperplasia and boys who have experienced sexual reassignment during early childhood.

As discussed in Chapter 4 , congenital adrenal hyperplasia ( CAH ) is a disorder resulting in female fetuses that are exposed to high levels of androgens. These girls usually are born with “masculinized” genitalia, identifi ed as intersex individuals, and treated medically and surgi- cally to make their genitalia appear more female. Studies have examined their childhood behavior, often fi nding that girls with CAH engage in play behavior more typical of boys than of girls (Berenbaum, Blakemore, & Beltz, 2011; Berenbaum & Hines, 1992; Hines, Brook, & Conway, 2004). These girls are also less likely to grow up to be heterosexual than their sisters. However, the early androgen exposure does not have a substantial impact on their gender identity; the vast majority of girls with CAH develop a clear female gender iden- tity (Berenbaum, 2006). Thus, prenatal exposure to testosterone seems to be more strongly related to some gender-related behaviors than to gender identity.

Testosterone exposure also exerts prenatal effects when the exposure levels are within the normal range (Hines, Golombok, Rust, Johnston, & Golding, 2002). Examining gender- typical behaviors and blood samples taken from mothers during pregnancy revealed that girls who were high in masculine activities had mothers whose testosterone level was higher during pregnancy. A similar study (Auyeung et al., 2009) found a relationship between prenatal testosterone levels in amniotic fl uid and male-typical play activities during child- hood for both boys and girls. However, a more recent study (Wong, Pasterski, Hindmarsh, Geffner, & Hines, 2013) indicated that parents encourage gender-atypical toy play among girls with congenital adrenal hyperplasia, which complicates the biological interpretation of this behavior.

Boys who have experienced sex reassignment during childhood offer another line of evi- dence to evaluate the biological basis for gender identity. Such boys are rare, and the drama surrounding one case made headlines. The case involved a boy (known as John) who lost his penis when he was 7 months old in a mishap during circumcision (Colapinto, 2000). His parents received medical advice to have sex reassignment surgery performed to change him into a girl. When he was 2 years old, they did so (creating Joan); the case was followed by researchers to determine the diffi culties of such a transition. Although reports of the reas- signment indicated that Joan developed a female gender identity, those reports were untrue. Throughout childhood, Joan refused to conform to many behaviors typical of girls. When she was an adolescent, Joan found out her history and sought sex reassignment surgery to become male again. Joan became John and made a successful adjustment to a male gender identity, which suggested a biological basis for gender identity development.

Developing Gender Identity 147

The John/Joan case contrasts with a similar situation but a different outcome—a boy whose penis was destroyed at age 2 months and who underwent sex reassignment at age 7 months (Bradley, Oliver, Chernick, & Zucker, 1998). This case, however, identifi ed as female. Despite some behaviors that were more typically associated with boys and some sexual attraction to women, at age 26, this individual had no question about her female gender identity.

One type of girl has very high masculine interests and activities—tomboys. These girls like boys’ games, prefer boys as playmates, and often shun activities that girls typically prefer. A study of tomboys (Bailey et al., 2002) examined how different tomboys were from their sis- ters and brothers. The results indicated that tomboys were more masculine than their sisters and even more masculine than CAH girls in terms of toy and playmate preferences. Their gender identities varied, with some tomboys showing poor identifi cation with the female gender role, but others showed the extremes of female gender identity combined with behav- iors more typical of boys. Another study of tomboys (Martin & Dinella, 2012) confi rmed that these girls were attracted not only to masculine but also to feminine activities. Despite the belief that their nonconforming gender behaviors signal a lesbian sexual orientation, such is not always the case (Showfety, 2008). No evidence exists that these girls experienced any abnormal hormone exposure during gestation, and thus there is no evidence of a biological basis for their gender-nonconforming behavior.

What does this research convey about the biological basis of gender identity? The evi- dence indicates that both genetics and prenatal exposure to testosterone infl uence gender- related behaviors, especially during childhood. As Table 6.3 shows, the relation to gender identity is much less clear. Babies may arrive primed to identify as male or female, but gender identity is not entirely dependent on any biological factor (Eliot, 2009). Of course, the appearance of the external genitals is also the main signal for a cascade of social

Table 6.3 Strength of Biological Infl uences on Gender-Related Behaviors and Gender Identity

Individuals with Sex Androgen Exposure Behavioral Effects Gender Identity

Congenital Adrenal Hyperplasia

Female High levels during prenatal development

Preference for boys’ toys and play during childhood

Female

Sex change due to damage to penis— John/Joan (change at age 2 years)

Male Normal during prenatal development

Preferred boys’ clothing and activities; transitioned to male during adolescence

Male

Sex change due to damage to penis (change at age 7 months)

Male Normal during prenatal development

Some male-typical play; some sexual attraction to women

Female

Tomboys Female No evidence of abnormal exposure during prenatal development

Strong interest in boys’ toys and male- typical activities combined with interest in female- typical activities

Female

148 Developing Gender Identity

infl uences, making a distinction between the biological and other infl uences virtually impossible to disentangle.

Family Environment and Gender Development

Despite widely publicized claims that parents have little infl uence in children’s develop- ment (Harris, 1998; Knafo & Schwartz, 2009), the family context is critically important, including its role in gender development. Susan Witt (1997, p. 253) summarized the infl u- ences that shape gender attitudes: “These attitudes and behaviors are generally learned fi rst in the home and are then reinforced by the child’s peers, school experience, and television viewing. However, the strongest infl uence on gender role development seems to occur within the family setting, with parents passing on, both overtly and covertly, their own beliefs about gender.” Families, however, consist of more than parents (and sometimes fewer than two parents); siblings are also part of the family environment that infl uences gender development.

A majority of the research investigating family infl uences on gender development has concentrated on the infl uence of parents’ gender-related attitudes and behaviors. Campbell Leaper (2002) explained how this infl uence takes place through four processes. One process is modeling; children observe parents’ behavior. A second possibility for infl uence is differ- ential treatment of sons and daughters. A third avenue of infl uence is through the types of opportunities that parents furnish or encourage, such as toys, play activities, and household chores. A fourth possibility for parents’ infl uence comes through the extent to which parents monitor and supervise their children’s friends and activities. Figure 6.2 shows how these four

Parental Gender Ideology Conveyed Through

Modeling Differential Treatment

Monitoring Activities Opportunities

Observing mothers care for children, cook Seeing fathers take out trash, mow lawn

Requiring boys but not girls to take advanced math

Giving boys more freedom than girls

Giving dolls to girls but Legos to boys

Gender Stereotypical Behaviors

Figure 6.2 Routes of Parental Infl uence for Gender-Related Behaviors

Source: Information from “Parenting girls and boys” by Campbell Leaper. In M. H. Bornstein (Ed.), Handbook of parenting: Vol. 1: Children and parenting (2nd ed.; pp. 189–225). Mahwah, NJ: Erlbaum.

Developing Gender Identity 149

routes of infl uence can create gender traditional behaviors; other choices could lessen gender traditional learning from parents.

Parents’ gender ideologies are infl uential on children’s gender development in both obvi- ous and subtle ways. A great deal of research indicates that fathers and mothers treat their sons and daughters differently with respect to verbal and emotional interactions, toy choices, encouragement of gender-typed play, sports participation, mathematics and science achieve- ment, and monitoring of children’s behavior (Endendijk et al., 2014; Leaper, 2002; Leavell, Tamis-LeMonda, Ruble, Zosuls, & Cabrera, 2012; Moon & Hoffman, 2008). The dimen- sion that has received the most study is how traditional or nontraditional parents are in terms of their gender beliefs and attitudes and how these parental differences are imparted to children (Davis & Wills, 2010; Tennenbaum & Leaper, 2002).

However, parents tend to differ from each other in terms of traditionalism, with fathers being more traditional than mothers (Kulik, 2002; Sidanius & Pena, 2003) and spending less time with children (Tennenbaum & Leaper, 2002). Despite the decreased contact, evidence suggests that fathers may exert greater infl uence than mothers in pushing children toward adopting traditional gender roles (Davis & Wills, 2010; Friedman et al., 2007), especially their sons (Endendijk et al., 2014; Peters, 1994). This effect is not restricted to families in the United States but also occurs in Canada, Sweden, the Netherlands, and Australia.

Photo 6.2 When parents share household chores, children have the opportunity to observe nonstereotypical behaviors, which is related to increases in gender role fl exibility.

150 Developing Gender Identity

Variation occurs in ethnic groups within the United States. African American fathers tend to be more egalitarian (Hill, 2002) and more involved in child care (Leavell et al., 2012) than fathers in other ethnic groups. African American families without fathers tend to include gender role orientations that are even less traditional: Boys expressed lower and girls expressed higher evaluations of their masculinity (Mandara et al., 2005). Hispanic families differ; Hispanic women and men recalled less egalitarian families, with differences in parental attitudes and treatment for boys and girls during childhood and adolescence (McHale et al., 2005; Raffaelli & Ontai, 2004). Boys were allowed more freedom and privileges; girls were expected to perform more household chores. These differences in treatment were more pronounced for Hispanic families that were more strongly affi liated with Hispanic culture than for those more acculturated to the United States.

Evidence from families without fathers (MacCallum & Golombok, 2004) indicates that these children experience closer relationships with their mothers, and sons show more femi- nine (but no less masculine) behaviors than children from two-parent families. Children with lesbian mothers (Sutfi n, Fulcher, Bowles, & Patterson, 2008) and those with gay fathers (Goldberg, Kashy, & Smith, 2012) experienced less gender-stereotyped environments and held less traditional attitudes than children in heterosexual couples. Without fathers, chil- dren, especially girls, develop less traditional gender roles (Slavkin & Stright, 2000). Single- parent families headed by mothers produced children who were higher in traits considered masculine (more independent, assertive, and self-reliant) than two-parent families, in which girls reported more of a mixture of masculine and feminine traits. Women who work outside the home provide nontraditional models and have daughters who showed more gender role fl exibility (Levy, 1989) and sons and daughters who expressed more egalitarian attitudes toward family life than other children (Riggio & Desrochers, 2005). Thus, mothers are more likely to encourage gender egalitarianism than are fathers, and the presence of a father pushes children toward traditional gender roles. However, a father with egalitarian gender beliefs is a powerful model, pushing children toward an egalitarian gender role ideology (Davis & Wills, 2010).

Even parents with a commitment to gender equality often continue to create very differ- ent environments for boys and girls by continuing to model gender-stereotypical behavior in the household and through the environments they create for their children (Sabattini & Leaper, 2004). For example, most parents continue to demonstrate traditional divisions of household chores and also make different choices for clothing, room decorations, and toys for girls versus boys. Parents talk differently to daughters than to sons (Leaper, Anderson, & Sanders, 1998); the stories that they tell differ according to children’s gender (Fiese & Skill- man, 2000). One study (Peters, 1994) found that adolescent sons got to use the family car more than adolescent daughters, who were more restricted in their curfews than the sons. Another big difference in gender socialization within families lies in the area of household chores, which tend to be sharply gendered. This gendering applies both to parents who perform household work and to the chores assigned to daughters versus sons (Antill, Good- now, Russell, & Cotton, 1996; Shellenbarger, 2006). This division affects skills as well as attitudes.

The presence and the gender of siblings also infl uence gender socialization within fami- lies: “Through their everyday interactions, siblings can infl uence each other by serving as models, advisors, social partners and combatants” (McHale, Crouter, & Whiteman, 2003, p. 140). The presence of siblings also alters the family context in ways that relate to gender. For example, Israeli children with younger siblings developed gender constancy earlier than others (Karniol, 2009). Children who interacted more with their parents showed less gender role fl exibility than children who spent less time with their parents, and children with fewer

Developing Gender Identity 151

siblings showed more gender role fl exibility than those with more brothers and sisters (Levy, 1989). Indeed, siblings may be more important than parents in developing gender role fl ex- ibility (Katz & Ksansnak, 1994). Same-sex siblings showed an especially important effect in the development of gender fl exibility—either increasing or decreasing fl exibility, depending on siblings’ attitudes.

Longitudinal studies have demonstrated the infl uence of siblings by measuring fi rst-born and second-born children, following them over years. Results from one study (McHale, Updegraff, Helms-Erikson, & Crouter, 2001) indicated that the qualities of fi rst-born chil- dren during the fi rst-year assessment appeared in second-born children 3 years later. Another study (Crouter et al., 2007) indicated that boys with younger brothers in families with traditional gender ideology became more traditional over time, but all other confi gurations produced children and adolescents who became more egalitarian over time. Therefore, sib- ling infl uences are not a simple matter of modeling, and birth order appears to be important in the process.

The gender composition of siblings may also interact in ways that are important for gender socialization. A study that compared families with a girl and a boy to families with siblings of only one sex found stronger gender typing in the latter (McHale et al., 1999), and once again, fathers were infl uential in creating traditional gender role ideology. The mixed-gender siblings seemed to be related to traditional gender roles—one child of each gender is avail- able to do the activities stereotypically associated with chores (Crouter, Manke, & McHale, 1995). When the children are all boys, someone still has to do the dishes—a situation that may prompt fl exibility. Table 6.4 summarizes some of the ways that siblings can infl uence gender development and attitudes.

Therefore, families are important for gender socialization in many ways, including parents’ attitudes and behavior, the gendered environment of the home, and the complex infl uence of siblings. Gender socialization also occurs outside the family environment, and as children get older, they encounter a wide variety of others who send messages about gender and gender-related behaviors.

Peers and Gender Development

Interaction with age-mates also infl uences children and adolescents to adopt gender- typical behaviors. Beginning at about age 3, children develop a preference for same-sex playmates (Maccoby, 2002). These preferences become stronger over the next few years,

Table 6.4 Sibling Infl uence on Gender Role Development

Children Outcome of Infl uence

Whose siblings are younger Develop gender constancy sooner

With fewer siblings Show more gender role fl exibility

With older siblings Develop gender roles similar to those siblings

Who are boys with young brothers Become more gender traditional over time

With both brothers and sisters Tend to develop more egalitarian gender attitudes

Who have siblings the same sex as they are Tend to develop more traditional gender attitudes

152 Developing Gender Identity

making gender segregation one of the most prominent features of elementary school children’s peer interactions. Indeed, elementary school children spend between 50% and 60% of their time with same-gender peers (Martin & Fabes, 2001). Adults often urge children toward same-gender peers, but even when adults try to get children to play in mixed-gender groups, the tendency toward gender segregation usually prevails. Reactions from peers concerning gender-related behaviors furnish information that contributes to self-concept (Smith & Leaper, 2006).

The types of relationships and activities that occur in groups of girls typically differ from those in groups of boys (Maccoby, 2002). Boys tend to be rougher, more competitive, more likely to form a hierarchy, and less likely to play near adults. Girls often (but not always) fi nd boys’ activities and interaction style unappealing, so many girls do not want to play with boys. Those girls who do face challenges in developing a “tomboy” gender identity (Paechter & Clark, 2007). Boys resist girls joining their play groups, even during elementary school, and both peers and parents exert increasing pressure on tomboys to become more feminine.

Boys who do not maintain gender segregation face harsher sanctions, as Brandon in this chapter’s headline story demonstrated. Both girls and boys devalued children who violated gender norms for appearance and, to a lesser extent, for behaviors (Blakemore, 2003; Horn, 2007). During the school years, children and adolescents tend to have infl exible gender roles, so peer pressure plays a part in maintaining traditional gender-related behaviors. Part of that pressure is bullying directed at children who fail to conform to gender roles, especially boys (Young & Sweeting, 2004). Therefore, peers often operate as the “gender police,” acting to maintain infl exible gender roles for children and adolescents.

Peers may also act to promote gender fl exibility, which often occurs during the college years but may occur earlier—even during preschool. For example, situations in preschool that involve children playing alone tend to produce gender-typical play, but when girls play with boys, the girls chose more masculine play activities, and when boys interacted with teachers, they chose more feminine activities than when they played alone (Goble, Martin, Hanish, & Fabes, 2012). Peers are a major factor in the trend for both men and women to become less traditional in their gender attitudes during four years of college (Bryant, 2003). Thus peers may act to promote or to curtail gender fl exibility and do each at different times during development.

The Media and Gender Development

Print, broadcast, fi lm, and electronic media are an integral part of daily life for most people in wealthy countries, and gender portrayals are daily events for those who are exposed to these media. Children, adolescents, and adults learn about gender from entertainment programming, advertisements, video games, the Internet, and news reports. These media begin to infl uence children as early as their families do. Entertainment programs show men, women, boys, and girls in a wide variety of situations, and these programs transmit messages about what is desirable and attractive in each gender. Advertising sends signals about gender as well as sells products. News reports cover gender research, and examin- ing the style of the news report as well as the content reveals the attitude behind the story (Brescoll & Lafrance, 2004).

Media portrayals can be so powerful and persuasive that these depictions become the standard on which people judge what is normal and desirable for their own lives. Indeed, the media can be more important than personal experience in shaping attitudes and behav- ior, and this view is compatible with the cultivation theory of media effects (Gerbner, Gross, Morgan, & Signorielli, 1994). This theory holds that depictions in the media cultivate beliefs

Developing Gender Identity 153

and attitudes about the real world, leading people to imagine that their lives should match the media depictions.

One reason that the media have become so persuasive is the tendency toward what Gregg Easterbrook (1996) called synthesized realism , a mixture of actual information with phony details blended into a realistic portrayal that is really fi ction. When this mixture is done with suffi cient skill, people cannot tell the difference. Thus, people absorb information that is a toxic blend of reality and fi ction and use this information as a basis by which to judge their own (and others’) behavior. Children are especially vulnerable because their cognitive limi- tations make them unable to think critically about the portrayals, leaving them even more vulnerable to media misinformation.

Gender Bias in the Media

A number of analyses have revealed how the media provide inaccurate and systematically biased information about gender. One of the prime assumptions is that women and men are different. As Janet Bing (1999, p. 5) said, “The media continue to seek new ways to ask ‘How are men and women different?’” By assuming difference, drawing women and men into stereotypical categories, and then presenting these stereotypical depictions as attractive, the media perpetuate restrictive roles for both men and women. These depictions appear in television entertainment programming, television commercials, movies, magazines, music videos, and video games.

Television is almost unavoidable for people in the United States. Most homes have at least one (and many have more than one) television. Although the American Academy of Pedi- atrics (2011) recommends against television viewing for children younger than 3 years old, 1-year-old children average over 2 hours of viewing per day, and 3-year-old children average over 3 hours. In addition, the television has become background in many families; children are exposed to television programming that others in the family choose (Lapierre, Taylor Piotrowski, & Linebarger, 2012). Thus television has the opportunity for infl uence, includ- ing affecting very young children. Adolescents watch less television than children, but those who were heavy viewers during childhood tend to continue that habit (Marshall, Gorely, & Biddle, 2006).

Male characters on television are older and occupy more prestigious positions than female characters (Glascock, 2001; Signorielli, 2004). Men also are more often the leading characters in drama and adventure programs (Lauzen, Dozier, & Horan, 2008) and in children’s program- ming (Hentges & Case, 2013), activities that take these characters away from home and family relationships. In family programming, male and female characters express affection to other family members at equal rates, but male characters receive more affection than female char- acters, including sons receiving more affection than daughters (Callister & Robinson, 2010).

These representations make women less visible and credible on television and limit men by restricting them to aggressive, competitive roles. Indeed, men are disproportionately depicted as police offi cers and criminals in television dramas (Scharrer, 2001). In television entertainment programming, female characters are younger, less likely to be employed, and more likely to appear in secondary and comedy roles than are male characters (Signorielli, 2004). Women are also less likely to use the plot device of directly addressing the audience, which builds rapport and trust (Lauzen & Deiss, 2009). Thus, women are less signifi cant than men on television entertainment programming. About 60% of children’s programming worldwide originates in North American, so this programming spreads these images and values across the world (Götz, 2009). The situation is similar in television advertising (see According to the Media and According to the Research).

154 Developing Gender Identity

The underrepresentation of women also occurs in movies. In top-grossing movies from the 1940s through the 1980s, women appeared less frequently than men (Bazzini, McIntosh, Smith, Cook, & Harris, 1997). This underrepresentation was true for women in both primary and secondary roles, and it applied more strongly to older than younger women. In addition, older women were portrayed in less favorable ways than older men. The underrepresenta- tion and age bias have continued; an analysis of the 100 top fi lms in the United States in 2002 (Lauzen & Dozier, 2005) and a similar analysis for the fi lms from 2007–2012 (Smith, Choueiti, Scofi eld, & Pieper, 2013) revealed similar patterns. Thus, the lower visibility for women extends to movies.

Some people (including network programmers and studio executives) argue that television and movies furnish entertainment, and people know that the depictions are not accurate. Despite this knowledge, the gender messages on those programs have the power to infl u- ence people when they experience similar characters in real life (Murphy, 1998). Knowing that a character is fi ctional does not decrease that character’s appeal—they can still infl uence attitudes and beliefs (Ziegler & Stoeger, 2008). Therefore, media portrayals have the power to infl uence, and this process occurs for people of all ages.

According to the Media . . . Women are Young, Attractive, and Subordinate—in Television Commercials

Looking at television commercials in countries around the world, women and men often vary in the roles they play, the products they promote, and the settings they occupy, but they also differ in their presence. In some countries, such as the United States (Ganahl, Prinsen, & Netzley, 2003), Great Britain (Lewin-Jones & Mitra, 2009), Spain (Martínez, Nicolás, & Salas, 2013), and Germany, China, Brazil, Canafa, and Thailand (Paek, Nelson, & Vilela, 2011), male characters are more common in advertisements than women are; in other countries, such as Japan, Tai- wan, and Malaysia (Bresnahan, Inoue, Liu, & Nishida, 2001) and in Saudi Arabia ( Nassif & Gunter, 2008), representation is more equal. However, even in countries with an equal frequency of female and male characters, the portrayals are stereotypi- cal, not egalitarian.

One common difference around the world in television advertising is the presen- tation of female characters that are younger than their male counterparts. This age difference appeared in analyses of television advertising in the United States (Ganahl et al., 2003), Great Britain and Zimbabwe (Furnham, Pallangyo, & Gunter, 2001), Korea (Kim & Lowry, 2005), Turkey (Uray & Burnaz, 2003), Hong Kong, Indone- sia, and throughout Europe (Furnham & Mak, 1999). Also, women are signifi cantly more likely to appear in advertisements for personal care products (Bresnahan et al., 2001; Ganahl et al., 2003), which emphasize the value of the product in improv- ing beauty. The combination of age and attractiveness results in a preponderance of attractive young women in television advertising.

The young, attractive women in television commercials may also be portrayed as dependent or subordinate (Furnham & Mak, 1999; Furnham et al., 2001; Ganahl et al., 2003; Kim & Lowry, 2005), less authoritative and credible than men (Uray & Burnaz, 2003), and less intelligent than men (Furnham et al., 2001). Women are more likely than men to appear in home settings and with children (Nassif & Gunter, 2008), which emphasizes another stereotype. Thus, in television advertising around the world, women’s image represents a stereotype of idealized femininity.

Developing Gender Identity 155

According to the Research . . . Women’s Roles Have Changed More Than Commercials Portray

Women’s roles have changed a great deal over the past 30 years, but portrayals of women on television have not kept pace. Although the number of female charac- ters and their roles have altered since early 1970s television (Kahlenberg & Hein, 2010; Nassif & Gunter, 2008), these alterations do not represent the actual changes in women’s employment and responsibilities. Women’s lives have changed more than what commercials portray.

Women’s roles have changed in many countries around the world. As Kwangok Kim and Dennis Lowry (2005, p. 901) described the situation, “television commer- cials are a lagging social indicator of role changes.” Women have entered the work- force, professions, and politics not only in North America, Australia, and Europe but also in Korea (Kim & Lowry, 2005); Japan, Taiwan, and Malaysia (Bresnahan et al., 2001); and Turkey (Uray & Burnaz, 2003).

Gender stereotyping has decreased in commercials in Great Britain (Furnham & Saar, 2005) and Portugal (Neto & Silva, 2009) more than in the United States (Ganahl et al., 2003) but remains high in Poland (Furnham & Saar, 2005), Zim- babwe (Furnham et al., 2001), and throughout Europe (Furnham & Mak, 1999). An analysis of prime time commercials in Japan, Malaysia, and Taiwan (Bresnahan et al., 2001) indicated that the majority depicted women and men in nonstereotypi- cal situations, which would more closely match women’s lives. Another analysis of commercials on Korean television (Eun & Kim, 2006) indicated that a transition occurred between 1985 and 2005; women and men started performing similar rather than gender-stereotyped activities.

These images may even be losing the power to shape women’s aspirations. A study that tested the power of commercials to infl uence women’s career aspira- tions (Yoder, Christopher, & Holmes, 2008) reported that an earlier study had found that exposure to sexist commercials diminished women’s aspirations, but their study did not. Indeed, women’s career aspirations had become similar to men’s. The study hinted that sexist advertising has not lost all its power, but that infl uence seems diminished.

Children and Media

For children, television is probably the most infl uential medium because it is such a part of most of their lives (Witt, 2000). Preschool children average about 30 hours a week of TV viewing, including about 20,000 commercial advertisements a year. In addition, television furnishes a background in many families, providing more chances for exposure to its mes- sages (Lapierre et al., 2012). Television has the power to teach positive attitudes and behav- iors, but researchers, critics, and parents worry about the negative messages that children receive. Many of those concerns have centered on the topics of violence and encouragement for smoking and drinking, but the effect of gender stereotypes has also been an issue. For example, a longitudinal study of children’s self-esteem (Martins & Harrison, 2012) showed that a higher rate of television viewing was associated with decreased levels of self-esteem among African American boys and both African American and White girls.

156 Developing Gender Identity

The gender bias in programming for adults also appears in children’s television (Witt, 2000). Boys are portrayed as more powerful, smart, ambitious, competitive, and violent; girls appear as more timid, warm, sensitive, peaceful, and attractive. An analysis of chil- dren’s favorite TV programs suggested that both girls and boys chose programs with more gender-neutral portrayals as their favorites (Aubrey & Harrison, 2004). Favorite programs still contained gender stereotyping, especially for the male gender role, and some children were more attracted than other to these stereotypical portrayals.

These gender biases in children’s entertainment programming appear in advertisements on children’s television more strongly than in adult programming (Hentges, Bartsch, & Meier, 2007). Commercials are of great interest for children’s television viewing because children attend to the commercials more than to the regular programming (Larson, 2003). According to one analysis (Larson, 2001), when commercials depict girls and boys together, the gender stereotyping is minimal. However, when either gender appears alone in a com- mercial, gender stereotypes abound, and children see girls in kitchen settings and boys being violent. Similar stereotyping appeared in a study that examined the voice-overs for children’s commercials (Johnson & Young, 2002). A longitudinal analysis of television advertising directed toward children (Maher & Childs, 2003) indicated a shift toward gender-neutral advertising since 1975, and a recent analysis of commercials on the Nickelodeon network (Kahlenberg & Hein, 2010) indicated that girls appeared slightly more often than boys. However, gender stereotyping remains in more subtle forms. For example, when an adver- tisement features both a girl and a boy, the boy is likely to be the main character; when an advertisement shows a child playing actively or outside, that child is likely to be a boy. Gender bias has decreased, but not disappeared, from advertising on children’s television.

Older children and adolescents have expanded opportunities for media infl uence, including fi lms and video games as well as print media such as comics, magazines, and literature. Read- ing has become less popular and video games more popular leisure activities for children and adolescents (Nippold, Duthie, & Larsen, 2005). Video games were sharply gendered during the early years of their development, but girls and women began to enter the world of gaming in larger numbers in the mid-1990s (Williams, 2003). Nevertheless, the video game market remains strongly oriented toward boys and men, and the portrayals of girls and women in video games tend to be very stereotypical (Dickerman, Christensen, & Kerl-McClain, 2008; Ivory, 2006) and highly sexualized, which is a strategy that works in terms of sales (Near, 2013).

Adolescents watch less television than children or adults, but they too receive messages from the programming they see (Signorielli, 1998). For adolescent girls as for women, tele- vision, magazines, movies, and music videos send the message that looks count, often more than anything else (Smith et al., 2013). The most important aspects are body image and weight. Most of the attractive girls and women on television are very thin, and this mes- sage comes across to adolescent girls (Hentges et al., 2007). Indeed, adolescent girls who watched more hours of romantic television oriented toward young women reported lower body satisfaction than girls who watched fewer hours of TV (Eggermont, Beullens, & van den Bulck, 2005). Television and movies also send messages about the importance of getting and keeping a boyfriend as well as unrealistic images of career possibilities.

Despite being more plentiful and powerful in media portrayals, adolescent boys also are subject to unfl attering and unrealistic television and movie depictions (Greven, 2002). The prominence of violence is the most dramatic feature associated with boys in the media, and concern over bullying has led to various depictions of such situations successfully resolved by violence. In addition, adolescent boys often appear as inept with girls and obsessed with sex. This combination furnishes the material for many teen comedies in which boys appear as stereotypes. Table 6.5 summarizes some of the gender stereotyping that appears in media oriented toward children and young adolescents.

Developing Gender Identity 157

The widespread gender stereotyping that appears in the media, combined with the power of the media to shape attitudes and behavior, has led several groups to formulate guidelines for helping parents to teach their children to be media literate. Common Sense Media (2015) is an organization for parents and educators who strive to help educate children about media infl uence and bias and counteract some of the negative effects that media can convey, includ- ing gender stereotyping. The American Academy of Pediatrics (2010) advocates for media education and provides materials to help parents teach their children how to analyze media messages in critical ways. The power of media portrayals is well recognized, and individu- als as well as organizations are attempting to counter these powerful messages that include gender stereotyping.

Considering Diversity

Most children adopt the gender-related behaviors typical for their biological sex, but Bran- don, whose story began this chapter, did not. He experienced increasing pressure to do so (Rosin, 2008). Parents, especially fathers, tend to feel negatively about gender nonconfor- mity, as a study with 4- and 5-year-old boys showed (Raag & Rackliff, 1998). These boys believed that their fathers would think it was “good” if they played with boys’ toys and “bad” if they played with girls’ toys. None of the boys who imagined their fathers would disapprove actually played with girls’ toys in an observed play situation. Boys who make many such cross-gender choices face a great deal of social censure, bullying, and even violence (Kosciw, Greytak, Palmer, & Boesen, 2014).

What behaviors signal variation in gender-typical behaviors and what behaviors indicate some problem in developing gender identity? As Brandon’s mother learned, this question is diffi cult to answer, and even experts disagree. One way to understand children who fail to conform to typical gender behavior is to focus not only on the behaviors but also on the extent to which they exhibit these behaviors (Knafo, Iervolino, & Plomin, 2005; Martin & Dinella, 2012). Like Brandon, some boys exhibit preferences and play behaviors more typi- cal of girls, but these boys may either like or reject activities typical of boys. Likewise, tom- boys may accept or reject activities typical of girls. Children, especially girls, who combine gender-conforming and nonconforming behaviors may be well accepted. For example, Bruce

Table 6.5 Gender Portrayals in Media for Children and Adolescents

Girls Boys

On Children’s Television

Are timid, warm, sensitive, peaceful, and attractive Are powerful, smart, ambitious, and violent Appear as background characters in commercials Appear as main characters in commercials Appear in the kitchen on commercials Behave violently in commercials Who view programs chose those with gender-neutral portrayals as favorites

Who view programs chose those with gender- neutral portrayals as favorites

In Media Aimed at Adolescents

Are portrayed in sexualized ways in video games Are portrayed as obsessed by sex in television and in movies

Receive messages that looks are important Receive messages that violence is a way to solve problems

Receive messages about the importance of having a boyfriend

158 Developing Gender Identity

Jenner was a spectacular athlete, which gained him the acceptance of his family and peers but delayed his reconciliation with his female gender identity (Bissinger, 2015). However, the combination of persistent nonconforming gender behaviors and rejection of gender-typical behaviors may be indicative of gender dysphoria.

Gender dysphoria is among the classifi cations of behavior disorders in the American Psy- chiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association, 2013), making it an offi cial psychiatric diagnosis. The fourth edition of the DSM (American Psychiatric Association, 2000) restricted this disorder to children, but the fi fth edition ( DSM-5 ) included all ages in the diagnosis. Exhibiting interests and behaviors typical of the other gender is not suffi cient to result in this diagnosis. Individuals must exhibit at least six of the following symptoms: (1) cross-sex behaviors, (2) cross-sex toy and activity preferences, (3) cross-sex peer affi liation, (4) cross-dressing, (5) a stated desire to be the other sex, (6) a rejection of same-sex toys and activities, (7) a rejection of one’s sexual anatomy, and (8) a desire for the appearance and anatomy of the other sex.

Richard Green (1987) conducted a longitudinal study of boys who showed signs of gender dysphoria to discover differences between these boys and others who had more typical gender role development. His study indicated that some of these boys had received reinforcement and others were ignored by parents for their cross-gender behaviors. This observation is consistent with later research (Knafo et al., 2005), which indicated that gender dysphoria has an environmental component and also biological components that include genetics and possibly prenatal hormone exposure (Veale, Clarke, & Lomax, 2010).

Determining which children will continue in their dissatisfaction with their sex is a critical issue for action (Dreger, 2009). One important criterion is the expressed lack of acceptance, even hatred, of one’s own sex rather than attraction to activities typical of the other sex (Zucker, 2002). This component may lead individuals to seek ways to change their biological sex, including hormone therapy and a series of surgeries to bring their bodies in line with the gender identity.

Many children who do not conform to gender stereotypes fall into the category of ques- tioning gender identity rather than rejecting their biological sex, and this questioning may persist for years. These gender questioning young people may not pursue a transition to the other sex; some come to identity with their biological sex, whereas other develop a lesbian or gay sexual orientation (American Psychological Association [APA], 2015). Thus the issues of gender dysphoria and sexual orientation are intertwined but not identical concepts.

Studies on girls with gender dysphoria are much less common than research with boys. Boys are more than six times more likely than girls to receive a clinical referral (Zucker, Bradley, & Sanikhani, 1997), and one factor in this situation is the greater social tolerance for cross-gender behaviors of girls (Lippa, 2008). Indeed, girls tend to see advantages in being boys (Baumgartner, in Tavris & Wade, 1984). When asked what would happen if they changed sex, elementary school girls imagined advantages, whereas boys imagined disaster. Adults make similar judgments, believing that being male offers advantages and being female presents disadvantages (Cann & Vann, 1995). The widespread perception of advantages for males may be a factor in considering boys abnormal when they want to change their sex. However, a follow-up study of girls with gender dysphoria (Drummond, Peterson-Badali, Bradley, & Zucker, 2008) found that the percentages of nonheterosexual and gender dys- phoric women were similar to the percentages of boys (Green, 1987).

The adolescents and adults who continue to experience gender dysphoria may say they feel “trapped in the wrong body,” a sentiment that many people fi nd perplexing. How could a person fail to understand and accept his or her sex? Research has examined genetic and hormonal possibilities for gender dysphoria (Erickson-Schroth, 2013). Brain scans of individuals with gender dysphoria were more similar to those of the other sex than their

Developing Gender Identity 159

own biological sex, which suggests a situation very much like what individuals with gender dysphoria describe—their brains don’t match their bodies (Molo et al., 2006). Others fi nd these studies unpersuasive (Bailey & Triea, 2007) and contend that advocates of hormonal and surgical interventions urge unnecessary action.

Individuals with gender dysphoria have advocated for the acceptance of gender dysphoric individuals and treatment with medical interventions that would make bodies more compat- ible with gender identity, including hormones and surgical interventions (Rosin, 2008). The term transsexual describes these individuals, and those who are in the process of acquiring a new sex often refer to themselves as transgendered individuals . These concepts and terminol- ogy confuse many people, who assume that biological sex, gender, and sexual orientation all go together (Carr, 2005). All are actually separable. Feeling “trapped in the wrong body” (gender dysphoria) does not mean that the person is homosexual (has feelings of sexual attraction for people of one’s own sex). Transvestism (dressing in clothing appropriate to the other gender) is associated with gender dysphoria but may also occur as a sexual fetish (receiving sexual pleasure from the behavior) rather than an expression of gender dissatisfac- tion. Thus, these phenomena may overlap, but they are separable. However, dealing with sexuality and sexual orientation is an issue for individuals who transition from male to female or female to male (APA, 2015). For example, Bruce Jenner was not a gay man; he was heterosexual man with a female gender identity (Bissinger, 2015). After the transition, Caitlyn Jenner was still attracted to women but decided to be asexual until she sorted out her sexuality.

In addition, a large majority of gay men and lesbians have no gender dysphoria and no gender identity confusion. Only 17% of male transvestites reported feeling trapped in a man’s body (Docter & Prince, 1997). Therefore, dissatisfaction with one’s gender may be associated with gender-nonconforming behaviors, but most individuals who exhibit these behaviors are not showing symptoms of gender dysphoria.

During childhood and adolescence, these individuals typically experience problems, most often associated with depression, and individuals who seek sexual reassignment face chal- lenges in being accepted by society (Splete, 2005). However, sexual reassignment is often successful in resolving many of their problems (Cohen-Kettenis, Delemarre-van de Waal, & Gooren, 2008; Murad et al., 2010). After surgery, their gender dysphoria, as well as their social and sexual functioning, improves, and their overall health is good.

These outcomes suggest medical intervention as a solution for gender dysphoria, but oth- ers (Diamond, Pardo, & Butterworth, 2011) instead argue for an expanded model of gender identity that includes more than the biological dichotomy of male and female. In a set of guidelines for services to individuals with gender dysphoria, the American Psychological Association (2015), emphasized that getting beyond the gender binary of male and female is a necessary step in offering appropriate services to individuals with gender dysphoria. Intersex conditions have suggested that there may be more than two sexes; perhaps gender identity should be similarly inclusive.

Summary

The process of gender development may begin during infancy; however, between ages 2 and 3, most children learn to apply gender labels and to understand some behaviors and features as stereotypically associated with gender. Their understanding of gender is far from complete, however, and children may be 6 or 7 years old before they have a complete understanding of all the components of gender, including gender constancy, gender consistency, and gender stability.

When children develop an understanding of gender, they tend to be rigid and infl exible in their application of gender rules to themselves and others, but the peak period of infl exibility

160 Developing Gender Identity

is relatively short and occurs between ages 5 and 7. Gender stereotyping tends to decrease during adolescence and adulthood, indicating that additional gender development occurs after childhood.

Biology infl uences gender development, but its effects are diffi cult to separate from social infl uences because the identifi cation of a child’s genitals as male or female prompts a cascade of social events related to gender development. Prenatal hormone exposure affects gender- typed behaviors more than gender identity.

Families exert an important infl uence on the gender socialization of children. Parents may convey gendered messages through modeling, different treatment of boys and girls, creat- ing opportunities for different types of behaviors, and differential monitoring of activities. Traditional families tend to have children with more traditional gender attitudes, and fathers tend to be the family member whose infl uence promotes traditional gender behaviors. Even parents who attempt to avoid gender stereotyping have diffi culties; the tendency to assign girls and boys gender-typical chores is strong, and both parents and siblings often create a gendered environment for children. Peers also tend to push children and adolescents toward infl exible gender role behaviors.

The media infl uence all members of society, and that infl uence includes gender stereotyp- ing in television entertainment programming and commercials, movies, video games, com- ics, and literature. Girls and boys are subject to similar gender stereotyping in programming oriented toward children, even educational television and children’s books. Thus, media exposure is a strong force in establishing and perpetuating traditional gender roles.

The large majority of children develop gender identities that are consistent with their biological sex, but some do not. Those children who express preferences and enact behaviors typical of the other gender and reject those typical of their own prompt concern among par- ents, but a diagnosis of gender dysphoria requires a persistent identifi cation with and desire to be the other gender. As they mature, many of these individuals do not continue with their gender dysphoria (but many do develop nonheterosexual sexual orientation); other do and seek sexual reassignment surgery to fulfi ll their wish to be the other gender.

Glossary

gender constancy the knowledge that gender is a permanent characteristic and will not change with superfi cial alterations.

gender identity individual identifi cation of self as female or male. gender dysphoria a disorder that occurs when a child rejects the gender role that corre-

sponds to biological sex and adopts cross-gender behaviors and possibly a cross-gender identity.

synthesized realism a mixture of actual information with phony details into a realistic portrayal that is really fi ction.

transsexual an individual who receives hormonal and surgical treatment to be changed to the other sex.

Suggested Readings

Eliot, Lise. (2009). Pink brain, blue brain . Boston: Houghton Miffl in Harcourt. Eliot’s book reviews the research on the physiological and social infl uences on sex and gender. She combines

personal stories with her perspective as a neuroscientist for a thoughtful yet readable presentation. Chapters 1 – 3 are especially relevant to gender identity.

Pollack, William. (1998). Real boys. New York: Holt. The fi rst two chapters of Pollack’s book about boys explore the rigid gender role socialization that boys undergo

and the damage that this socialization can do to boys.

Developing Gender Identity 161

Ruble, Diane N.; Martin, Carol Lynn; & Berenbaum, Sheri A. (2006). Gender development. In N. Eisenberg, W. Damon, & R. M. Lerner (Eds.), Handbook of child psychology, Vol. 3 (pp. 858–932). Hoboken, NJ: Wiley. This thorough review of gender development examines the biological, social, and cognitive approaches and

attempts to integrate these approaches.

Suggested Websites

William Pollack, author of Real Boys , has his own website (www.williampollack.com) where he offers a variety of workbooks and parent handbooks to help in encouraging boys to healthy manhood. His talks and interviews also appear in a number of websites, including YouTube (https://www.youtube.com/watch?v=yaTEefLV7ak ) .

Girls Incorporated is an organization devoted to inspiring girls to be strong, smart and bold. Their website (https://www.girlsinc-online.org/) includes information for adults who want to help girls achieve these goals and games and exercises for girls.

Several organization offer support for transgender individuals and for those with gender identity disorder. The Intersex Society of North American maintains a webpage (http://www.isna.org/) that includes informa- tion and links, one of which will assist interested individuals in fi nd a support group. The International Foundation for Gender Education (www.ifge.org) is devoted to promoting self-defi nition and providing information about transgender individuals. The Gay & Lesbian Alliance Against Defamation (GLAAD) website maintains a page (http://www.glaad.org/transgender/resources) with an extensive list of resource links related to transgender issues.

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7 Intelligence and Cognitive Abilities

Headline : “ Is the Female of the Species Really More Intelligent Than the Male?” The Telegraph , July 17, 2012

Questions of whether men or women are smarter go back much farther than the history of intelligence testing, and research has furnished evidence supporting both answers. The latest answer—that women are smarter—comes from research by James Flynn, whose fi nd- ings concerning intelligence have stirred controversy over the past 25 years. Flynn contends that human intelligence has increased over the past century both for women and men, a phenomenon called the Flynn Effect (Hanlon, 2012). However, Flynn’s research (2012) indicates that women’s IQs have increased more rapidly. His fi ndings received widespread publicity, with interpretations that women are now smarter than men for the fi rst time since IQ testing began. Such headlines were destined to provoke even more controversy over IQ testing than has occurred in past years.

Flynn (in Kaufman, 2012) was quick to object to the sensationalistic headlines, saying that the differences that he found are too small to indicate that women are smarter. Flynn pointed out that the measurement of IQ that he used, although classifi ed as a measure of IQ, tapped into a specifi c type of logic and reasoning. He stood by his assertion that women score as well as men on this test in wealthy countries in which women now have full access to edu- cation. Some media reports failed to include these important details; these stories reported that women are now smarter than men. These fi ndings and Flynn’s research rekindled the controversy over gender and intelligence, which provokes strong feelings but also highlights important questions.

To what extent do gender differences explain intelligence and cognitive abilities? Are such contrasts suffi ciently large to explain the distribution of men and women into different areas of study and occupations, or do these fi ndings, as Flynn contended, represent insignifi cant distinctions in how women and men think? Do differences apply only to specifi c cognitive abilities or to overall intelligence?

Cognitive Abilities

Other than defi ning intelligence as “how smart a person is” (a trivial and circular defi nition), an acceptable defi nition of this concept has been diffi cult to formulate. Indeed, heated debate over the nature of intelligence has occurred throughout the history of intelligence testing. The prominence of this concern highlights the importance of the issue; understanding intel- ligence and the abilities that contribute to intelligence is a basic question for understanding humans.

Psychologists have been concerned with the concept of intelligence since the 1890s (Schultz & Schultz, 2012). However, the current view of intelligence was most infl uenced

Intelligence and Cognitive Abilities 171

by the creation of the intelligence test in 1905. This test, formulated by Alfred Binet, Vic- tor Henri, and Théodore Simon, measured a variety of mental abilities related to school performance, including memory, attention, comprehension, vocabulary, and imagination. A version of this test—the Stanford-Binet—appeared in the United States in 1916, and the intelligence testing movement became an important part of psychology, especially in the United States.

The prevailing view of intelligence during the 19th and early 20th centuries was that women’s intellect was inferior to men’s (Lewin, 1984; Shields, 1975). Lewis Terman, who adapted the Binet-Simon test into the Stanford-Binet, did not believe in the intellectual inferiority of women and had no trouble accepting the results of this test, which revealed no average differences between the intelligence of men and that of women. Indeed, the scores on the early versions of the Stanford-Binet showed that women scored slightly higher than men, but after some minor adjustment of items, the average scores for women and girls were equal to those of men and boys (Terman & Merrill, 1937).

Although IQ test scores are equal, the gender prejudice of the 19th century has lasted into the 21st century: Both women and men judge women’s intelligence as lower than men’s (Furnham, Callahan, & Akande, 2004). Such contrasts occur when students estimate their own intelligence, when college students estimate their parents’ intelligence, and when parents judge their children’s intelligence (Furnham, Reeves, & Budhani, 2002). This difference crops up around the world, including Europe, the United States, Asia, the Middle East, and in some countries in Africa (von Stumm, Chamorro-Premuzic, & Furnham, 2009). South Africa was an exception; both Whites (Furnham et al., 2004) and Blacks (Furnham, Ndlovu, & Mkhize, 2009) showed few gender differences or higher estimates of men’s than women’s intelligence.

With the development of the intelligence testing movement came increased attention to the various abilities included within these tests. In the Stanford-Binet, most test items could be classifi ed as verbal; that is, most questions require the understanding and use of language. Psychologist David Wechsler created an alternative intelligence test that divided abilities into the categories of verbal and performance skills. The verbal subtests require those being tested to provide verbal answers by performing certain tasks: supplying factual knowledge (infor- mation), defi ning vocabulary items (vocabulary), performing basic arithmetic computation (arithmetic), repeating a series of digits (digit span), understanding similarities between objects (similarities), and properly interpreting social conventions (comprehension).

The performance subtests of Wechsler’s test require no verbal responses, but instead people respond by performing some action. The performance subtests include arranging pictures into a sensible story (picture arrangement), duplicating designs with blocks (block design), completing pictures that have some missing part (picture completion), assembling cut-up fi gures of common objects (object assembly), and learning and rapidly applying digit-symbol codes (digit symbols) (Gregory, 1987). Figure 7.1 shows samples of the types of items on the Wechsler tests.

Unlike the Stanford-Binet, Wechsler’s test showed differences between the scores of men and women; women scored higher on the verbal subtests, and men scored higher on the performance subtests. Although the combined scores on the Wechsler tests show no gen- der differences, the subtest scores always have. These differences parallel the bias in men’s estimates of their own intelligence, which stem from men’s estimation of their spatial and mathematical abilities as higher than women’s (Rammstedt & Rammsayer, 2002). This bias applies more strongly to men who rated themselves as more masculine; these men rated their spatial and mathematical reasoning higher than women’s abilities. But the same men also rated themselves lower in musical ability than women. These results fall in line with stereo- types of abilities, as do results that indicate men judged themselves higher in intellectual ability but lower in social and emotional intelligence than women (Petrides, Furnham, &

172 Intelligence and Cognitive Abilities

Martin, 2004; von Stumm et al., 2009). Thus, Wechsler subtests and self-estimates conform to gender stereotypes of abilities.

Similarly, Eleanor Maccoby and Carol Jacklin’s (1974) review of gender differences in intellectual performance found differences on verbal, mathematical, and spatial tasks that were consistent with stereotypes. More recent research, however, has revealed that the pat- terns of gender differences in these cognitive abilities are smaller yet more complex than the early reviews suggested.

Part of the complexity comes from the tests used to assess these various cognitive abilities. The term abilities is somewhat inaccurate, because the assessments have been tests of per- formance or achievement, such as the Scholastic Assessment Test (SAT, which was formerly called the Scholastic Aptitude Test), a test used for college admissions. Such tests certainly do not measure innate abilities, so fi ndings of gender differences do not necessarily mean that women and men are inherently different in what these tests measure. Rather, variations represent different levels of current performance, shaped by experience and education as well as ability. Generalizations of results from these tests to conclusions of innate ability are

Figure 7.1 Sample Test Items Similar to Items on Wechsler’s Tests of Intelligence

Source: From World of Psychology by Sam Wood and Ellen Green Wood, 1st ed., ©1993. Reprinted by permission of Pearson Education, Inc., New York, New York.

Intelligence and Cognitive Abilities 173

incorrect. Differences in performance might come from distinct biological endowment, but could also come from social roles, parental encouragement, school courses, leisure activities, or motivation to perform well on the test.

Verbal Performance

The tasks that researchers have used to study verbal ability include not only the verbal sub- tests of the Wechsler tests but also a great variety of tests related to language, reading, and writing (see Table 7.1 ). This variation may be one reason why research on verbal performance has not yielded entirely consistent results (Sanders, Sjodin, & de Chastelaine, 2002). When taking the variety of verbal tasks into account, literature reviews (Halpern, 2012; Maccoby &

Table 7.1 Examples of Different Measures of Verbal, Quantitative, and Spatial Abilities

Verbal Quantitative Spatial

Vocalizations during infancy Pointing to a member of a set Reproducing geometric forms

Visual-motor association Estimating proportion Matching geometric shapes

Talking to mother WISC arithmetic subtest Reading maps

Verbalization in free play Digit-processing task Matching photos for orientation

Parents’ reports of speech problems Digit-symbol subtest of WAIS Distance perception

Complete sentences Math achievement Assembling puzzles

Anagram task Math reasoning Rotating shapes

Carrying out simple and complex tasks

Problem solving Reproducing patterns

Judgment of grammatical sentences Addition Disembedding fi gures

Verbal imitation Subtraction Angle matching

Verbal reproduction of story Arithmetic computation Maze performance

Reading speed Number arrangement Localization of a spatial target

Reading vocabulary Math subtests for SAT Discrimination of triangles and mirror-image reversals

Reading comprehension General Aptitude Test Battery

Errors in similes ACT Distinguishing right from left, east from west, and top from bottom

Spelling

Punctuation Rod-and-frame task

Synonyms and antonyms Matching pictures to objects

Verbal subtests from: Seguin Form Board

Peabody Picture Vocabulary Spatial subtests from:

Illinois Test of Psycholinguistic Ability

Differential Aptitude Test

General Aptitude Test Battery

Expressive Vocabulary Inventory Piaget’s water-level task

WISC Making judgments about moving objects

WISC Block Design

Source: Adapted from The Psychology of Sex Differences by Eleanor Maccoby and Carol Jacklin, Copyright © 1974 by the Board of Trustees of the Leland Stanford Jr. University. All rights reserved, reprinted by permission of the publisher, Stanford University Press, sup.org.

174 Intelligence and Cognitive Abilities

Jacklin, 1974) have come to the conclusion that girls and women have some advantages in verbal performance. These advantages include the rapidity and profi ciency with which girls acquire language compared to boys, an advantage that girls maintain throughout elementary school. The National Assessment of Educational Progress tests the achievement of a represen- tative sample of students in 4th, 8th, and 12th grades and shows an advantage in reading and writing for girls at all of these grade levels (Coley, 2001). The advantage in writing ability is large and persists throughout college (Halpern, 2012; Halpern et al., 2007).

One gender stereotype of women’s verbal behavior is not correct: Women do not talk more than men. Two studies (Leaper & Ayres, 2007; Mehl, Vazire, Ramirez-Esparza, Statcher, & Pennebaker, 2007) have evaluated speaking behavior in women and men and found no signifi cant difference in the number of words uttered each day.

Meta-analysis is a statistical technique that combines the results from many studies to estimate the size of certain effects, and this technique offers advantages over the literature review approach. Janet Hyde has completed several meta-analyses, one including the studies from Maccoby and Jacklin’s (1974) literature review (Hyde, 1981) and a later one examin- ing additional studies (Hyde & Linn, 1988). The results of these meta-analyses revealed gender-related differences in verbal performance are small; about 1% of the difference in verbal ability relates to gender, leaving the other 99% related to other factors. A later analysis of many meta-analyses (Hyde, 2005a) confi rmed that, despite the stereotype, verbal abilities of women and men are quite similar. The differences exist in writing—women write more quickly and fl uently—and in language development—girls develop language earlier than boys, but boys catch up (Wallentin, 2009).

Mathematical and Quantitative Performance

Research on mathematical and quantitative performance presents a complex picture in which changes during adolescence, patterns of course selection, and attitudes toward math make the assessment of underlying ability impossible. Most studies with children younger than age 13 show either no gender differences or certain advantages for girls in mathematical performance, defi ned as profi ciency in arithmetic computation (Fennema, 1980; Hyde, Fennema, & Lamon, 1990). By age 13, gender differences favoring boys begin to appear in many of the assessments of mathematical performance (Spelke, 2005).

Girls who excel at arithmetic computation do not become women who are poor at such tasks; the difference in performance arises from the changes in what constitutes mathemati- cal and quantitative performance. Rather than consist of arithmetic computation, the tests of quantitative ability during the middle and high school years begin to include tasks that draw on a variety of cognitive abilities, as Table 7.1 shows.

Despite the stereotype that girls and women do more poorly in mathematics than boys and men, research indicates little difference in performance (Hyde, 2005a; Leahey & Guo, 2001). For example, scores from standardized tests administered to the population of 12th- grade high school students show no gender differences (Willingham, Cole, Lewis, & Leung, 1997). However, men score higher than women the mathematics section of the SAT (SAT-M) and the quantitative test of the Graduate Record Examination (GRE) (Gallagher, Levin, & Cahalan, 2002). Using the technique of meta-analysis to evaluate many studies of math- ematics performance, men’s scores were slightly higher than women’s (Hyde, 1981, 2005b). Thus, some measures of mathematics performance indicate an advantage for women, some show an advantage for men, and yet others suggest no advantage either way. These seem- ingly contradictory fi ndings are the result of different measures of quantitative performance.

Analyzing quantitative abilities into different skills and ages reveals a complex pattern related to gender (Hyde et al., 1990; Spelke, 2005). Girls and women have a small advantage

Intelligence and Cognitive Abilities 175

in math computation, which draws on their better abilities to rapidly retrieve information from memory (Camarata & Woodcock, 2006; Halpern, 2004). By the 10th grade, boys begin to show an advantage (Leahey & Guo, 2001), possibly because some math problems draw on spatial skills, in which boys tend to excel. By 12th grade, boys’ scores exceed girls’ scores by about 1%, which represents a very small difference. Boys’ advantage is largest for geometry, which is consistent with the view that spatial skills are important in this area. Table 7.2 summarizes the fi ndings on math performance.

A large gender difference in higher-level mathematics appeared in several studies, show- ing that, in selected groups of mathematically gifted students, males have a large advantage over females (Benbow & Stanley, 1980, 1983). In early studies, boys outnumbered girls by over 12 to 1, but those ratios have changed. Programs that recruit mathematically talented students now fi nd about twice as many boys as girls (Spelke, 2005).

As the disproportionate number of boys gifted in mathematics suggests, the variation in math- ematical performance is not uniform for women and men. Men’s performance shows more vari- ability than women’s performance (Lehre, Lehre, Laake, & Denbolt, 2009; Lubinski & Benbow, 2007). That is, men are more likely to score in the upper and lower ends of the performance distribution than women are. More men exhibit mathematical defi cits than women, but men are also more likely to be more numerous in the upper range of these abilities, as the studies of talented adolescents in the United States demonstrate. This variability, however, is not universal and fails to appear in some cultures in which girls are more common in the upper end of the distribution of math performance (Else-Quest, Hyde, & Linn, 2010; Penner, 2008).

The classifi cation of students as mathematically gifted often involves a standardized test, and this type of test has been part of the controversy related to gender differences in math per- formance. Some standardized tests have consistently revealed a male advantage, including the mathematics subtests from the SAT and the Preliminary Scholastic Assessment Test (PSAT), the quantitative section of the Graduate Record Examination (GRE), and the Advanced Placement Program calculus exam (Spelke & Grace, 2007; Willingham et al., 1997). The gender-related differences in performance on these tests demonstrate a variety of infl uences, including the possibility that the selection of test items and test format give advantages to men that are not really related to mathematics ability (Spelke, 2005). For example, men do

Table 7.2 Gender-Related Differences in Mathematics Performance

Mathematics Skill Group Advantage

Arithmetic computation Elementary school students Girls

Math concepts Elementary school students Girls

Problem solving Middle school students No difference

SAT Mathematics subtest 13-year-old gifted students Boys

Math concepts High school students Boys

Problem solving High school students Boys

SAT Mathematics subtest College-bound students Boys

Advanced Placement Calculus test College-bound students Boys

Numerical Ability subtest of DAT Grades 8–12 No difference

Math performance Representative group of 12th-grade students No difference

Mathematics subtest of GRE College students Men

Arithmetic computation Adults in general population Women

Math performance Adults in general population No difference

176 Intelligence and Cognitive Abilities

better than women on multiple-choice format tests and on tests with time limits (Willingham & Cole, 1997). Both characteristics are common to the mathematics tests that show a male advantage, but these factors have no relationship to math ability.

For as long as the Educational Testing Service (ETS) has collected information on gender, the Mathematics section of the SAT has shown substantial differences, even among young women whose math grades are equal to or better than young men’s grades (Gallagher et al., 2002). Indeed, the SAT “overpredicts” men’s grades in college math classes; that is, men’s grades are not as high as the test scores predict they will be (Spelke, 2005). Likewise, the test “underpredicts” women’s college math grades; women’s grades are higher than the tests pre- dict. Indeed, women’s grades are higher than men’s grades in the same college math classes. Thus the SAT Mathematics section fails to achieve its stated purpose—to predict college grades accurately (Nankervis, 2011; Spelke & Grace, 2007).

The bias in the SAT has several implications. First, as the Educational Testing Service advises, colleges should not rely on the SAT alone for decisions about college admissions and scholarships. Indeed, a growing number of colleges and universities have gone a step further, eliminating the SAT as part of their admissions criteria (FairTest Examiner, 2006). Second, researchers should accept that they should not consider the SAT as a standard for assessing mathematics ability (Spelke & Grace, 2007). The evidence of its bias is a problem, but its failure to predict college math grades is an even more serious drawback.

Gendered Voices—Math Class is Tough

“Math class is tough,” according to Teen Talk Barbie, introduced by the Mattel Toy Com- pany in 1992. Teen Talk Barbie was the company’s second talking Barbie, but this particular phrase unleashed a furor. Many women and women’s groups protested the perpetuation of the idea that women fi nd math more diffi cult than men do; they feared that this popular toy’s proclamation would reinforce and perpetuate the stereotype that math is not for girls. Mattel soon dropped that phrase from Barbie’s repertoire (Smith & White, 2002).

What, then, are the gender differences in quantitative ability and performance? Gender differences in attitudes toward math and motivation to pursue mathematics play a role in women’s and men’s quantitative experiences. Elementary school students do not perceive math as a male domain (Heyman & Legare, 2004), but mathematically gifted middle school students (especially boys) expressed beliefs that men were more naturally talented at math than women, and so do their parents and teachers (Leedy, LaLonde, & Runk, 2003). These perceptions lead to the acceptance of math as a male domain (Cheryan, 2012; Nosek, Banaji, & Greenwald, 2002). Both children and parents share this cultural perception, resulting in differential beliefs concerning boys’ and girls’ math abilities. When girls are good at math, they are more often the target of bullying than boys (although being a math “nerd” places both at risk for bullying; Boehnke, 2008).

Individuals who hold the belief that accomplishments originate from natural talent rather than from work tend to experience doubts in their abilities and loss of confi dence and moti- vation when they encounter diffi culties, and this tendency applies to girls more strongly than to boys (Dweck, 2007). This attitude may play a critical role not only in the motivation to pursue mathematics but also in other academic performance as well.

Girls’ perception that math is a male domain may lead them to believe that they are unlikely to succeed in the subject and to perceive that math is not important or valuable to them (Eccles, 1987, 2007). The combined lack of confi dence and the belief that math

Intelligence and Cognitive Abilities 177

is not important to their future form a powerful disincentive for girls during high school, when they have the option to choose elective math courses. Until the 1990s, girls enrolled in fewer math courses than boys, but that situation changed, and enrollment is now similar (Spelke, 2005).

Janis Jacobs and Jacquelynne Eccles (1992) proposed and validated a model for the gen- der-related factors that infl uence self-perceptions about abilities, including math ability. Figure 7.2 presents that model, and an examination of that fi gure reveals that several factors

Photo 7.1 Despite the stereotype of math as a male domain, high school girls now enroll in as many math courses as high school boys.

Figure 7.2 Path of Infl uence for Perception of Abilities

Source: From “The Impact of Mothers’ Gender-Role Stereotypic Beliefs on Mothers’ and Children’s Ability Perceptions,” by Janis E. Jacobs and Jacquelynne S. Eccles, 1992, Journal of Personality and Social Psychology, 63, p. 935. Copyright 1992 by American Psychological Association. Reprinted by permission of Janis Jacobs and the American Psychological Association.

178 Intelligence and Cognitive Abilities

Gendered Voices: The Problem with Being Good at Math Cornelia Dean, science editor for The New York Times , recounted her experience with what it’s like to be a girl in junior high school who is good at math (Dean, 2005). When Dean was in the seventh grade, she was enrolled in an experimental school for “brainiacs,” in which all the students took a mathematics aptitude test. Her results and her classmates’ reactions changed her life: “The results were posted and everyone found out I had scored several years ahead of the next brightest kid. A girl really good in math! What a freak! I resolved then and there on a career in journalism” (Dean, 2005, p. F3).

Beliefs about competence may not be the only problem in encouraging girls to pursue mathematics; some evidence (Jacobs, Davis-Kean, Bleeker, Eccles, & Malanchuk, 2005) indicates that girls may have the talent but not the interest in studying math. Indeed, a survey of children from around the world (Sanchez, Zimmerman, & Ye, 2004) revealed that high school students in the United States tend to think that mathematics is diffi cult and not all that interesting. Girls expressed these opinions more strongly than boys. In addition, girls with high profi ciency in math tend to do well in verbal performance as well (Ceci & Williams, 2010; Ceci, Williams, & Barnett, 2009). This combination gives these girls the ability to pursue a variety of careers, not only mathematics. Thus, motivating girls to pursue math is a challenge, and parents and teachers do not pressure girls and boys equally to pursue the study of mathematics. Without these sources of social support to study math, girls choose not to do so in larger numbers than boys.

In summary, gender-related differences in mathematics performance do not exist in the general population, and the stereotype of math as a male domain is not based on perfor- mance. Among students, girls and boys do not differ in mathematics performance until high school. At this time, boys begin to show higher average levels of math performance on standardized tests and confi dence in their ability at math. These differences persist throughout adulthood. The stereotype of math as a male domain lingers, affecting girls, boys, parents, and teachers to give contrasting encouragement to girls and boys. Despite the disappearing performance differences between boys and girls in math classes and on some standardized tests, encouraging girls to pursue mathematics remains a challenge.

Spatial Performance

Variation has existed in the defi nitions of verbal ability and quantitative ability, but researchers have defi ned spatial ability in an even wider variety of ways. Table 7.1 includes some of these defi nitions. Any of these tasks represents a reasonable way to measure the concept of spatial abilities, but they vary suffi ciently to yield results that may not be consistent from study to

are important. One is biological sex, which affects children’s beliefs about their abilities. Another component is gender stereotypes and an interaction of sex with gender stereotyp- ing, such as the stereotype that math is a male domain. Research indicated that accepting this stereotype predicted college women’s changing career plans and leaving academic fi elds that require mathematics (Schmader, Johns, & Barquissau, 2004). A longitudinal analysis of career choices in young women (Eccles, 2007) showed that, consistent with the model, expectations for success and the value of taking courses mediated enrollment.

Intelligence and Cognitive Abilities 179

study. The variations in the defi nition of what constitutes spatial ability have not hindered many people from accepting the notion that men are better at these tasks than women.

Despite some disagreement over how to categorize spatial abilities (Voyer, Voyer, & Bryden, 1995), a four-category approach captures some of the complexity of the area. Three categories include spatial perception, mental rotation, and spatial visualization (Linn & Petersen, 1986); a fourth type of spatial task is spatiotemporal or targeting ability. Spatial perception includes the ability to identify and locate the horizontal or vertical planes in the presence of distract- ing information. Examples of measures of spatial perception are the rod-and-frame task and Piaget’s water-level task, both shown in Figure 7.3 . These tasks usually show gender-related

Figure 7.3 Spatial Tasks Favoring Men

180 Intelligence and Cognitive Abilities

differences, with boys and men outperforming girls and women. The magnitude of this varia- tion is small during childhood and adolescence, but fairly large for adults.

Mental rotation includes the ability to visualize objects as they would appear if rotated in space. An example of a measure of this type of ability also appears in Figure 7.3 . The gender-related difference for this spatial ability is fairly large, with boys and men scoring substantially higher than girls and women on speed and accuracy of mentally rotating objects (Hyde, 2005a; Voyer et al., 1995).

Spatial visualization refers to the ability to process spatial information so as to under- stand the relationship between objects in space, such as the ability to see a fi gure embedded in other fi gures (also shown in Figure 7.3 ), fi nd hidden fi gures in a drawing or picture, or imagine the shape produced when a folded piece of paper is cut and then unfolded. Gender distinctions do not always appear on measures of these tasks. When such differences appear, men show a small advantage.

A fourth category of spatial ability is called spatiotemporal ability (Halpern, 2012). This ability involves judgments about moving objects in space, such as predicting when a moving object will arrive at a target or aiming and throwing. This spatial ability has been less researched than the others. Some research on this ability indicated that men’s ability is higher than women’s, but other research (Barral & Debû, 2004) found that women were more accurate (but slower) than men in aiming and throwing.

An additional complication in assessing gender differences in spatial ability comes from the possibility that some tasks labeled “spatial” may include other components. For example, men performed better than women on a paper-and-pencil version of a mental rotation task, but the differences were reduced (Monahan, Harke, & Shelley, 2008) or eliminated (Parsons et al., 2004) in a computerized, virtual reality version of the mental rotation task. Gender role and expectancy infl uenced women’s performance on an embedded fi gures test; highly feminine women did better when the task was presented as an empathy test, but more masculine women did better when the same task was described as a spatial ability task (Massa, Mayer, & Bohon, 2005). Similarly, the male advantage on the rod-and-frame task disappeared when a human fi gure replaced the rod and the task was presented as a measure of empathy (Naditch, in Caplan, MacPherson, & Tobin, 1985). In this situation, women outperformed men. Altering the expectations for the task changed performance in these two studies, even though the tasks remained the same and required the same spatial abilities. Thus, what researchers defi ne as measures of spatial ability may include other components that hamper or boost women’s performance.

Several research fi ndings provide evidence against a simple conclusion for a male advantage on spatial tasks, including fi ndings that women show an advantage on some spatial tasks (Halpern, 2012; Montello, Lovelace, Golledge, & Self, 1999). Women tend to do better on tasks of perceptual speed in which people must rapidly identify matching items. Women also outperform men on tasks in which people must remember the placement of a series of objects (Levy, Frick, & Astur, 2005), especially for recently moved objects (Honda & Nihei, 2009). Examples of these tasks appear in Figure 7.4 . An additional complication comes from the fi nding that gender differences appear in some age groups but not in others, that differ- ences are subject to change with variations in testing procedure, and that gender variations in some spatial abilities seem to be decreasing (Voyer et al., 1995).

These various fi ndings raise the question: Do men really have better spatial abilities than women? The answer is not a simple yes or no. Of the many spatial abilities, men show an advantage in some, and women show an advantage in others. Men in the United States pro- duce reliably better scores than women in spatial perception, such as Piaget’s water-level task

Intelligence and Cognitive Abilities 181

and a large advantage in mental rotation (Halpern, 2012; Hyde, 2005a). Even that advantage is subject to change: It disappeared when researchers (Ortner & Sieverding, 2008) presented a male stereotype before participants performed a mental rotation task. Training can also decrease this difference (see According to the Media and According to the Research). The embedded fi gures task has also yielded complex results for gender and ethnic background, suggesting that men have no clear advantage for this measure of spatial ability (Kühnen et al., 2001).

Figure 7.4 Spatial Tasks Favoring Women

182 Intelligence and Cognitive Abilities

Women’s advantage in spatial abilities appears on measures of perceptual speed and on memory for the placement of objects. Therefore, of the gender differences in spatial abilities that exist, a number of the differences favor men, a few favor women, and some vary by gender, culture, context, expectation, or some combinations of these factors.

Other Cognitive Abilities

Verbal, mathematical, and spatial abilities are important and have been the subjects of exten- sive research, but these are only three of many cognitive abilities. Memory, creativity, musical ability, and nonverbal communication are all cognitive abilities that have been the emphasis of fewer studies than verbal, mathematics, and spatial skills. Much of the research has failed to show gender-related differences, which may be one reason for the lesser attention. A con- sideration of these other cognitive abilities is important for perspective on comparisons of gender-related cognitive abilities; the emphasis on gender differences in verbal, mathematics, and spatial performance leaves the impression that women’s and men’s cognitive abilities differ more than they do.

The enduring gender stereotype that women get lost and men never ask directions relates to cognitive differences in spatial abilities but also draws on memory and problem-solving

According to the Media . . . Video Games are for Boys

Popular video games are oriented to boys. Both arcade games and home video games contain primarily male characters, lots of action and violence, and plots attractive to boys and men (Dickerman, Christensen, & Kerl-McClain, 2008). The websites that promote these video games contain similar content of violence, sexualized depictions of women, and ethnic stereotypes (Robinson, Callister, Clark, & Phillips, 2008).

The most common portrayal of women in video games consists of nothing— literally. Less than 14% of characters in a sample of video games were female (Beasley & Collins Standley, 2002). When women appear in video games, sometimes they are helpless and in need of rescue; sometimes they are evil and need to be conquered. Female characters also appear in the background as supporters of male characters (Dickerman et al., 2008). Occasionally female characters get to be heroes, but they are cast in the role of female warrior, such as Buffy the Vampire Slayer (Labre & Duke, 2004) and Lara Croft, Tomb Raider (Jansz & Martis, 2007). Regardless of their role, they are often large-breasted and provocatively dressed.

The amount of violence in video games is an area of concern (Dill, Gentile, Richter, & Dill, 2005; Williams, 2003). Early video games tended to depict spaceships and aliens, but human or humanlike characters are now more common. Thus, players have repeated exposure to chasing and doing violence to both male and female characters. In addition, 21% of the games include violence directed specifi cally toward women. These games give players the opportunity to act within a situation in which women are the designated targets of video violence.

The combination of themes for boys, few female characters, and fewer attractive, powerful female characters makes video games more appealing to boys than to girls. The portrayals of women as victims, targets, or sex objects expose girls to unfl attering depictions of female characters because girls’ and women’s participation in playing video games has increased since the early years of videogaming (Bertozzi, 2012).

Intelligence and Cognitive Abilities 183

According to the Research . . . Video Games Can Improve Spatial Skills

Despite the bad news about video games—violence and sexist portrayals—playing these games may develop boys’ cognitive skills, especially spatial performance. That is, boys’ enthusiasm for video games may contribute to their advantage in performance on spatial tasks.

Boys play video games more than girls (Marshall, Gorely, & Biddle, 2006; Robinson et al., 2008), and their choice of games also differs (Jenson & Castell, 2011). Girls were more common among those classifi ed as “logic and skill players,” whereas boys were most common in the category “action and stimulation players” (Quaiser-Pohl, Geiser, & Lehmann, 2006). Individuals in the latter category scored higher on tests of mental rotation, suggesting that either the players who are good at this skill select these games or the games develop this skill. Some research suggests the latter possibility—playing video games develops spatial performance.

Several studies have trained participants using video games to determine the benefi t for boosting spatial performance (Cherney, 2008; Feng, Spence, & Pratt, 2007). The results indicate that gaming increases performance for both males and females, with women’s performance boosted more than men’s. In addition, the spatial ability that increases most is the one on which women’s scores are lowest—mental rotation. Even minimal practice can prompt signifi cant improvement.

The design and marketing of video games for boys puts girls at a double disadvan- tage. Girls may fi nd these games unattractive and avoid this type of activity. Boys have a greater incentive to participate in activities that boost skills on which they already have higher performance, whereas girls have lower motivation to play video games that could improve their spatial skills. However, there is some good news: Improvements in spatial performance are also possible through other types of com- puter use (Terlecki & Newcombe, 2005) and even other types of spatial activities, such as music, visual art, and athletics (Ginn & Pickens, 2005). Thus, girls have several ways that they can gain experiences that may improve their performance on spatial tasks.

strategies. According to the stereotype, men excel at this ability, but research on wayfi nd- ing presents a more complex picture suggesting that both men and women have developed strategies that allow them to fi nd their way. However, those strategies tend to differ by gen- der. Men are more likely than women to use a strategy that involves orienting to directions and forming an abstract map of the area, whereas women are more likely to use landmarks to fi nd their way (Cherney, Brabec, & Runco, 2008; Nori & Giusberti, 2006). Which of these strategies is best? It depends on the situation. In laboratory situations, such as abstract mazes and virtual reality situations, the directional strategy leads to fewer errors and more rapid problem solution (Malinowski, 2001; Saucier et al., 2002). When allowed to use their preferred strategy in a real-world situation, the gender differences disappear. That is, women are worse at directions only when they are forced to use the strategy that men typically prefer. In terms of women’s ability to fi nd their way, they do as well as men (Bosco, Longoni, & Vecchi, 2004). However, men also benefi t from information about landmarks—mentioning a landmark improved performance in locating an object in the environment for both male and female participants (Clarke, Elsner, & Rohde, 2015).

184 Intelligence and Cognitive Abilities

Memory performance can draw from either verbal or spatial abilities, depending on the type of material. The majority of tasks that psychologists have studied fall into the cat- egory of verbal learning and memory. According to Maccoby and Jacklin’s (1974) review of research in this area, few gender-related differences exist. However, some studies have found a female advantage for verbal material (Kimura & Clarke, 2002). Some studies have found an advantage for men for visual or spatial material (Herlitz & Rehnman, 2008), but other studies (Lewin, Wolgers, & Herlitz, 2001) have shown no gender differences in this ability.

Some of the gender-related variations in memory seem strongly related to the gender- stereotypical nature of the task and to the match between stereotyping and the gender of the learner. For example, when women and men were asked to memorize a shopping list and directions to a particular place, the differences were in a predictable direction—women better at the shopping list and men at the directions (Herrmann, Crawford, & Holdsworth, 1992). Furthermore, the labeling of the task infl uenced women’s and men’s memories. When people heard that the shopping list pertained to groceries, women showed an advantage, but when the same list was described as pertaining to hardware, men’s memories were better. An extension of this study (Colley, Ball, Kirby, Harvey, & Vingelen, 2001) demonstrated again that memory performance depended on a combination of the labeling of the task and the gender of the learner rather than the skill of either women or men as learners. Consistent with gender stereotyping, women tend to be better at recalling details of personal appear- ance (Mast & Hall, 2006). Thus, memory may depend on factors other than ability, with men and women performing according to their attention, interests, and expectations based on stereotypes.

Creativity is a term that researchers have defi ned in a variety of ways, leading to a great diversity of fi ndings. Studies of kindergarten children (Pollatou, Karadimou, & Gerodimos, 2005), children in grades 4 through 8 (Rejskind, Rapagna, & Gold, 1992), fi fth- and sev- enth-grade students in China and Germany (Shi, Xu, Zhou, & Zha, 1999), college students (Goldsmith & Matherly, 1988), and adults in the Canary Islands (Matud, Rodríguez, & Grande, 2007) have failed to show gender-related differences in various types of creativity. In a wide-scale review of research on creativity (Baer, 2008), few gender differences appeared; measures of creativity, self-assessments of creativity, and judgments of the creative products of males and females of various ages fail to show marked gender differences. A study that examined brain activity during cognition (Abraham, Thybusch, Pieritz, & Hermann, 2013) found no differences in creative performance but differences in brain activity during several types of creative cognitions.

When researchers defi ne creativity in terms of achievement, the gender differences are large. In these situations, men’s advantage may not be due to greater creative ability but rather to access to training, parental and societal encouragement, and limited acceptance of women in creative fi elds (Baer, 2008). A study of women who have become successful musicians (Stremikis, 2002) showed that these women focused on professional success, often from young ages, and conformed less to gender stereotypes than did women who have not pursued such careers. If gifted girls were encouraged to devote themselves to their talents in the same ways that boys are encouraged, the gender differences would be smaller.

Nonverbal communication includes a variety of behaviors related to conveying and receiv- ing information through gestures, body position, and facial expressions, and some gender differences exist in both expressing and interpreting nonverbal behaviors (Hall, Coats, & Lebeau, 2005). Women are more likely than men to make and keep eye contact and touch themselves. In addition, their facial expressions are more revealing of their emotions (Thun- berg & Dimberg, 2000). One large contrast is women’s tendency to smile; women smile more often than men do (LaFrance, Hecht, & Levy Paluck, 2003). This tendency may not reveal more pleasant moods for women. Rather, smiling may refl ect their subordinate status.

Intelligence and Cognitive Abilities 185

Indeed, gender differences in nonverbal behavior may relate to power and status. Early research by Sara Snodgrass (1985, 1992) showed that no gender distinctions existed in the ability to read cues of people’s motives, feelings, and wishes. Instead, she found that people in subordinate positions were better at reading the nonverbal behaviors of those in dominant positions. Later research (Snodgrass, Hecht, & Ploutz-Snyder, 1998) explored the possibility that those in dominant positions send better cues, which leads those in subordinate positions to interpret the situation better. These fi ndings suggest that gender is not a direct factor in interpreting nonverbal behavior; status is more important. Other research (Hall et al., 2005) has confi rmed the importance of status and power in various types of nonverbal behaviors and the relationship of gender to many measures of status and power.

Although the gender differences are small in verbal, mathematical, and spatial abilities, variations are even smaller or nonexistent in other cognitive abilities, such as memory, creativity, musical ability, and nonverbal communication. The studies that have revealed gender-related differences in performance in these areas have shown that they come from stereotypes, gender roles, and expectations rather than from ability differences. Table 7.3 summarizes gender differences in cognitive skills and performance and indicates how large any differences are.

Table 7.3 Summary of Gender Differences in Cognitive Performance

Type of Skill or Activity Gender Advantage Magnitude of Advantage

Stanford-Binet IQ Test None

Wechsler IQ Test Verbal—Women Performance—Men

Small Small

Language acquisition Girls Medium

Reading Girls Medium

Writing Girls and women Large

Grades in reading and writing Girls and women Medium to Large

Number of words spoken per day None

Arithmetic computation Girls & women Small

Mathematics exams for 12th graders None

Geometry Men Small

SAT and GRE Mathematics test Men Medium

Higher-level math performance Men Large

Mathematics disability Women Medium

Grades in mathematics Girls and women Medium to Large

Spatial perception tasks Boys and men Small—children/adolescents Medium to large—adults

Mental rotation Boys and men Large

Spatial visualization None

Spatiotemporal ability Men Small to none

Wayfi nding None—if each may use preferred strategy

If women use landmarks and men orient to direction and construct mental map

Memory Depends on material

Creativity/success in music Men Depends on access to training

Interpreting facial expression People in subordinate positions Medium to Large

186 Intelligence and Cognitive Abilities

She explained that lots of girls play in the school band. There is generally no prejudice against girls who are musicians, but the band is gender segregated by musical instrument. The instruments toward the front of the band are more “feminine,” such as violins, clarinets, and cellos. The instruments toward the back are more “masculine,” such as tubas and the percussion instruments: “There are lots more girls toward the front of the band, and the boys dominate the back.

“At the all-city band competition, it was especially bad. The boys who played percussion were especially obnoxious, acting like I shouldn’t be trying. They acted like it was their right as boys to be able to play drums or other percussion—like there was something on the Y chromosome that gave them the gift. Well, I guess they were really surprised when I won.”

Source of the Differences

Considering how small most gender differences in cognitive performance are, a great deal of research and popular attention has focused on the source of these differences. If stereotypes, roles, and expectations shape performance on aptitude and achievement tests, then are these factors the source of differences between men and women? What role does biology play in the gender distinctions in cognitive performance? The possibility that cognitive gender dif- ferences can be traced to biology offers a simple answer to many complex questions and thus appeals to many people. Resorting to biological essentialism is a strong media bias (Brescoll & Lafrance, 2004) which affects people’s acceptance of such explanations. Media reports of gender differences that include the term “hard-wired” imply not only a biological basis but also a low possibility of variation or change. Which view does the evidence support?

Biological Evidence for Gender Differences in Cognitive Abilities

Several theories have proposed a biological basis for gender differences in cognitive abilities. These theories concentrate on genes, hormones, or structural variations in the brain that create functional differences in cognition. One biologically based view emphasizes the role of evolution, which has built different brains for men and women (Silverman, Choi, & Peters, 2007). Following this explanation, distinct role demands of men and women in the hunter–gatherer societies of prehistory posed different task demands and resulted in different brain organization. Thus, men should be better at spatial tasks because their evolutionary history included traveling to hunt, whereas women stayed home; women should be better at verbal tasks because they talked to their children. Although the logic of these stories may be appealing, these speculations are impossible to confi rm or disconfi rm; those early societies are gone and can no longer be observed.

Also, alternative stories make as much sense. For example, more remote periods in prehis- tory when prehumans were tree dwellers would present similar selection pressures for spatial abilities for both females and males (Benderly, 1987). Poor spatial abilities would result in

Gendered Voices: It’s Not Something on the Y Chromosome “I don’t think that it’s something on the Y chromosome,” a 13-year-old girl said, referring to the ability to play percussion. “But some boys act like it is. The boys in the school band are used to me because I’ve played percussion all through junior high school with them, but when I go to competitions, the boys act like I shouldn’t be playing percussion. Almost like it’s an insult that a girl should be playing.”

Intelligence and Cognitive Abilities 187

falling out of trees, which would not be conducive to survival and reproduction. Humans are the product of evolutionary history, but the strategy of hypothesizing which evolution- ary pressures resulted in what types of cognitive abilities has many possible versions and no way of confi rming these hypotheses (Bleie, 2003; Newcombe, 2007). Thus, this view has problems as a scientifi c explanation.

Another biologically based theory relies on the role of prenatal testosterone exposure on brain development. Recall from Chapter 4 that, beginning at about 6 weeks in prenatal development, male fetuses begin to produce androgens that exert masculinizing effects. These androgens have the potential to affect the developing nervous system, perhaps produc- ing changes in the structure and function of the brain. Examining the function of the brains of women exposed to prenatal androgens provides one way to test this hypothesis. Studies of these girls have not always indicated enhanced spatial performance (Malouf, Migeon, Car- son, Petrucci, & Wisniewski, 2006). A meta-analysis (Puts, McDaniel, Jordan, & Breedlove, 2008) showed an advantage, but a comparison of girls with high prenatal androgen exposure compared with normal girls (Wong, Pasterski, Hindmarsh, Geffner, & Hines, 2013) found no advantage in mental rotation for the androgen-exposed girls. Another study (Mueller et al., 2008) suggested that girls with a more severe form of the disorder (and thus greater testosterone exposure) were the ones whose spatial performance increased. A study that measured hormone levels in men and women (Halari et al., 2005) found no relationship to spatial or verbal performance. Thus, exposure to testosterone during prenatal development may exert effects that infl uence adult performance, but hormonal levels during adulthood do not seem to be a factor in gender differences in spatial performance.

Another strategy for studying sex differences in cognition involves using brain imaging technology to determine whether women’s and men’s brains function differently while per- forming cognitive tasks. This strategy makes use of brain imaging technology such as positron emission tomography (PET) and functional magnetic resonance imaging (fMRI), which can detect metabolic changes in the brain that accompany heightened neural activity (Pinel, 2014). This approach allows researchers to determine the similarities and differences in the function (rather than the structure) of female and male brains during varying cognitive tasks.

Several studies using brain imaging have found the expected (and some unexpected) variations in brain processing during cognitive tasks. The expected fi ndings include greater activity in the left hemisphere during verbal performance and greater activity in the right hemisphere during spatial tasks. In a comparison of brain activation during a verbal and a spatial task (Gur et al., 2000), the expected differences appeared in both women and men, but other, unexpected areas of the brain were also active, including left hemisphere activa- tion for women when they performed the spatial task. Unexpectedly, men’s performance was equal to women’s on a working memory task, but men’s brains showed a higher level of activation during the task (Bell, Willson, Wilman, Dave, & Silverstone, 2006). Both men’s and women’s left hemispheres were more active during a verbal task (Baxter et al., 2003), but women’s right hemispheres were also active during this task. However, an analysis of activation of left hemisphere and right hemisphere function (Nielsen, Zielinski, Ferguson, Lainhart, & Anderson, 2013) showed networks of interconnectivity in each hemisphere that shared similarities from person to person but no gender differences.

Do such results suggest that men and women use their brains differently? Possibly, but the studies also tend to show that the patterns of activation are more similar than not and that some male or female brains do not react in the pattern that is typical for their sex. These results present a complex picture of brain function, which is summarized in Table 7.4 . Neu- roscientist Lise Eliot (2009, p. 5) commented, “The reality, judging by current research, is that the brains of boys and girls are more similar than their well-described behavioral dif- ferences would indicate.”

188 Intelligence and Cognitive Abilities

Researchers have concentrated on gender differences to try to understand the intricacies of how brains function. Many of these research projects have become headlines that have sensationalized small distinctions, leaving people with the impression that hormones or brain structures produce large, important gender differences in cognition. The evidence indicates that, under some circumstances, men’s and women’s brains (on the average) function differ- ently. The variation from person to person is much larger than the contrast between women and men. However, the research indicates that hormonal and functional brain differences are capable of infl uencing cognitive performance in men and women.

Evidence for Other Sources of Gender Differences

Although many people have a tendency to think in terms of either biological or environ- mental infl uences, almost all current researchers accept that both contribute to cognitive performance. Furthermore, separating biological from environmental factors is virtually impossible. Therefore, the list is extensive for other sources of gender differences in cogni- tive performance.

Training and experience play an obvious role in cognitive performance. An example of this effect appeared in a study of spatial performance in secondary school students (Tlauka, Williams, & Williamson, 2008) that examined differences not only among boys and girls but among individuals in each group. The results indicated that students who participated in physical education showed better spatial performance than those who did not. A second study (Roberts & Bell, 2000) showed that men’s advantage on a spatial task disappeared when the women in the study were allowed to familiarize themselves with the computer that was part of the study before they performed the mental rotation task. Another study (Scali, Brownlow, & Hicks, 2000) suggested that the gender difference in spatial task performance could be erased by the directions that researchers give to participants. When these research- ers told the participants that accuracy was very important, gender differences appeared, but other instructions failed to produce the expected male advantage. All of these studies suggest that performance on spatial tasks—the type of task on which the largest gender difference appears—can change with experience and with instructions.

Another environmental factor that is capable of affecting cognitive performance is stereo- type threat , a term originated by Claude Steele (Steele & Aronson, 1995). As discussed in Chapter 3 , stereotype threat describes situations in which the presence of negative

Table 7.4 Patterns of Brain Activation in Women and Men during Various Tasks

Type of Task Activation Pattern Higher Activation Occurs in

Performance Advantage

Verbal memory Higher brain metabolic activity Women Yes

Verbal task Left hemisphere more active Both No Right hemisphere active Women No

Spatial task Right hemisphere more active Both No Left hemisphere active Women No

Verbal rhyming task Left hemisphere active Both No Right hemisphere active Women No

Mental rotation Activation in three lobes of cerebral cortex Both No

Working memory Right hemisphere more active Men No

Intelligence and Cognitive Abilities 189

stereotypes affects the performance of those to whom the stereotype applies. Many studies have indicated that stereotype threat is a factor in women’s poorer performance in math- ematics, but the effect applies to a wide variety of situations. For example, the performance of college women was worse on a math test when they heard that men do better on this type of test, but men’s performance declined when they heard that Asians outperform Whites (Smith & White, 2002). Stereotype threat also applies to performance on a mental rotation task (Burns, Peterson, Bass, & Pascoe, 2002), and women with a feminine gender role orientation performed more poorly on a spatial task when the task was described as a spatial task than when the same task was presented as an empathy task (Massa et al., 2005). However, women’s performance on a mental rotation task increased when they were reminded of their status at the selective private school they attended (McGlone & Aronson, 2006).

Thus a variety of experiences, instructions, and expectations contribute. These factors form a complex interaction with biological factors infl uencing behavior and behavior infl uencing biology (Halpern, 2004). In addition, the factors that infl uence academic choices are critically important. Choices are rooted in a cultural setting infl uenced by gender roles and stereotypes, parental pressure, and teacher perception. Table 7.5 sum- marizes biological and experiential factors that may infl uence performance on cognitive tasks. Most researchers agree that both factors are infl uential.

Implications of Gender-Related Differences As reviewed in previous sections of this chapter, gender-related differences in cognitive per- formance are small. These small differences should mean equally small differences in scho- lastic and occupational achievement for which these abilities are required, as well as small differences in confi dence in mental abilities. Instead, there are large contrasts in the choices that men and women make concerning careers and also in their confi dence in their abilities. These choices and levels of confi dence may be mediated through social beliefs about the abilities of men and women. People’s behavior may be more closely related to their images of what men and women can do than to what women and men actually do.

Misunderstandings of gender research have contributed to these images. Hyde (2005b) has discussed the ways in which research on gender-related cognitive differences has led to erroneous beliefs about these abilities. Her meta-analyses have been important in dem- onstrating that the magnitude of these distinctions is small and appear to be decreasing. These small differences mean that a factor, such as gender, that accounts for 1% of the variance in an ability leaves 99% of the difference in that ability due to other factors. Figure 7.5 presents two distributions of scores that have a 99% overlap, leaving a 1% difference. This fi gure shows how similar the two distributions are. If 1% of the variance

Table 7.5 Proposed Biological and Experiential Infl uences on Cognitive Performance

Possible Biological Infl uences Experiential Infl uences

Evolution has built different brains for women and men

Familiarity with experimental equipment boosted women’s performance on a spatial task

Prenatal testosterone exposure changes developing brains

Stereotype threat decreased performance on gender- stereotypical tasks

Brain imaging technology shows women’s and men’s brains function in some different (and many) similar ways

Participation in physical education and playing video games improves spatial performance for both sexes

190 Intelligence and Cognitive Abilities

in verbal ability were due to gender, we would not know much about any specifi c person’s verbal ability by knowing that person’s gender, because too much variation in verbal ability would be due to other factors.

Stereotypes based on gender differences in these cognitive abilities will lead to incorrect conclusions about the abilities of men and women, because women and men vary more from one person to another than from one gender to another. With only a small percent- age of the variance attributable to gender, individual differences overwhelm any gender difference.

However, even small differences can have larger implications, as one computer simulation study showed (Martell, Lane, & Emrich, 1996). Researchers created an organization with eight employment levels. A computer algorithm then simulated promotion based on ability within this hypothetical organization, with a 5% and a 1% difference in ability (with women having less ability than men, of course). With an initially equal number of women and men in the hypothetical workforce, the simulation resulted in 35% of the top-level jobs going to women (for the 1% defi cit). When women were given a 5% defi cit in ability, they ended up in 29% of the top-level positions.

Does this simulation mirror workplace situations? Probably not. Few cognitive abilities show as much as a 5% difference between women and men, mental rotation being an exception. Mental rotation shows about a 9% difference, which is enough to make a sizable difference for any occupation that relies entirely on mental rotation. However, none does. Indeed, no occupation relies entirely on one mental ability, and many factors contribute to workplace success (Valian, 2007). The simulation also varied from actual employment situ- ations in another respect: An equal number of men and women were hired, which is true of almost no occupation. The selection factors begin years prior to employment and result in a much greater gender inequality in most occupations than in this simulation. For example, consider the gender gap in engineering and in fashion design—engineering is dominated by men, whereas fashion design is female dominated. Both require a high degree of spatial abilities; indeed, a study of college students (Esgate & Flynn, 2005) indicated that students in fashion design showed the highest average levels of spatial abilities of any group of col- lege majors. Thus, ability is often not the most important selection factor that operates to produce gender differences in employment or careers.

Figure 7.5 An Example of Two Distributions with 99% Overlap

Note: This distribution represents differences similar to those for verbal ability in men and women.

Intelligence and Cognitive Abilities 191

People’s beliefs allow small distinctions in cognitive abilities to have a large impact. When parents, teachers, and children come to accept that boys are better at math than girls, this acceptance leads to differential expectations for math achievement. Even when achievement is similar, parents have different beliefs about the underlying reasons. Parents in the United States (Yee & Eccles, 1988) and in Finland (Räty, Vänskä, Kasanen, & Kärkkäinen, 2002) explained the mathematics success of their sons in terms of natural talent and their daughters in terms of hard work. The belief that math achievement is due to a “gift” for the topic is a dangerous one, leading teachers, parents, children, and the general public to judge who should pursue the subject and the careers that rely on math (Dweck, 2007). These beliefs affect the attitudes that individuals hold concerning their abilities and the choices that girls and boys make concerning their elective math courses, which may create lifelong consequences for attitudes toward the subject as well as career options. Although the gender-related differences in cognitive abilities are small, people’s acceptance throughout society magnifi es these differences.

In summary, meta-analysis has shown that the magnitude of gender differences is small for verbal, quantitative, and spatial abilities. Gender differences in these three areas account for between 1% and 5% of the variation, which is smaller than variations from person to person. However, the gender stereotyping of cognitive domains has magnifi ed small differences, thus perpetuating the belief that gender-related differences exist and that there are large contrasts in the abilities of women and men.

Considering Diversity

Most of the studies on cognitive abilities have focused on European Americans in the United States, and many imagine that these results apply to other groups. Cross-cultural research indicates otherwise. Studies on various ethnic groups in the United States and research in other countries have indicated that cognition varies with culture. Indeed, cultural variations may be larger than those related to gender.

Some cultures show patterns of spatial performance similar to those in the United States. For example, males showed better performance than females in Japan, Ecuador, and Ire- land (Flaherty, 2005), in Ghana and Norway (Amponsah, 2000), in Kuwait (Alansari, Deregowski, & McGeorge, 2008), and in a worldwide study of 53 countries (Lippa, Col- laer, & Peters, 2010). However, spatial performance varied among the cultures. For exam- ple, people in Ecuador scored lower than those in Japan and Ireland (Flaherty, 2005), and students in Japan scored higher than those in Canada (Silverman, Phillips, & Silverman, 1996). Indeed, the women in some cultures scored higher than the men in other countries, indicating that variations exist across cultures even when the pattern of gender differences is similar to that found in the United States.

A program of cross-cultural research on gender differences in spatial perception has revealed large cultural distinctions. One result from the Auca Indians, a Stone Age culture living in the Amazon basin (Pontius, 1997b), revealed a very dissimilar pattern of gender differences in spatial performance from that in the United States. In this culture, the women outperformed the men in block design tasks in which U.S. men have an advantage over women. Boys and girls in northwestern Pakistan perform similarly in spatial abilities. A study of children in eastern Ecuador (Pontius, 1997a) failed to fi nd gender differences in a mental rotation task. A study with Norwegian sixth-grade students (Manger & Eikeland, 1998) also failed to reveal gender differences in spatial visualization. Therefore, a variety of cultures fail to show the gender contrasts typical of those in the United States.

Richard Nisbett (2003) also questioned the universality of gender differences in cognitive processes, concentrating instead on the contrast between Western and Eastern cognitive

192 Intelligence and Cognitive Abilities

styles. Nisbett argued that a long tradition of analytic, individualistic thought in Western cultures and a similarly long tradition of holistic, relational thinking in Eastern cultures has produced very distinct ways of thinking. He described studies that demonstrated a tendency among people in China, Japan, and Korea to notice and remember a wider variety of things in a picture, to be more infl uenced by the context of an event, and to have diffi culty in separating the situation from the person. This dependence on situation led to poorer per- formance on the rod-and-frame test, one of the tests for spatial performance, than that by people in the United States (Ji, Peng, & Nisbett, 2000). A comparison of people from two Western countries (United States and Germany) and two non-Western countries (Russia and Malaysia) supported cross-cultural differences by revealing that the people from Russia and Malaysia had more trouble seeing fi gures embedded in a drawing (Kühnen et al., 2001). Nisbett (2003) contended that his research has isolated few gender differences that are as large as cultural differences in cognitive processes.

Summary

The assessment of intelligence and cognitive abilities has a long history in psychology, dating from the development of the intelligence test. The Stanford-Binet, an early intelligence test, showed no gender differences, but the Wechsler tests revealed advantages on verbal tasks for women and girls and advantages in performance tasks for men and boys.

Assessing gender differences in various types of cognitive performance is complicated by the defi nition of what the assessments measure, and verbal, mathematics, and spatial per- formance have all been defi ned in various ways. Despite the stereotypical views of women’s advantage in verbal abilities and men’s advantage in mathematics and spatial performance, the research shows a more complex picture. Women and men have advantages and disad- vantages in each of these categories, depending on the skill. Individual differences are much more important than gender in each of these cognitive abilities.

The verbal advantage that was once associated with women is not only small but also disappearing, except for performance on writing tasks, which remains large. Boys and men perform better on a few standardized mathematics tests, but girls and women make better math grades. Men show a large advantage in performing spatial visualization and mental rotation tasks and an occasional advantage on spatial perception tasks, but women show advantages on tasks of perceptual speed and memory for placement of objects. Therefore, any conclusion about a male advantage in spatial ability is overly simplistic.

Other cognitive abilities show no gender-related differences. These abilities include learn- ing and memory, creativity, musical ability, and the ability to read nonverbal cues. Some studies have shown gender differences in these abilities, but these studies have fallen along gender-stereotypical lines. Studies on wayfi nding have revealed variations in strategies, with women preferring landmarks and men preferring position orientation as the way to navi- gate. These strategy differences do not give any advantage for success in fi nding one’s way, especially in real-world situations. The differential achievement for men and women in creative arts and music refl ects variance in social support and access to these careers rather than advantages in ability.

Both biological and social theories attempt to explain gender differences in cognitive abilities. The biological theories have focused on prenatal hormone exposure and their effects on developing brain structures. The results from brain imaging studies suggest that gender variations exist in patterns of brain activity, but few differences appear in performance.

Theories that emphasize the social aspects of gender-related cognitive differences hypoth- esize that biological distinctions become magnifi ed and selected through cultural and

Intelligence and Cognitive Abilities 193

experiential processes, producing larger variations in women’s and men’s choices than in their abilities. Beliefs in ability differences and the choices women and men make have huge implications for their lives.

Studies of other cultures and other ethnic groups have revealed that the advantage for men in mathematics and spatial ability tests may be the result of testing a limited group. White college students in the United States show larger gender differences, but other groups around the world vary from U.S. samples and from each other. However, cross-cultural research on cognition indicates that cultural infl uences on thought may be large.

Glossary

mental rotation a subtype of spatial ability that includes the ability to visualize objects as they would appear if rotated in space.

spatial perception a subtype of spatial ability that includes the ability to identify and locate the horizontal or vertical in the presence of distracting information.

spatial visualization a subtype of spatial ability that refers to the ability to process spatial information so as to understand the relationship between objects in space, such as the ability to see a fi gure embedded in other fi gures, fi nd hidden fi gures in a drawing or picture, or imagine the shape produced when a folded piece of paper is cut and then unfolded.

spatiotemporal ability a subtype of spatial ability that involves judgments about moving objects in space, such as making a judgment about when a moving object will arrive at a target.

Suggested Readings

Ceci, Stephen J.; & Williams, Wendy M. (2010). Sex differences in math-intensive fi elds. Current Directions in Psychological Science, 19 (5), 275–279. This article examines women’s lower participation in math and related fi elds and proposes that choice, not

ability, is the underlying reason.

Halpern, Diane F. (2012). Sex differences in cognitive abilities (4th ed.). Mahwah, NJ: Erlbaum. Halpern’s examination of gender differences in cognition is not an easy read, but it is comprehensive, careful,

and critical, integrating theory and research fi ndings with a dedication to being thorough rather than adhering to any specifi c ideology.

Hyde, Janet Shibley. (2005). The gender similarities hypothesis. American Psychologist, 60 , 581–592. Hyde presents an analysis of all the meta-analyses that have evaluated gender differences and concludes

that the evidence supports a hypothesis of gender similarities, not differences. Those fi ndings apply to almost all types of cognitive performance, with the exception of mental rotation, which shows medium to large advantages for men.

Suggested Websites

FairTest: The National Center for Fair and Open Testing presents criticisms of standardized testing and advo- cates for alternatives. Their website include a page (http://www.fairtest.org/sat-act-bias-persist) with critiques of the SAT and ACT; other sections of the website contain analysis and criticisms of other standardized tests and objections to the growing reliance on such tests.

Those who want to experience an IQ test can do so by visiting Queendom’s website (http://www.queendom. com/tests/testscontrol.htm?s=72). Although an online assessment does not offer the validity of testing by a trained administrator on one of current versions of tests developed by Binet or Wechsler, the “Classical IQ Test” option is intended to assess the same type and range of cognitive performance.

194 Intelligence and Cognitive Abilities

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Headline: “Do Get Mad,” New Scientist , February 9, 2013

The emotion of anger does not have a good reputation. Most experts advise avoiding anger, exerting self-control, and even enrolling in anger management classes to assist in dealing with this emotion. Without much doubt, anger can be dangerous, both to those around the angry person and to the angry person. However, psychologists have discovered some positive effects of experiencing anger and some gender-related differences in who tends to experience these benefi ts (Young, 2013).

One benefi t of experiencing anger is that, in the circumstances, it may be a better alterna- tive than other emotions. Psychologist Jennifer Lerner and her colleagues (Lerner, Gonzalez, Small, & Fischhoff, 2005) investigated emotional reactions to the September 11, 2001 ter- rorist attacks on the United States and found differences in those emotional reactions. Of the nationally representative sample, some reported feeling fear, whereas others reported anger. The experience of fear tended to be associated with increased perceptions of risk and pes- simism, whereas those who felt angry were more inclined toward optimism and less toward risk. The results also showed a gender-stereotypical pattern of difference—women were more likely to experience fear, whereas men felt angry.

Does emotion fi t the gender stereotypes more closely than other gender-related behaviors? Or does the research concerning emotion offer more evidence for gender similarities?

Gender in the Experience and Expression of Emotion

Emotion has been a subject of interest to psychologists since early in the history of the fi eld. Even before psychology began, emotion was a topic of interest to philosophers. Western philosophers tended to conceptualize emotions as irrational and to place emotion opposite the rational thought processes (Averill, 1982). This attitude shaped the rational–emotive dichotomy that persists today (and conveniently corresponds to gender stereotypes). “From the 19th century onwards, rationality and emotionality have largely become associated with the supposedly different natures of men and women, the former fi tted for productive labor and the latter for household and emotional labor” (Fischer, 1993, p. 303). This emotional double standard holds that women are more emotional than men, but this conceptualiza- tion works only by considering a restricted range of emotions—happiness, sadness, disgust, fear, and surprise.

Anger is notably absent from the list of emotions associated with women; anger is strongly associated with men. One way to conceptualize this situation is to classify the emotions associated with women as expressions of powerlessness and those associated with men as expressions of power, which fi ts with the social and economic situations of many women and men. An analysis of data about emotions in 37 countries around the world confi rmed this classifi cation (Fischer, Rodriguez Mosquera, van Vianen, & Hanstead, 2004).

Emotion 8

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The stereotypes of overemotional women and restrained men are among the most preva- lent in the United States. A study on stereotyping of emotion (Plant, Hyde, Keltner, & Devine, 2000) showed a gender bias: men were identifi ed with anger, not women. Partici- pants tended to interpret women’s reactions as sadness rather than anger and had trouble seeing women as angry, even when women’s facial expressions were clearly angry. Similar fi ndings appeared in a study of preschool children, who tended to respond to ambiguous stories by interpreting the women’s responses as sadness but men’s identical responses as anger (Parmley & Cunningham, 2008). In a study in which male and female participants judged source of the emotion of male and female faces (Barrett & Bliss-Moureau, 2009), judgments of dispositional emotionality were signifi cantly more often applied to photos of women, compared to judgments that men with similar expressions were infl uenced by recent events. That is, women were “emotional” but men were “having a bad day.” These studies demonstrate that gender stereotypes for emotionality are very strong, begin early in life, and may result in seeing men’s and women’s emotions as different, even when they are the same.

Gender differences in behavior do not guarantee differences in experience. People can experience an emotion and yet manifest no overt behavior that signals their inner experience. Paul Ekman (1984) defi ned the concept of display rules as “overlearned habits about who can show what emotion to whom and when they can show it” (p. 320). These display rules make it possible to experience one emotion and display another or to display no emotional

Photo 8.1 Display rules prohibit men from openly expressing emotions such as sadness.

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reaction at all despite the internal experience of strong emotion. In addition, the learning of display rules provides an explanation for the variability of emotion reaction from person to person and from culture to culture. The difference in display rules also may explain why angry women behave differently than angry men.

An examination of reports of emotion for a representative sample of U.S. residents showed that men and women reported experiencing emotion with similar frequencies (Simon & Nath, 2004). As Figure 8.1 shows, the specifi c emotions differed. Men reported more experi- ences of positive emotions such as excitement and calm, and women recounted more experi- ences of anxiety and sadness. No difference appeared in the experience of anger or shame, but women who lived with young children experienced more negative emotions. Differences between positive and negative emotions even appear in men’s and women’s brains, according to a meta-analysis of brain imaging studies (Stevens & Hamann, 2012).

The fi ndings from the U.S. survey (Simon & Nath, 2004) are inconsistent with the stereo- types for emotion in several ways. First, the negative effect of children on emotional experi- ence is inconsistent with one of the most cherished stereotypes: maternal instinct. Mothering and the joys of that experience are the basis for the association of women with emotionality. Second, the gender similarity in the experience of anger fl ies in the face of abundant crime

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Source: Data from “Gender and Emotion in the United States: Do Men and Women Differ in Self-Reports of Feelings and Expressive Behavior?” by R. W. Simon and L. E. Nath, 2004, American Journal of Sociology, 109, Appendix A., p. 1171.

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statistics and barroom brawls. This chapter investigates the inconsistency between gender stereotypes and fi ndings about women’s and men’s emotional experiences by examining two varieties of emotional experience: maternal behavior (a “feminine” expression of emotion) and aggression (a “masculine” expression of emotion). By examining both, we can contrast research fi ndings with the stereotypes.

The Myth of Maternal Instinct

The concept of instinct holds that an instinctive behavior is determined by biological fac- tors and is largely insensitive to environmental or situational conditions. The concept of an instinctive basis for material behavior can be traced to Charles Darwin (1872) and the 19th century. During that time, both women’s intellectual inferiority and their emotional reactions to infants and children were widely accepted (Shields, 2002). Scientifi c thought held that women could not be as intellectually developed as men because their energies were required to go toward reproduction and caregiving. Nature had suited them to focus on immediate situations rather than abstract ones (hence their intellectual inferiority) and to be more perceptive and emotional (hence their attraction to small and helpless beings). The notion that women are endowed with the urge to nurture continues today (Cole, Jayaratne, Cecchi, Feldbaum, & Petty, 2007), with men’s beliefs in maternal instinct stronger than women’s endorsement of the concept.

Among researchers, maternal instinct is not so well established. According to primatolo- gist Sarah Blaffer Hrdy (1981, 1999, 2013), observations of various primate species have changed academic opinions of mothers, fathers, and infants. Evolutionary biology places pri- mary emphasis on producing offspring and the factors related to this success, making sexual selection a prominent topic. However, success in evolutionary terms includes not only having offspring but also having offspring that live long enough to have offspring themselves, so the processes of motherhood and nurturing the young are of paramount importance. The study of nonhuman primates brings a wider perspective to the topic of mothering and parental care. Rather than aggression or a lack of male involvement, these studies have shown that male primates’ involvement with infants varies from being the primary caretaker to show- ing little interest. These observations (Hrdy, 1999, 2009) reveal little dangerous aggression toward infants from adult males within the social group (although males from other social groups can be very dangerous). Differences for paternal involvement vary enormously across species; some males formed numerous relationships with infants and young primates, even those they did not father, whereas other males of the same species were less involved with the young (Silverstein, 1993). The evidence from studies of various primate species does not offer consistent support for the concept of maternal instinct (and paternal disinterest). The behavior of primates offers no evidence for biological invariance of nurturing among females and lack of nurturing among males.

Despite the lack of support for the concept of maternal instinct, the notion has lingered longer than belief in other instincts (Cole et al., 2007). As Judith Lorber (1997, p. 13) quipped, “Believing is seeing,” so researchers tended to avoid research in this area or, if they did, had trouble accepting their own observations. One of these hard-to-convince scientists was psychologist Harry Harlow, whose research ironically provided evidence against the validity of the concept of maternal instinct.

Maternal Deprivation and Its Consequences for Nurturing

During the 1950s, Harry Harlow and his colleagues (including his wife, Margaret) con- ducted a series of experiments concerning affection and attachment—of mothers for their

Emotion 205

babies, of babies for their mothers, of fathers for their babies, of children for each other, and so forth. One of Harlow’s questions concerned the effects of maternal deprivation on children, but ethics prevented him from using humans as participants. Instead, he chose to experiment on monkeys.

Harlow’s (1971) research on maternal deprivation originated from his desire to raise infant monkeys in a controlled environment, but he noticed that isolation-reared infant monkeys behaved abnormally. They stared into space for hours, circled their cages or rocked repeti- tively for long periods of time, and repeatedly injured themselves, especially when humans approached (Harlow & Harlow, 1962). Not only did these young monkeys behave oddly when alone, they also failed to fi t into the social group; they fought more and interacted less than monkeys raised normally. They were also sexually abnormal; they appeared interested in sex but unable to mate. Thus, Harlow noticed that the experience of maternal deprivation seemed to have lingering effects on the social and sexual behavior of these monkeys.

Isolation also affected the monkeys’ maternal behavior. When the isolated female monkeys became mothers themselves, they made spectacularly poor ones. These monkey mothers were negligent and abusive, refusing to allow their infants to nurse and sometimes beating them for trying to establish physical contact. Such negligent and abusive behavior did not support the concept of maternal instinct but rather suggested that the experience of isolation from their mothers affected their nurturing behavior. This research suggests that caregiving is dependent on experience and not on instinct.

Harlow (1959) initially believed that being mothered was the critical experience that would allow a monkey to become an adequate mother, but a series of subsequent studies revealed that other social experiences could substitute. Physical contact, however, was criti- cally important in learning “mothering.” Harlow and his colleagues constructed two types of surrogate mothers, one a wire “mother” and the other a cloth-covered wire “mother.” Neither type of surrogate was very much like a real mother monkey; neither moved, held the infants, or responded to them in any way. Although the surrogate mothers were unre- sponsive, the infants were not. The infants strongly preferred the cloth-covered surrogates to the wire surrogates, even if the wire surrogate was the sole source of food. Infants nursed from the wire “mother” but clung to the cloth-covered surrogate for hours and ran to it when frightened. Harlow concluded that the cloth-covered surrogates provided some comfort that the wire surrogates could not, and he called this factor contact comfort , the security provided by physical contact with a soft, caring, or comforting object. However, even these monkeys did not become socially, sexually, or maternally normal, indicating that the cloth surrogate had failed to provide all the experiences that are necessary for normal monkey development.

Additional research showed that the experiences that promote normal nurturing and caregiving in monkeys involve contact with other monkeys. Despite the logic of modeling and imitation, such contact does not have to include the experience of being mothered. That is, being a good mother does not require being adequately mothered. Harlow and Harlow (1962) reported that age-mates can provide the social experiences necessary for normal development. The study involved separating infant monkeys from their mothers and raising them together as a group. Although these monkeys showed some abnormal behavior as infants—they clung together practically all the time they were together in their cage—these infants developed into normal adolescent monkeys. Another study in which infants were raised with their mothers but without peer contact showed that mothering alone would not be adequate for normal development; some contact with peers appeared to be essential.

Although research has demonstrated no innate, fi xed pattern of caregiving, the contention that nurturing behavior has innate components has not disappeared. Instead, that notion

206 Emotion

has been transformed into the concept of attachment . John Bowlby (1951) originated this concept, which arose from his studies of infants raised in group homes. That situation often deprived them of some elements of care, including the opportunity to form a relationship with an adult (who is often—but not always—a woman). Young humans require a great deal of care, and understanding the mutual interaction of caregiver and infant is an important fac- tor in children’s survival and well-being (Hrdy, 1999, 2009). Attachment may have compo- nents that begin during pregnancy and extend for months or years, resulting in processes of mutual attachment between caregiver and child (Hofer, 2006). Attachment is not restricted to mother–infant attachment, but can also occur between fathers and infants, or with any other members of the extended family or community who happen to be present during the critical time period, but attachment to mothers occurs more often than with others. Infants for whom this process goes wrong are at risk.

The studies by Harlow and his colleagues demonstrated that maternal behavior is not the product of instinct in monkeys. Other research has confi rmed these fi ndings for other nonhuman primates (Smith, 2005), and additional research has demonstrated similar effects in rats (Melo et al., 2006). As Table 8.1 shows, nurturing and caregiving are not behaviors that appear in all females. Instead, specifi c social experiences are necessary for the develop- ment of adequate maternal (and other social) behaviors. Without these experiences, adequate maternal behaviors fail to appear.

Gender and Caring for Children Recent research has explored hormonal involvement in mothers’ preparation to nurture. During late pregnancy, delivery, and especially nursing, hormonal changes occur that may “prime” mothers to tend their babies (Mortimer, 2007; Rilling, 2013). These hormonal events are not suffi cient to prompt maternal behavior, even in rats, so the existence of bio- logical circumstances related to mothering is not the same as maternal instinct. Indeed, the investigation of attachment need not be limited to mothers and infants but extends to a variety of relationships (Hrdy, 2009; Woollett & Marshall, 2001). However, through cir- cumstance as well as physiology, women remain the primary caregivers for children in the great majority of cultures, whereas fathers’ involvement varies (Parke, 2002). In some species and in some human cultures, fathers have virtually no contact with their children, whereas in some species and other human cultures, fathers are primary caregivers. That involvement may also provoke hormonal changes; providing care to infants tends to decrease testosterone levels in these men (Rilling, 2013).

The circumstances of childbearing and nursing place many women in continued contact with children. Indeed, this association with caregiving is the basis for the classifi cation of women as more nurturant than men (Doucet, 2006). Possible explanations for gender- related differences in nurturing behavior include responsiveness to children and pleasure in

Table 8.1 Types of Deprivation and Effects on Nurturing in Monkeys

Type of Deprivation Adequacy of Nurturing

No deprivation—contact with mother and peers Normal

Complete isolation Inadequate and abusive

Wire or cloth “mother” Inadequate

Contact with mother only Inadequate

Contact with peers but not with mother Normal

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taking care of children. That is, perhaps girls and women respond more quickly and strongly to children or derive greater satisfaction from caring for children than men do, or both.

Gender differences in responsiveness to babies appear by age 3 (Blakemore, 1998) and increase throughout childhood (Melson, 2001). Many of the studies that have reported gender differences in responsiveness to babies relied on self-report measures that are subject to biases from expectation (Berman, 1980), but some studies have measured behavioral reactions. One study (Melson & Fogel, 1988) found that preschoolers’ interest in babies was similar before age 4, but with age, involvement with an infant in a play situation increased for girls and decreased for boys. In a naturalistic situation, girls showed more interest and nurturance toward babies than boys did, even at age 3 (Blakemore, 1998). This pattern was stronger for boys whose parents held traditional gender roles than for boys with more egalitarian parents. Therefore, parental and social encouragement is clearly a factor in respon- siveness to infants.

Girls’ responsiveness to babies may not refl ect a complete picture of nurturance. Boys tended to care for and nurture pets as they became less interested in babies (Melson, 2001). This behavior may represent the tendency for boys to become aware of the gender role they should follow, which does not include caring for babies. Boys still have the capacity to be nurturant caregivers, which they express by their feelings for and behavior toward pets. Boys may have the same capacity to nurture as girls but express it in different ways.

Women perform the vast majority of child care, which complicates comparisons of the pleasure that women and men derive from these activities. Although some fathers are involved in all aspects of child care, the accepted role for fathers is helper; moth- ers perform primary caregiving. Between 1965 and 2000 fathers in the United States approximately tripled the time they spend in child care (Wang & Bianchi, 2009), but the manner in which they interact with their children have remained much the same— fathers are playmates (Lafl amme, Pomerleau, & Malcuit, 2002). Thus, contrasts of the pleasure of nurturing experienced by mothers and fathers are not based on a direct comparison of the satisfaction each derives from specifi c caregiving activities, but rather on a comparison of their roles as mothers or fathers and the type of caregiving each provides. Within the context of these differences, men’s experience is more positive than women’s (Larson & Pleck, 1999). However, men have few models for being involved fathers (Maurer & Pleck, 2006) and feel the strain of trying to construct a fathering role in which they become the type of father they want to be, which often is at odds with their role as breadwinner and societal expectations for masculinity (Doucet, 2006; Silverstein, Auerbach, & Levant, 2002). Although societal approval for involved fathers has increased, the approval is not unanimous for fathers who perform the majority of caregiving for their children (Gaunt, 2013).

The time and effort mothers spend in child care lead to feelings of both satisfaction and dissatisfaction (Renk et al., 2003). The experience of involvement in parenting, coupled with their feelings on the social value of nurturing children, produce satisfaction; the loss of freedom and the irritation of attending to the demands of small children can lead to dissat- isfaction. In addition, many mothers held expectations that their partners would participate more fully in child care than they did, which led to feelings of being burdened. Indeed, the experience of greater negative emotionality among women is attributable to the presence of young children in the household (Simon & Nath, 2004).

Traditional gender roles are often enacted in child-care situations, but gay fathers experi- ence child care with the gender factor removed. The majority of gay fathers are men who have fathered children in heterosexual relationships. These men do not often get custody of their children, but an increasing number of gay couples are adopting or choosing sur- rogacy in order to become fathers (Giesler, 2012; Miller & Ramirez, 2009). These men are

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Gendered Voices : If Men Mothered

“I think that men could do as good as women at taking care of children,” two college students told me. Both the young man and the young woman said that they believed that women have no instinctive advantage in nurturing children. Both of them said that the dif- ferences were due to experience rather than inherent biological factors. Indeed, both said that they believed there were few differences in ability to care for children.

“Well, men can’t breast-feed,” the young man said, “but I think that is about the only advantage women have except for experience. They have a lot more experience in caring for children. Girls babysit, and boys don’t.” He knew how diffi cult it was for men to get experience caring for young children because he had attempted to obtain such experi- ence. He had volunteered to care for the young children in his church while their parents attended the service and had answered advertisements for babysitters. Neither of these efforts had met with enthusiasm from others; he had gotten the impression that want- ing to care for children was considered odd for a man. He considered the possibility that people might think he was a pedophile, when all he really wanted was to learn to be more nurturant.

“I think if men were responsible for caring for children, there would be more changes in men than in children. If men had to learn to care for children, then they would. It wouldn’t be automatic, because they don’t have the experience, but they could learn. I don’t believe in maternal instinct—that women have some innate advantage over men in caring. But women do have more experience, and men would have to learn the skills they lack.

“Men would learn to care for children if they had to, and they would become more nur- turant in other aspects of their lives, maybe even in their careers. They might not care so much about competition and high-status careers.”

The young woman had a slightly different view: “I think that the children would be dif- ferent. This opinion is based on my own family and the differences between my mother and my father. My father was more willing to let us be on our own, but my mother was more involved. My mother took care of us, but my father let us make our own decisions. Maybe that wouldn’t be good for young children, but I think I would have learned to be more self- reliant with my father’s style of caretaking. But maybe if he had been the one who had to look out for us, he would have been as protective as my mother was.”

highly motivated to become fathers, and they place a high value on relationships with their children. Without an automatic division of gender roles, gay fathers struggle with devising a “degendered” system of child care. They tend to divide child care more evenly than do heterosexual couples and to be more satisfi ed with this division of labor. Contrary to general beliefs, gay fathers are as able as heterosexual fathers to parent and to help their children develop (Armesto, 2002).

Studies of heterosexual (Combs-Orme & Renkert, 2009; Risman, 1989) and gay (Giesler, 2012) fathers who were major caregivers for their children revealed fathers whose feelings and behavior were similar to those of women who provided similar levels of care—satisfaction and frustration. Therefore, the greater pleasure that women derive from caring for children is likely a function of their greater involvement with their children, and men who have similar levels of involvement experience similar feelings.

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If no instinctive force compels women toward and men away from nurturing, why, then, have men been involved so little in caring for children? Powerful social forces operate to pre- vent fathers from becoming more intimately involved with their children. In industrialized societies, fathers hold the role of breadwinner, which usually takes them outside the home and away from their children’s lives (Maurer & Pleck, 2006). The traditional pattern of the male breadwinner who is a distant, uninvolved father has undergone changes over the past 40 years (Pleck & Pleck, 1997), but the well-publicized image of the “new” father who is involved with children’s upbringing is an overstatement for most families; mothers provide substantially more care than fathers do (Finley & Schwartz, 2008; Wood & Repetti, 2004). Men and women who hold traditional gender role ideologies tend to believe that child care is “women’s work,” which makes the men reluctant to participate and the women reluctant for their husbands to do so (Gaunt, 2013; Wood & Repetti, 2004).

Fathers are now more involved with their children than in past decades, and an increas- ing number of fathers feel motivated to be more intimately involved in their children’s lives (Cook, Jones, Dick, & Singh, 2005). For these men, few institutional supports exist to help them become more involved in child care, but many barriers prevent increased involvement (Doucet, 2006), especially for gay men who want to be fathers (Giesler, 2012). Their child- hood socialization tends to push them away from learning how to care for children, which leaves men feeling less capable of child-care tasks (Sanderson & Sanders Thompson, 2002). Being male in the world of young children makes some men feel as though they are moving through “estrogen-fi lled worlds,” which are unfamiliar territory (Doucet, 2006, p. 696). Nevertheless, research indicates that the children, mothers, and fathers all can benefi t from positive involvement by fathers in their children’s lives (Maurer & Pleck, 2006; Pleck, 1997).

The Prominence of Male Aggression

Aggression has also been attributed to instinct. This conceptualization includes gender dif- ferences, with explanations of an evolutionary advantage for male aggression (Dabbs, 2000). The standard version says that during human prehistory, while the women were at home caring for the children, the men were out hunting and defending the group against various threats. In both the hunting and the defending, aggressive actions were adaptive and even essential. Thus, women became passive homebodies and men became aggressive conquerors.

This view of human prehistory may be fi ctionalized, based more on the theorists’ personal views than on prehistoric human behavior. There have been questions about both the idea of female passivity and the notion of the adaptive advantage of aggression (Hrdy, 1981, 1999; Weisstein, 1982). Women in the hunter–gatherer societies of prehistory probably not only gathered plants for food but also participated in small-game (and perhaps even large-game) hunting, thus making them essential contributors to their groups’ food supply and far from passive. As for aggression, it can offer advantages if directed at the proper targets outside the group, but it can also be disruptive and dangerous within a group (de Waal, 2000). The men in these societies must have needed to become selectively rather than pervasively aggressive; natural selection would not favor those who were aggressive in all situations.

A defi nition of aggression turns out to be diffi cult to formulate in completely behavioral terms. The defi nition that human aggression is behavior directed toward another person intended to cause harm (Anderson & Bushman, 2002) relies on the intention of the aggres- sor and thus is not entirely behavioral. This diffi culty in defi nition is not confi ned to theo- rists and researchers; not all people agree on which behaviors should be included and which consequences of these behaviors constitute harm, but intention is important to people’s assessment of aggression (Krieglmeyer, Wittstadt, & Strack, 2009). Actions such as hitting, kicking, and biting obviously fi t into the defi nition of aggression, but aggression can cause

210 Emotion

not only physical but also psychological harm. The terms relational aggression and social aggression have been applied to behaviors that harm others through damage to personal relationships, such as sulking, group exclusion, or the “silent treatment.” Indirect aggression is a term applied to harm created through indirect means, such as arranging for someone to be blamed for a serious mistake at work or mocking someone’s actions (Bjorkqvist, 1994). Despite the difference in terminology, these concepts are similar (Archer & Coyne, 2005).

Anger and Aggression

Anger and aggression seem intimately related: Anger is the internal emotion; aggression is its behavioral reaction. However, the connection is not inevitable; a person can experience anger and take no action, aggressive or otherwise, but a person can also act aggressively without feeling anger, such as the careful planning of harm to another for personal benefi t (Anderson & Bushman, 2002).

Several types of investigations have explored people’s experience of anger and the con- nection to aggression in laboratory experiments, interviews, and surveys. Interviews and surveys have the advantage of tapping into personal experiences in ways that laboratory experiments cannot, but both have the disadvantage of relying on self-reports and lacking direct measurements of either anger or aggression. Several such studies have concentrated on children and their experience of anger. One study (Peterson & Biggs, 2001) asked 3-, 5-, and 8-year-old children about emotional situations, including anger. Five-year-old boys were most likely to label anger, and both girls and boys were more likely to label anger than any other emotion.

Similar to the fi ndings from studies with children, self-reports of anger in adults have revealed surprisingly few gender differences. Surveys of adults in eight European countries (Scherer, Wallbott, & Summerfi eld, 1986), in 37 nations around the world (Fischer et al., 2004), and community residents (Averill, 1982) and college students in the United States (Taylor & Risman, 2006) found no gender differences in the reported frequency of anger. An analysis of meta-analyses (Archer, 2004) confi rmed these fi ndings. The targets of anger, however, varied by gender and by relationship with the angry person. For example, women in countries with a great deal of gender inequality were more often angry with strangers than people with whom they had close relationships, but the pattern was the opposite for women in cultures with greater gender equality (Fischer et al., 2004). In general, women experienced more anger in more egalitarian societies, which is consistent with the notion that anger is an emotion of the powerful.

The tendency for women to cry when they feel angry appeared in the cross-cultural survey of emotion (Fischer et al., 2004), in a study of adolescents and emotional expression (San- tiago-Menendez & Campbell, 2013), and in a qualitative study in which women explored their emotions (Crawford, Kippax, Onxy, Gault, & Benton, 1992). In countries around the world, women cry more often than men (van Hemert, van de Vijver, & Vingerhoets, 2011). For women, crying is a common expression of emotion, even in response to anger. Girls are allowed to cry as an acceptable means of expressing anger, whereas physical aggression is less acceptable. However, crying is discouraged among boys, and men are much less likely to cry than women (Lombardo, Cretser, & Roesch, 2001). Indeed, men often misinterpret women’s crying as sadness or grief, which would be inappropriate in situations that provoke anger. This tendency for women to cry in situations in which men would not may be a major reason that women receive the label of “overemotional.”

Gender role rather than gender may have a stronger relationship with anger and the expression of anger. Masculinity (rather than being male) showed a relationship to the expression of anger and aggression, and femininity (rather than being female) was related

Emotion 211

to the suppression of anger (Kopper & Epperson, 1996). Masculinity was also important in men’s fear of emotion, with more masculine men showing greater fear of emotion (Jakupcak, Tull, & Roemer, 2005). Masculinity also related to higher levels of anger and to expression of hostility. Emotional skillfulness mediates the expression of aggression (Mansfi eld, Addis, Cordova, & Dowd, 2009). These studies show the importance of the traditional male gender role in anger and how anger becomes an accepted emotion for men, whereas other emotions are not.

In summary, the relationship between anger and aggression is far from automatic, with feelings of anger occurring far more often than acts of aggression. Of the studies that have explored gender differences in the experience of anger, few have confi rmed the stereotypes. Instead, these studies have shown that men and women both experience anger. Other studies have indicated that gender roles—more than gender—show a relationship to anger and emotion.

Developmental Gender Differences in Aggression

Understanding aggression during the early months and even early years of life is very diffi cult because what counts as aggression in an infant is virtually impossible to defi ne and observe. Researchers have observed various behaviors, beginning with children’s activity level during infancy. Some studies have failed to fi nd a gender difference in activity level, but Maccoby and Jacklin’s (1974) review concluded that boys showed higher activity levels than girls. Maccoby and Jacklin found little evidence for gender differences in aggression in early childhood, but an examination of peer interactions in children between 9 and 36 months old (Hay et al., 2011) showed that girls were more aggressive than boys initially. However, both used force in confl ict interactions, and boys’ aggression outpaced girls’ aggression by age 24 months. Studies during early childhood are most often based on observation, and observers tend to demonstrate gender biases in evaluating what counts as aggression in children (Ostrov, Crick, & Keating, 2005), which may be a biasing factor in these studies of early childhood. A review of meta-analyses on aggression came to the conclusion that gender differences in physical aggression appear early during childhood and persist throughout adulthood (Archer, 2004).

Another way to understand the development of aggression is through longitudinal research—in studies that test the same group of people over many years. Several longitudi- nal studies have focused on aggression, including early childhood in Canada (Baillargeon et al., 2007), childhood to preadolescence in Canada (Côté, Vaillancourt, LeBlanc, Nagin, & Tremblay, 2006), childhood to middle age in Finland and the United States (Kokko, Pulk- kinen, Huesmann, Dubow, & Boxer, 2009), and three generations of participants in the Columbia County Longitudinal Study in the United States (Dubow, Huesmann, & Boxer, 2003; Eron, 1987; Huesmann, Dubow, & Boxer, 2011; Huesmann, Eron, Lefkowitz, & Walder, 1984; Lefkowitz, Eron, Walder, & Huesmann, 1977). These studies employed mul- tiple methods of assessing aggression, including not only observation but also reports from the participants as well as from parents, teachers, and peers.

The results from all four longitudinal studies revealed several commonalities. First, aggres- sion tends to decrease over development; younger children show higher levels of aggression— especially physical aggression—than older children. This fi nding may seem counterintuitive; people appear to become more aggressive, especially as they reach adolescence, but this con- clusion is not correct. As they mature into middle childhood, children become increasingly capable of controlling their aggression, and most do so (Côté et al., 2006).

Second, some children exhibit a higher degree of aggression than other children, and these individuals exhibit a stable, high level of aggression from childhood to adulthood. This stability maintained for both boys and girls, but boys were more likely to be classifi ed

212 Emotion

in the group with the highest levels of aggression (Côté et al., 2006; Lefkowitz et al., 1977) and with more stable aggression from childhood to adulthood (Huesmann et al., 2011; Kokko & Pulkkinen, 2005). These aggressive children tended to see themselves as aggres- sive, rated others as such, and saw the world as a dangerous place in which aggression was an appropriate response.

Third, parenting styles relate to the development of aggression in children. Parents who were less nurturant and harsher in their discipline tended to have children who behaved more aggressively than the children brought up by more nurturant and acceptant parents (Côté et al., 2006; Huesmann et al., 2011). Aggressive adults tend to use parenting strategies that create aggressive children, propagating a cycle of violence. Table 8.2 shows the stability of aggression among the participants in the Columbia County Longitudinal Study, the longest of the longitudinal studies.

A component of the Columbia County Longitudinal Study (Eron, Huesmann, Brice, Fischer, & Mermelstein, 1983) investigated the infl uence of watching violent television programs. The researchers found that the violence on television acted as an effective model for aggressive children. Indeed, the preference for violent television programs at age 8 was a good predictor of how aggressive the male adolescents would be at age 19. Two additional longitudinal studies demonstrated a relationship between preferences for violent television programs during childhood and aggression during adolescence (Boxer, Huesmann, Bush- man, O’Brien, & Moceri, 2009) and during young adulthood 15 years later (Huesmann, Moise-Titus, Podolski, & Eron, 2003). Those children who were most strongly infl uenced saw the TV violence as more realistic and also tended to identify with the aggressive televi- sion characters. Both boys and girls were subject to this infl uence.

From early in the lifespan, boys and men exhibit higher levels of physical aggression than girls and women, and these differences are higher during middle childhood and adolescence than during other ages (Archer, 2004). Girls exhibit opposition and defi ance of parents as often as boys do (Lahey et al., 2000), but they are less likely to fi ght. Boys also use higher levels of verbal aggression than girls, but girls and women exhibit similar or higher levels of social and indirect aggression (Archer, 2004). Between ages 2 and 8, some children replace the tendency for physi- cal aggression with indirect aggression (Côté, Vaillancourt, Barker, Nagin, & Tremblay, 2007).

Table 8.2 Aggression over the Lifespan

Children Identifi ed at 8 Years of Age by Their Peers as Aggressive toward Other Children

At Age 8 At Age 18 At Age 30

Had less nurturant and acceptant parents

Were still rated by peers as aggressive

Were more likely to have a criminal record

also also also

Preferred violent TV programs Rated themselves as aggressive Were more likely to abuse spouse

also also

Rated others as aggressive Were more likely to have DWI (DUI) conviction

also also

Saw the world as a dangerous place

Were more likely to have traffi c violations

also

Were more likely to use severe punishment with children

Emotion 213

The tactic of hurting others by ostracizing, excluding them from the group, and gossiping is especially prevalent among adolescent girls who exhibit high levels of aggression. Books such as Queen Bees and Wannabes (Wiseman, 2002) and the movie Mean Girls portrayed this age group and these tactics, but a meta-analysis (Card, Stucky, Sawalani, & Little, 2008) found similar levels of indirect aggression among male and female children and adolescents. During adulthood, both men and women use indirect aggression, especially in the workplace, because physical aggression is obviously unacceptable in such situations (Archer, 2004).

Both boys and girls are discouraged from being physically aggressive, but they are not held to the same standards; boys are allowed to be more aggressive than girls—“boys will be boys.” By middle childhood, both boys and girls have developed different expectations about express- ing aggression (Anderson, 2005; Perry, Perry, & Weiss, 1989). Boys expected less parental disapproval for their aggression, and both expected less parental disapproval for aggression against a boy than against a girl. Even with general parental disapproval for aggression (Valles & Knutson, 2008), children learn about circumstances under which their aggression is more acceptable and more effective, and boys learn different rules for displaying aggression than girls learn—aggression is part of the male but not the female gender role. By adolescence, the gender differences in physical aggression are even larger than during childhood, and again, parental behavior is important. Parents monitored girls’ behavior more strictly than boy’s behavior (Carlo, Raffaelli, Laible, & Meyer, 1999), and this difference was a signifi cant mediating factor in the higher levels of aggression exhibited by boys.

Boys are more likely than girls to enact the most serious types of aggression (Archer, 2004). Some girls’ violence appears in the same range as the most aggressive boys, but a study of girls in gangs (Campbell, 1993) showed that high levels of male and female violence tended to serve different purposes. Men used aggression to exert control over others, whereas women’s aggression usually represented a loss of emotional self-control. This gender difference may apply to women and men in general and represent different meanings even for similar behav- iors (Alexander, Allen, Brooks, Cole, & Campbell, 2004). The violence in male gangs is consistent with this interpretation; boys in gangs used aggression and violence to gain social recognition and to get money. Girls in gangs also used violence to create recognition, but unlike boys, they did not seek money as much as they sought to avoid becoming victims by creating a reputation for being tough. As other research has indicated (Keltikangas-Jarvinen, 2002), some groups allow and even encourage violence, and under some circumstances, aggression can have high benefi ts and low costs.

These gang girls represent an extreme, but their use of and benefi t from violence are con- sistent with the views in Young’s (2013) headline article about the benefi ts of anger—when chosen wisely and in consideration of a particular goal and situation, anger and aggression can offer advantages. For example, anger may be a healthier response than fear. People who reacted to a stressful situation with anger rather than fear tend to have a lower physiologi- cal response and a more optimistic outlook about the future than those whose emotional response was fear (Lerner, Dahl, Hariri, & Taylor, 2007).

A developmental trend occurs toward a decrease in aggression from middle childhood to young adulthood, and gender-related differences appear in the use of aggression. Boys and girls use different strategies and behaviors in their displays of aggression. Boys tend to use more confrontational, physical aggression as well as indirect aggression; girls tend to be less aggressive than boys, and their aggression is more likely to be indirect or rela- tional rather than physical and confrontational. Despite its lower frequency, aggression during adolescence and adulthood is more dangerous than childhood aggression. With their size, strength, and greater likelihood of owning a weapon, adolescent boys become more likely to use aggression that causes serious damage and violations of the law than are adolescent girls.

214 Emotion

Gender and Aggression during Adulthood

If gender-related differences in aggression decrease during development, then gender dif- ferences should be smaller during adulthood than earlier in development. Reviews of the experimental research on aggression have confi rmed these conclusions: The differences in aggression between men and women are not as large as most people imagine, but signifi cant differences exist in styles and circumstances.

Early reviews of gender and aggression evaluated large numbers of studies, but the tech- nique of meta-analysis has allowed a more systematic review of this massive research area. Indeed, a review of meta-analyses has appeared (Archer, 2004), providing an even more comprehensive picture of the fi ndings on this topic.

One early review (Frodi, Macaulay, & Thome, 1977) focused on laboratory studies and found small gender differences in aggression under controlled laboratory conditions. Indeed, when women were provoked or felt justifi ed, they became as aggressive as men. The factor of provocation was the topic of one meta-analysis (Bettencourt & Miller, 1996) that showed that gender differences decreased or disappeared with some types of provocation. For example, women do not as readily respond aggressively to insults to their intelligence as men do, but both respond similarly to the frustration of someone blocking their path in traffi c. This analysis suggested that some of the gender differences found in experimental research are due to the various provocations researchers have used. Table 8.3 summarizes

Table 8.3 Gender Differences in Situations That Provoke Anger and Aggression

For Children*

Type of Provocation Tendency toward Anger

Being hit accidentally Boys report more anger

Not being invited to a party Girls report more anger

For Adults**

Type of Provocation Tendency toward Aggression

No provocation Men respond with much more aggression in everyday contacts

Physical attack Men respond with slightly more aggression Men consider attacks more serious

Insults:

Insensitive behavior Women consider insults more serious

Condescending behavior Women respond with more aggression

Impolite treatment

Rude comments

Frustrations: Men respond with more aggression

Not able to succeed

Not able to fi nish task

Recognize own inability

Traffi c congestion

Negative feedback concerning intelligence Men respond with much more aggression Women are much less angered by this type of provocation

Sources: *Data from “Self-Reported Differences in the Experience and Expression of Anger between Boys and Girls,” by Roberta L. Buntaine and Virginia K. Costenbader, 1997, Sex Roles, 36, pp. 625–637. **Data from “Gender Differences in Aggression as a Function of Provocation: A Meta-analysis,” by Ann Bettencourt and Norman Miller, 1996, Psychological Bulletin, 119, pp. 422–447.

Emotion 215

some gender-related differences in tendencies to respond with anger and aggression for both children and adults.

When the defi nition of aggression includes the infl iction of psychological or social harm, women may be as aggressive or more aggressive than men (Archer, 2004; Card et al., 2008). These situations are more common among adults than those involving physical aggression (Bjorkqvist, 1994), so this type of aggression is important. Although not without the danger of retaliation, relational and indirect aggressions are less risky than physical confrontation, making it a less dangerous choice, especially for women. The focus on physical aggression is the major reason that research has shown men to be more aggressive than women. With more comprehensive defi nitions of aggression and in more naturalistic situations, gender differences become smaller (Richardson, 2005).

Aggression can be a very effective way of exerting power and forcing others to behave according to one’s wishes (Cassidy & Stevenson, 2005; Hawley & Vaughn, 2003). When considering aggression as a method of exerting power, women may be reasonably concerned about the potential for reprisal; the size and strength differential between men and women makes women vulnerable. Indeed, women’s reluctance to use physical aggression may relate to their fear of retaliation. Men’s tendency to use physical aggression may relate to their size advantage, training, and experiences (Sell, Hone, & Pound, 2012) and to their belief in its effectiveness as a control strategy (Campbell & Muncer, 2008). In addition, the com- patibility of aggression with the male gender role makes aggression a way to demonstrate masculinity (Anderson, 2005).

The concept of demonstrating masculinity is consistent with the reports of different experiences of aggression for women and men (Graham & Wells, 2001). A random sample of Canadian women and men reported their last experience of physical aggres- sion, and results revealed that men were more likely than women to report involvement in some sort of violence. For men, the most common report was a fi ght with another man, usually in a public place such as a bar, with men as the more common perpetrators and the more common victims of violence. For women, the most common report was a confl ict with a male partner or friend, many of which fi t the description of intimate partner violence. Women also perpetrate physical violence, but the context is often in private settings and directed toward partners or children (Caldwell, Swan, Allen, & Sul- livan, 2009; Richardson, 2005).

The dynamics of partner confl icts and the escalation to violence are complex (Eisikovits, Winstok, & Gelles, 2002; Straus, 2009; Winstok, Eisikovits, & Gelles, 2002). Studies of partner violence indicate that women initiate violence as often as men, but the outcome is not equal; women are much more likely to sustain serious injuries or to be killed in such encounters (Richardson, 2005; Straus, 2009). The context of violence makes a great deal of difference to its recognition in terms of crime statistics. Domestic violence is less likely than public violence to result in arrest, so women who commit violent acts in private are not as likely as men to be involved in the criminal justice system.

Gender and Crime

Despite fairly small gender difference in aggression, the statistics on societal aggression reveal large differences. Men commit many more criminal acts than women do, and their arrest and incarceration rates are much higher. According to the statistics for the United States (Federal Bureau of Investigation [FBI], 2014), men are about 4 times more likely than women to be arrested for various types of offenses, such as murder, robbery, van- dalism, fraud, and drunkenness. Although not all of these violations involve violence, many do; as Figure 8.2 shows, such offenses are more likely to be committed by men

216 Emotion

Gendered Voices—He Said/She Said: Intimate Partner Violence

Two studies (Eisikovits et al., 2002*; Winstok et al., 2002*) reported on men who had beaten their partners and women who had stayed with their abusive partners. The men’s stories refl ected their beliefs that they were provoked into violence and refl ected how they felt justifi ed in hitting their partners.

He said: “She starts making those faces and talking ugly, and this is expressed in a million ways.

‘You make yourself coffee, I won’t do it for you.’ So after I hit her, she becomes a real disci- plined child, just like I used to like her. After a month or two, slowly, slowly, she becomes self-confi dent again and gets out of line” (Winstok et al., 2002, p. 136).

“I am unable to beat her to death. I give her a slap and that’s all, no more than that. Just to deter her. Stop it and that’s it. She’s getting just what she deserves, no more, sometimes less, but never more” (Winstok et al., 2002, p. 135).

These abusive men told stories about trying to silence their partners’ voices. The women’s stories refl ect a different view of these violent situations. Some abused

women told stories about how uncontrollable and unpredictable their partners’ vio- lence was.

She said: “Most of the time everything is OK. But sometimes we’re sitting talking about something

and the argument starts. From the argument . . . he . . . erupts just like a volcano, he raises his voice, and then I say something, and then he raises his voice some more and then I do too. . . . And we’re screaming and arguing and not listening to each other. And it goes wherever it goes” (Eisikovits et al., 2002, p. 142).

Other women told about how they recognized and managed their partners’ escalation of violence.

She said: “I prefer not to answer him at all, because I know that if I answer back it’ll only get worse.

Slowly I understood that if I shut up his anger would be less than if I answer him back” (Eisikovits et al., 2002, p. 142).

These abused women told stories about how their abusers silenced their voices.

*Reprinted with permission from Families in Society (www.familiesinsociety.org), published by the Alliance for Strong Families and Communities.

than by women. However, increases in violent crimes committed by girls and women have occurred in more categories of crime over the past 15 years than for boys and men (FBI, 2014).

Not all crimes result in arrest, and the possibility exists that the ratio of crimes committed by men and women is closer to equal than the arrest rates suggest. Indeed, violent acts per- formed by women are evaluated differently than similar behavior by men (Anderson, 2005). However, surveys have indicated that although the reported rates of crime exceed the arrest rates, men still outnumber women in committing crimes (Steffensmeier & Allan, 1996).

Emotion 217

Crime was so strongly associated with men before the 1970s that most criminologists and offi cials in the criminal justice system assumed that crime was an almost exclusively male problem.

Prompted by the increase of criminal activity among women during the 1970s, research interests turned to female offenders. One hypothesis about this increase focused on the women’s movement—equal opportunity applied to crime—but research indicated that female offenders tended to be traditional rather than feminist in their beliefs. In addition, the increase in crimes committed by women has been attributed more to nonviolent rather than violent crimes (Small, 2000). Therefore, the gender difference in violent crime persists, and the role of gender in criminal behavior and in treatment by the justice system remains unclear (Goodkind, Wallace, Shook, Bachman, & O’Malley, 2009).

Not only are men more likely to commit acts of violence, but they are also more likely than women to be the victims of crime (see According to the Media and According to the Research). Boys are much more likely than girls to use confrontation and aggression as strategies for managing confl ict, making male-against-male violence a common occurrence and physical aggression between boys and girls less common. Despite their lower rate of

Figure 8.2 Percentage of Male and Female Offenders Arrested for Various Offenses

Source: Data from “Crime in the United States 2013,” Federal Bureau of Investigation, Table 42. Retrieved October 24, 2015, from www.fbi.gov/about-us/cjis/ucr/crime-in-the-u.s/2013/crime-in-the-u.s.-2013/tables/table-42/table_42_arrests_ by_sex_2013.xls

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ag e

A rr

es te

d

10

20

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40

50

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70

80

90

100 Men Women

M urder

R ape

R obbery

A ggravated A

ssault

B urglary

Larceny, T heft

A rson

F orgery

E m

bezzlem ent

V andalism

P rostitution

D rug V

iolation

D om

estic V iolence

D runkenness

D V

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V iolation

D isorderly C

onduct

A ll A

rrests

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86.6

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75.3

26.7

81.3

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24.9

71.7

28.3

72.1

27.9

73.5

26.5

218 Emotion

victimization, women are more likely than men to fear being the victims of crime. Early research indicated large differences, but later research (Schafer, Huebner, & Bynum, 2006) has revealed than men also fear crime victimization. Men, however, have a greater fear of being the victim of property crime. For women, the fear of sexual assault overwhelms fear of other crimes (Lane, Gover, & Dahod, 2009). Women are not the only ones who experi- ence this fear; both men and women experience concern for the safety of their female part- ners (Drakulich & Rose, 2013). These concerns are not entirely unrealistic; sexual violence toward women is common.

According to the Media . . . Women are Stalked by Crazed Killers and Queen Bees

Since the 1970s, the “slasher” fi lm has undergone several waves of popularity and continues to capture large audiences, especially among adolescents (“Horror Show”, 2006). The Texas Chainsaw Massacre was one of the early fi lms of this genre and exemplifi ed many of the common elements of slasher movies, including a maniac killer with frightening weapons stalking young women. In these movies, young women (often dressed very scantily) run screaming with fear, only to be pursued, caught, and killed. Some fi lms showed the action of stalking through the eyes of the slasher, who was always a man. Thus, slasher movies portray young female victims terrorized and then killed by men more often than other genres of fi lm (Sapolsky, Molitor, & Luque, 2003).

During the 1990s, a version of slasher movies appeared that differed from those in the 1970s and 1980s. In these slasher movies—usually sequels to earlier movies— a lone woman survives the carnage (King, 2005; Trencansky, 2001). Although this survivor is a woman, other women and men are dead, and any remaining men are completely ineffective in stopping the killing. The woman manages to overcome the menacing murderer and seeks vengeance. These “Final Girls” are strong, resourceful, and capable—that is, they adopt masculine values and behavior rather than cower in terror waiting to be slaughtered (Keisner, 2008).

Some movies portray women as menacing and even as killers—“mean girls mov- ies,” such as The Craft , Foxfi re , and Jawbreaker (King, 2005) and “crazy chick fl icks” such as Black Swan , The Roommate , and Fatal Attraction (Setoodeh, 2011). These movies feature competition, aggression, or both among girls or women. In the “mean girls” movies, the emphasis is on relational aggression, with mean girls tormenting the main character, who fi nally triumphs (often through more aggression). The “crazy chick fl icks” feature a variety of violence by unstable women directed toward men and women, but the crazy woman does not triumph—she succumbs either to violence or her own psychopathology. These movies actually feature higher levels of violence toward women than slasher movies. Thus from crazed killers to crazy chicks, girls and women are the targets of movie violence.

Emotion 219

Sexual Violence

Although women’s fears of sexual violence have some basis, the sexual assault they fear is not the most common that women experience—women fear stranger rape when sexual violence from acquaintances and intimates is a more common experience (Planty, Langton, Berzofsky, & Smiley-McDonald, 2013). Based on reported cases, only about 22% of rapes and attempted rapes are by strangers. In addition, rape often goes unreported, making the offi cial estimates lower than actual occurrences.

A classic study of U.S. college students (Koss, Gidycz, & Wisniewski, 1987) clarifi ed the rate of sexual violence. Asking both men and women about their sexual behaviors revealed that 15.4% of the women reported being raped since the age of 14, and another 12.1% reported experiences that met the legal criteria for attempted rape. These rates yielded esti- mates for rape that were 10 to 15 times greater than the arrest rates for this crime, as well as perpetration rates that were 2 to 3 times higher than offi cial estimates for the risk of rape, suggesting that many rapes go unreported. The fi ndings from this study provoked contro- versy, but subsequent research has confi rmed these fi gures. Sexual coercion and violence are common experiences, and most incidents go unreported.

According to the Research . . . Men Are More Often the Victims of Violent Crime, and Women Are Most Often Killed by Intimate Partners

In slasher movies, women are the ones who are stalked and killed by men, but most murderers are male (FBI, 2014). Men are also more likely than women to be the vic- tims of such crimes. Indeed, men are more involved in almost all types of crimes than women are, but especially violent crime. These statistics make the movie image of the maniac killer stalking beautiful young women inaccurate in several ways.

First, most people who commit murder kill people whom they know well, rather than people whom they do not know or know only slightly. This pattern is more typical of female than male murder victims. Second, most people with psychologi- cal problems are not violent. Of those people who are violent and have psychologi- cal problems, most commit crimes that lead to their prompt arrest, giving them no opportunity to continue with a series of killings. Indeed, serial and mass murder are much more common in the movies than in real life. Third, young women are not the most typical victims of violence; young African American men are disproportionately the victims of violence in the United States (FBI, 2014).

When women are the victims of violence, crazed killers are rarely the perpetra- tors. Instead, husbands and boyfriends are more likely to be the ones who harm women. Women are more likely to be assaulted or killed by men whom they love than by strangers (Heise, Ellsberg, & Gottemoeller, 1999). Therefore, the portrayal of deranged, menacing stalkers with female victims is not how most real-world violence occurs, nor is the image of the female hero who prevails over menacing criminals accurate. For most female and male victims, violence has a familiar male face.

Girls and women cause harm to others, but the situations vary from those por- trayed in movies with mean girls or crazy women. These fi lms present women enact- ing a high level of physical violence, whereas women’s aggression tends to take the form of relational and indirect aggression (Archer, 2004). Thus, the movie depictions of women as victims and women as perpetrators are both inaccurate.

220 Emotion

Not only does rape go unreported to legal authorities, many women are reluctant to tell anyone about being raped. Although this reluctance is common, women from some ethnic backgrounds are more reluctant than others. Despite a similarity in the numbers of attempted and completed rapes for African American and European American women, African American women are signifi cantly less likely to tell anyone about being raped (Don- ovan & Williams, 2002). Women from both ethnic groups had diffi culty in identifying attacks by their acquaintances as “real” rape.

Asian Americans hold more negative attitudes toward women as rape victims than Euro- pean Americans do (Lee, Pomeroy, Yoo, & Rheinboldt, 2005), especially fi rst-generation Asian Americans (Devdas & Rubin, 2007). Both Asian American men and women were more likely than European Americans to endorse rape myths, such as the myth that rape is the woman’s fault and that most rapes are stranger rape (Lee et al., 2005). Asian American men had more negative attitudes about women than any other group, so Asian American women’s acceptance of blame for rape may make them particularly unlikely to report this crime.

Rape invokes a stigma for two reasons: (1) the sexual nature of the crime and (2) the tendency to blame the victim. The stigma is even more severe when men are the victims (Doherty & Anderson, 2004), resulting in men being even less likely to report the offense than women (Sable, Danis, Mauzy, & Gallagher, 2006). Male victims of rape or other types of sexual coercion have been accorded much less attention than have female victims, partly because they are not victimized as often, and partly because of the diffi culty of accepting that men can be raped (Chapleau, Oswald, & Russell, 2008; Struckman-Johnson & Struckman- Johnson, 1994). This diffi culty applies to victimized men because men tend to blame victims more than women do (Schneider, Mori, Lambert, & Wong, 2009) and because their mascu- line self-identity is threatened by their victimization (Pino & Meier, 1999).

Despite the barriers to recognizing the situation, a growing body of research indicates that men are sexually coerced and victimized by women as well as by men in ways similar to women’s experience of coercion: through bribery, threats of withdrawal of affection, intoxi- cation, physical intimidation, physical restraint, and physical harm (Fisher & Pina, 2013; Krahé, Scheinberger-Olwig, & Bieneck, 2003). Both men and women are victims of sexual coercion, and both are censured for being victimized (Sable et al., 2006). The 9:1 ratio of female to male victimization makes women’s victimization a more urgent problem (Planty et al., 2013). In addition, women are more traumatized by coercive sexual experiences than men are (Rickert, Vaughan, & Wiemann, 2003). Therefore, a great deal of research has con- centrated on understanding the characteristics of men who rape and coerce women into sex.

Diana Scully (1990) conducted extensive interviews on convicted rapists and explored some of their motivation and attitudes. Her results revealed that the rapists had not experienced an unusually high level of treatment for psychopathology or an unusually high rate of childhood physical or sexual abuse. Their family histories were fi lled with instability and violence, but at rates comparable to other felons in the study. The rapists were able to form relationships with women, but their attitudes toward women showed a combination of beliefs: Women belong “on a pedestal” and men have the right to treat women with violence. Many of these rapists told Scully that they planned their actions because they were angry with their wives or girlfriends and wanted to do violence to some woman. These men reported that the common character- istic of their victims was their vulnerability; they were in the right place at the wrong time— usually alone somewhere at night. Their physical appearance made no difference—many of the rapists had trouble describing their victims. This disregard for appearance highlights the violence of the act and argues against a sexual motive for this type of rape.

Scully’s sample underrepresented rapists who were acquainted with their victims; acquain- tance rape is less often reported and prosecuted, and convictions are less likely than for stranger rape. The violent attack by a stranger is the vision of rape that women fear, yet the most common experience of rape is an attack by an acquaintance, termed date rape

Emotion 221

or acquaintance rape . One survey of rape and attempted rape (Koss et al., 1987) included questions that allowed participants to estimate their involvement in various types of sexual coercion. A total of 54% of the women in the survey reported some type of forced or coerced sexual activity, but only 25% of the men in the survey admitted to some level of sexual aggression. The discrepancy in the rates for men and women is not due to a few sexually predatory men, but rather to some degree of denial or failure by many men to recognize their own sexual aggression. This failure to recognize sexual aggression also occurred among the convicted rapists in Scully’s study and in a study with a representative sample of U.S. residents (Laumann, Gagnon, Michael, & Michaels, 1994). All of these researchers have found that men may have trouble recognizing their own behavior as sexually coercive.

Neil Malamuth and his colleagues (in Malamuth, 1996) have worked toward developing a model to predict sexual aggression. Drawing from the fi elds of evolutionary psychology and femi- nist scholarship, Malamuth proposed that the convergence of two factors relate to rape: (1) high levels of uncommitted, impersonal sex and (2) hostile masculinity—hostility toward and desire to dominate women. When combined, these two factors relate to men’s use of sexual coercion. Fig- ure 8.3 presents this model and the paths leading toward coercive sexuality. Malamuth’s research team has conducted several studies that support the model and its ability to predict coercive tac- tics to obtain sex, and research with Asian American and European American men (Hall, Teten, DeGarmo, Sue, & Stephens, 2005) has also confi rmed this model. Malamuth and colleagues (Malamuth, Hald, & Koss, 2012) have added pornography use as a risk factor in this model; men who consume a great deal of pornography are at increased risk to use sexual aggression.

Figure 8.3 Model of Characteristics of Men Who Are Coercive against Women

Adapted from Malamuth, Sockloskie, Koss, and Tanaka, “The characteristic of aggression against women: Testing a model using a national sample of college students,” Journal of Consulting and Clinical Psychology, 52, p. 676. Adapted by permission of Neil Malamuth and the American Psychological Association

222 Emotion

Additional research has identifi ed attitudes that support sexual violence directed at women. A sense of entitlement was one such factor (Hill & Fischer, 2001; Ryan, 2004). That is, men who feel that they are entitled to have sex, even if women refuse, are more likely to be sexu- ally aggressive. In addition, both men and women make excuses and rationalizations for men’s sexual aggression (Weiss, 2009), which allows this unacceptable behavior to continue.

In summary, male aggression is not a myth, but the notion that men are aggressive and women are passive is not true. Both genders experience similar levels of anger, but men are more likely to express their anger as physical aggression. This likelihood can be traced to different social expectations and reinforcements for aggression experienced by boys and girls. As adults, men are more likely to be violent in public, to use aggression to gain power over others, and to experience legal problems associated with their aggression. Women are more likely to be violent in private, to use indirect or social aggression, and to respond violently if they feel justifi ed in doing so and protected from retaliation. These patterns of aggression show gender-related differences, but they do not suggest that aggression is a male instinct or even a male domain.

Expressivity and Emotion

Men and women experience similar emotions but different behaviors, so might the differences be attributable to the ways that each expresses emotion? Men tend to hold negative attitudes about emotional expression (Jakupcak et al., 2005; Wong, Pituch, & Rochlen, 2006), and women reported that they express their emotions more freely than men (Simon & Nath, 2004).

The notion of large gender differences in emotional expression is possible only by using a selective defi nition of what counts as emotion (Shields, 2002). By concentrating on the emotions of fear and sadness in women and by overlooking aggression in men, women could be considered more expressive than men. This difference in expressivity can be explained by differences in display rules: Men and women are supposed to restrain displays of certain emo- tions, yet are free to show others. This selectivity reinforces gender stereotyping of emotions.

In his discussion of compliance with the Male Gender Role Identity model, Robert Bran- non (1976) listed four criteria, two of which relate to these gender differences in emotionality: (1) No Sissy Stuff, meaning men must avoid anything vaguely feminine, such as crying or fear; (2) Give ’Em Hell, meaning men are proud to display anger and aggression. (See Chapter 3 for a discussion of all four components.) The stereotype holds that men must avoid all things feminine and women are emotional; thus, the display of most emotion is prohibited. Anger is acceptable, however, because it is the essence of “giving ’em hell.” These two components are essential elements of the display rules for men, which allow women to express more of what they feel, with the penalty of being stereotyped for their display (Shields, 2002). A study about men’s and women’s expression of emotion in the workplace showed that women constrained their expressions of anger at work (Sloan, 2012). If they do not and express their emotion through crying, they become “emotional women” (Fischer, Eagly, & Oosterwijk, 2013). A meta-analysis of studies on emotion among children from infancy to adolescence (Chaplin & Aldao, 2013) confi rmed some stereotypical expression of emotion for girls and boys but also that most differences were small and that situation and age moderated those gender effects in expressing emotion. Figure 8.4 illustrates some of these differences.

Psychologists have used self-reports, observed behavior, and physical arousal to assess emo- tion. When researchers have used participants’ self-reports to measure emotion, they often fi nd that women are more emotional than men. For example, one review of self-reports of emotionality (Maccoby & Jacklin, 1974) showed that girls and women were more likely than boys and men to admit to feelings of fear and anxiety. When researchers have used observations of participants’ behavior in public, they have measured the enactment of display

Emotion 223

rules and the potential bias of observers, who may be infl uenced by the stereotypes govern- ing emotion. Such studies tend to fi nd gender differences (Eagly & Steffen, 1986). When researchers unobtrusively measure behavior in private, and such studies often fail to show gender differences (Eisenberg & Lennon, 1983).

Overall emotionality

Positive composite

Negative composite

Interest Joy at another’s

expense

Pride

Disgust

Embarrassment

Contempt

Anger

Sympathy

Shame

Anxiety

Fear

Sadness

Other positive

Surprise

Happiness

Medium to small effects

-1.00 -.75 -.5 -.25 0 +1.00+75+.5+.25

Large effects

Girl’s Expression is Higher Boy’s Expression is Higher

-.05

-.03

-.15

-.06

-.10

-.01

-.56

-.13

-.26

-.19

-.16

-.03

-.08

+.29

+.42

-.01

+.10

-.12

Figure 8.4 Gender and Children’s Emotion Expression

Source: Adapted from “Gender Differences in Emotion Expression in Children: A Meta-Analytic Review,” by T. M. Chaplin and A. Aldao, 2013, Psychological Bulletin, 139(4), p. 750.

Gendered Voices — They Put a Lot of Effort into Showing Nothing

I talked to a psychologist who had been employed as a therapist in a prison, and he told me that the prisoners exhibited what he considered to be an inappropriate level of emotion— none. He said, “I thought they put a lot of effort into showing no emotion. Their goal seemed to be to show no sign of any emotion. For example, even if they were hurt, their faces didn’t change expression. Every once in a while, I would see a slip, and a prisoner would show some sign of pain when he got hurt. I assume that they had feelings that were similar to anyone’s, but their expression of emotion was very abnormal.

“Showing no emotion didn’t mean that they let things go. They would retaliate against another prisoner who had hurt them, even if it was mostly an accident and he hadn’t meant to hurt anyone. But they didn’t show any emotion when they were hurt or when they hurt the other guy. It was part of the prison society to keep their faces like masks, showing noth- ing about what they felt, closing themselves off from the others.”

224 Emotion

Women learn a slightly different set of display rules for emotion than men do, and the behavior of both men and women tends to conform to their display rules. Thus, women should be more nurturant than men, and in self-reports and in public behavior, they are. Boys and men should not be interested in babies or responsive to them, and under some circumstances, they are not. However, boys tend to nurture pets, and men who care for children may be as nurturant and responsive as women who perform these tasks. According to these display rules, men should be more physically aggressive than women, and in self-reports and in public behav- ior (including criminal violence), they are. However, women experience anger as strongly as men do, and when they feel justifi ed (and anonymous), women are as likely to show physical aggression similarly to men. Relational and indirect aggressions involve doing harm indirectly, and women exhibit this type of aggression, sometimes more than men. Therefore, the gender differences in emotion are infl uenced by gender stereotypes, situational factors, and the social learning of display rules, not a biologically determined instinct for male aggression.

Considering Diversity

Research on diversity and emotion has tended to focus on the universals of emotion rather than on cross-cultural differences, but one study that examined ethnic groups within the United States (Durik et al., 2006) found both differences and similarities. African American, Hispanic Americans, and European American participants all held gendered stereotypes of emotions, but European Americans’ views were more gender polarized than the other groups, and gender often interacted with ethnicity. These results present a complex picture of the infl uences of gender, culture, and emotion.

A major approach to understanding the basics of human emotions and the commonali- ties across cultures has emphasized facial expressions as a refl ection of emotional experience. Paul Ekman (1984, 1992), who is the leading proponent of this position, has traced his view back to Darwin and the notion that facial expressions refl ect basic emotional experiences for humans and nonhuman animals. People’s conceptualizations of emotion are consistent with this view—people classify some emotions as basic and agree that both humans and nonhu- man animals experience these basic emotions (Demoulin et al., 2004). Ekman’s research led him to propose that at least six basic human emotions exist—happiness, surprise, fear, sadness, anger, and disgust combined with contempt.

The quest for universals has not been completely successful; a recent review (Nelson & Russell, 2013) concluded that people across the world do not consistently identify the emotions Ekman claimed were universal. The search for universals has yielded fi ndings of some commonalities but also a great deal of diversity across cultures (Eid & Diener, 2009; Elfenbein & Ambady, 2002). One important factor many researchers have considered is the dimension of collectivist versus individualist cultures. Collectivist cultures emphasize group values, the family, and group harmony, which require subordinating the self to the group. Individualist cultures value indi- vidual achievement, personal goals, and development of the self. Countries such as the United States, Canada, the countries in Northern Europe, and Australia are individualist cultures, and those such as China, Japan, Korea, countries in Latin America, and many countries in Africa are collectivist. One study that explored differences in collectivist and individualist countries confi rmed that people in individualist countries (United States and Australia) experienced more pride, whereas those in collectivist cultures (China and Taiwan) felt more guilt (Eid & Diener, 2001). An extension of this research to collectivist cultures in Africa (Kim-Prieto & Eid, 2004) revealed that guilt was valued in the more collectivist cultures, but pride and contentment were more highly valued in collectivist cultures in Africa than in Asia. Both culture and gender infl uenced the regulation of emotion in China and the United States (Davis et al., 2012). Thus, cultural variations appear, even within the classifi cation of collectivist and individualist cultures.

Emotion 225

Some cross-cultural research (Scherer et al., 1986) included gender comparisons and revealed the expected stereotypical gender differences—women reported more expressions of emotion than men—but the differences were small. This survey also revealed some evi- dence against the emotional stereotypes associated with various countries: The English were very talkative rather than reticent, the Italians were very concerned with achievement rather than personal relationships, and the Swiss were very emotional rather than very reserved.

Some surprising differences appear in studies of anger, which is one of the “basic” emo- tions. The acceptability of anger differs substantially across cultures, and the association of anger with masculinity is not universal. For the Utku Eskimos, anger brings shame; it is considered dangerous, and its display is completely unacceptable for adults; children learn to avoid this emotion. The Vanatinai also believe that anger and aggression are unacceptable (Lepowsky, 1994). The inhabitants of this small island society in the South Pacifi c near New Guinea value independence and assertiveness but fi nd physical aggression shameful; adults who commit such acts are thought to be out of control and embarrassing to their families. Fighting is rare, but women are somewhat more likely than men to be physically aggressive. However, women are not allowed to participate in warfare or use spears. This society holds different display rules from Western societies, placing women rather than men in the role of displaying aggression.

The cross-cultural search for emotional universals has yielded fi ndings about similari- ties across cultures—the types, the antecedent situations, the labels used, and the physical reactions and facial responses people exhibit (Elfenbein & Ambady, 2002). However, when considering which emotions are valued and acceptable, large cultural differences exist. For example, emotions associated with power, such as anger and contempt, were less acceptable to Japanese participants than to participants in Canada or the United States (Safdar et al., 2009). In addition, the situations that prompt emotion and the contexts in which displays of emotion are appropriate show very large cultural differences. Cultures vary both in restricting and in prescribing the display of emotion—who should express what emotion under what circumstances: “Although there are universal patterns of expressive behavior, there also are culture-specifi c behavior modes, deriving from culture-specifi c models and from culturally based expectations regarding behavior that is appropriate under particular circumstances” (Mesquita & Frijda, 1992, p. 199). People may all feel the same emotions, but they do not express them in the same ways or under the same circumstances.

Summary

The stereotype of gender and emotion presents women as emotional and men as rational, but research on the different components of emotion has revealed that there may be few gender differences in the inner experience of emotion. Gender differences stem from how and when emotion is displayed.

The notion that some emotions are the result of instincts can be traced to Charles Darwin’s theory of evolution. In psychology, the explanation that emotion is instinctive has faded, with the exception of beliefs about a maternal instinct and an instinct toward aggression. Belief in a maternal instinct has continued, although research by Harlow and his colleagues demonstrated that experience was critical in developing adequate maternal behaviors— monkeys deprived of contact with other monkeys during the fi rst 6 months of their lives failed to show adequate nurturing and caregiving. Attachment is a concept related to mater- nal instinct but does not necessarily rely on instinct as its basis and allows for attachments between infants and others (rather than only mothers).

Gender differences in responsiveness to babies appear in studies with self-reports and in public displays, which are consistent with gender stereotypes. Boys are free to express

226 Emotion

their nurturance to pets, and they do. Women still have a great deal more involvement in child care than men. Self-reports indicate that the greater pleasure for women in caring for children is coupled with greater irritation in caring for them; however, men who are very involved in child care tend to report similar feelings. Although fathering has not included the type of intimate caregiving that mothering has, research indicates that fathers have increased their involvement with their children, demonstrating their interest and ability in nurturing. Therefore, the concept of maternal instinct has no support as a biologically based explanation for caregiving. Both men and women share similar emotions related to nurturing.

Aggression has also been nominated as an instinct, with the belief that men have more innate tendencies toward aggressive behavior than women. When considering the link between anger and aggression—that is, between emotion and behavior—few gender dif- ferences appear. Women and men experience anger similarly but express it differently. Boys and men tend to be more likely to use physical confrontation when they are angry, whereas girls and women are more reluctant to express anger. When they do, they tend to use more indirect and relational aggression. Girls and women are more likely to cry when angry, an expression that men often misunderstand and fi nd inappropriate.

Developmental gender differences in aggression exist, with boys more likely than girls to use physical aggression at all ages. Longitudinal studies have revealed that aggression is moderately stable over time and even over generations; aggressive children are more likely to become violent adults and to have children who are more aggressive. However, both boys and girls tend to become less aggressive as they develop, and by adulthood, the gender dif- ference in aggression has diminished.

Despite small gender differences in aggression in laboratory studies, very large gender dif- ferences exist in crime rates: Men are about 4 times more likely than women to be arrested for committing violent crimes. The victims of these violent crimes are likely to be other men, but women fear crime victimization more than men, especially sexual violence. Their fear has some basis. Offi cial reports underestimate the incidence of rape, and more representative surveys show that at least 20% of women are the targets or rape or attempted rape. Attitudes of hostility toward women, an acceptance of violence, heavy use of pornography, and a sense of entitlement to sex make men more likely to be sexually violent.

Although men have more experience with violence and less experience with nurturance than women, these differences relate more strongly to how emotion is expressed than to women’s or men’s subjective experiences of emotion. The cultural display rules that govern the behaviors associated with emotion differ for men and women, and these allow women more expression and restrain men from expressing emotions except anger, which men are more free to show than are women.

The search for universals in emotion has yielded evidence of both consistency and diversity across cultures. Research indicates that people across the world experience the same range of emotions, including the six basic emotions of happiness, surprise, fear, sadness, anger, and disgust combined with contempt. However, the situations that evoke these emotions and the rules that govern their display differ enormously across cultures. In addition, culture and gender interact in complex ways.

Glossary

attachment an intimate relationship that forms between a caregiver (almost always a mother) and an infant.

display rules learned social rules that govern who may display which emotion to whom, and in what situation each emotion may be displayed.

Emotion 227

Suggested Readings

Fuentes, Agustín. (2012). Race, monogamy, and other lies they told you: Busting myths about human nature . Berkeley, CA: University of California Press. Fuentes’s book concentrates on cultivating the critical thinking that allows individuals to examine popular

myths about human behavior. Chapter 5 focuses on the myth of aggression.

Hrdy, Sarah Blaffer. (2009). Mothers & others: The evolutionary origins of mutual understanding . Cambridge, MA: Belknap Press. Primatologist Hrdy examines mothers and the others who care for (and are necessary to) developing primates.

She uses nonhuman species to provide contrasts and to draw similarities to the complexities of bearing and rais- ing children.

Larson, Reed; & Pleck, Joseph. (1999). Hidden feelings: Emotionality in boys and men. In Dan Bernstein (Ed.), Nebraska Symposium on Motivation, 1999: Gender and motivation (pp. 25–74). Lincoln: University of Nebraska Press. Larson and Pleck review theories of emotion and present results from several studies that compare emotional

responses of girls, boys, women, and men in a variety of situations. Their gender-as-process approach and innova- tive methodology provide an interesting presentation of gender and emotionality.

Shields, Stephanie A. (2002). Speaking from the heart: Gender and the social meaning of emotion . Cambridge, UK: Cambridge University Press. Shields reviews research related to how emotion fi ts into social conceptualizations of gender and how emo-

tional meaning is often sharply gendered.

Suggested Websites

Fathering Magazine is an e-zine (electronic magazine) devoted to men’s family issues (http://www.father mag.com/). It has two editions; one includes articles oriented toward being a good, involved father, and the other focuses on divorce, custody, and child support issues. Both editions express quite a bit of anti- woman sentiment, especially attacks on feminists, but the website presents lots of positive information about fathering.

The Internet is a good source for information about domestic violence and its prevention. One such site is Springtide Resources (http://www.springtideresources.org/), which includes a variety of information related to family violence. MenWeb presents the perspective that women abuse men about as often as men abuse women (http://www.menweb.org/), backed by articles and statistics.

A variety of websites target sexual violence prevention. Two websites offer tips for preventing sexual violence; one is Stop Dating Violence (http://www.stopdatingviolence.org/) and another is It’s on Us (http://itsonus.org/). The latter is part of a campaign to enlist men and women to pledge to be vigilant and willing to intervene in situations that appear to be forced or coerced sex. The Rape, Abuse, and Incest National Network (www.rainn. org) maintains a website with information for victims, resources for counseling, and statistics about rape and sexual assault.

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Headline: “The New Rules of Dating,” Men’s Fitness , February, 2013

The rules of dating have changed, according to a recent headline (Green, 2013), and men may not be prepared. One change involves who stares at whom. In the old days, men checked out women, even when the men were on a date with a woman. In the new dating game, it’s women who are staring at men. And they are not starting at men’s faces: Women are giving men’s bodies attention that is similar to the ways that men gaze at women. Another change involves dating several women or men at once. According to the old rules, dating one partner was the ideal (Netting & Burnett, 2004), but the new dating rules allow dat- ing several partners. However, the new rule applies equally to women, and Green’s headline article advised men not to be upset if some of the women they are juggling are performing a similar balancing act with several men.

Referred to as multi-dating, the new rules allow not only men but also women to date as many partners as they can schedule. This change has prompted an alteration some young women’s defi nition of relationships (Wilkins & Dalessandro, 2013). Monogamy is the ideal for many young women—“real” relationships are exclusive—but they are not cheating by having other dates. Thus, they can participate in multi-dating without considering them- selves cheaters (who are bad people). This change may seem like a major step toward gender convergence concerning attitudes about relationships, but other research (Eaton & Rose, 2011) indicates that the changes in relationships are less drastic than the headline story sug- gests and that gender stereotypes continue to dominate dating.

Robert Sternberg (1986) proposed a model of relationships intended to capture critical elements of all relationships, including the old and new rules for dating. Sternberg called his model the triangular model of relationships because he conceptualized all relationships as consisting of varying amounts of three components. Passion is one of the three components of Sternberg’s triangular model, and this component may dominate relationships following the new rules of dating. Intimacy is the second, which involves feelings of closeness. This component is also evident in romantic love and exists in varying levels in dating couples. But romantic love is not the entire story of why we love. For love to last, passion and intimacy are not enough. Commitment is essential for a continuing relationship and furnishes the third point of Sternberg’s triangle. Commitment is conspicuously lacking in women and men who are “multi-dating” several partners.

Sternberg’s triangular model is a good place to start in conceptualizing all types of rela- tionships. His conception of intimacy encompasses feelings of closeness, passion includes romantic and sexual attraction, and commitment involves the decision that love exists and the relationship should continue. Figure 9.1 shows Sternberg’s model and the different types of relationships that result from the combinations of these elements. Sternberg argued that if none of these components exists, there is no relationship.

9 Relationships

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In Sternberg’s model, liking occurs when people share intimacy, but not passion or com- mitment. When individuals share intimacy and commitment without passion, then com- panionate love results. This type of love forms the basis for love relationships that endure and may be more conducive to lasting love relationships than the type of passion that often begins intimate love relationships. However, companionate love also describes what most people regard as close friendship.

Friendships

Although Sternberg’s triangular theory of love makes no distinction between intimacy devel- oped through sharing feelings or through sharing activities, these two styles tend to be associ- ated with women and men, respectively. These gender differences have been the source of friction and contention, with men being accused of defi ciencies in intimacy because their friendships are not the same style as women’s friendships. That accusation has not always existed, nor do all cultures discourage intimate, emotional friendships between men (Nardi, 2007; O’Donnell & O’Rouke, 2003). The Greeks believed that true friendships could exist only between free and equal individuals, which restricted true friendship to a limited number and omitted all women, slaves, and men of lesser social standing. That view differs sharply from modern, Western society, where the type of intimacy typical of women’s friendships has become the model.

Development of Styles

The basis for gender differences in friendship begins early in development, with a tendency for children to segregate themselves according to gender (Maccoby, 2002). Starting at pre- school age and becoming more pronounced throughout elementary and middle school, children group themselves according to gender, even if parents or teachers do not. When girls and boys are put into situations in which they must interact, they do, but the tendency to group into same-gender associations is a persistent pattern for children and occurs in many cultures (Munroe & Romney, 2006).

Figure 9.1 Sternberg’s Triangular Theory of Love

Adapted from “A triangular theory of love,” (pp. 123, 128) by R. J. Sternberg, 1986, Psychological Review, 93. Adapted by permission of Robert Sternberg and the American Psychological Association.

Relationships 237

The interaction patterns of boys and girls differ, beginning very early in development. A study that focused on the interactions of pairs of 33-month-old children (Jacklin & Maccoby, 1978) found that children interacted more with those of the same rather than with the other gender, in both positive and negative ways. Children in same-gender pairs were more likely to offer toys to their partners or try to take toys from their partners than the children in mixed-gender pairs. In pairs with a boy and a girl, the girls tended to be passive, standing by and watching the boys play, and the boys tended to be unresponsive, ignoring what the girls said to them. In same-gender pairs, the girls were active in their exchanges, and the boys were responsive to their partners’ messages. If these reactions are typical, no wonder gender segregation occurs; playing would not be that much fun if your partner did not listen and failed to react.

Before age 3, children may show preferences for playmates, but between ages 3 and 6 years, children begin to show signs of developing friendships, such as being able to name a person as a friend and even saying who is a “best” friend (Berndt, 2004; Lindsey, 2002). Children’s notion of friendship progresses, and personal characteristics become important in choosing friends. During elementary and middle school, children become more involved in friendships, relying on friends rather than siblings and parents for companionship and inti- macy (Cleary, Ray, LoBello, & Zachar, 2002). The research on elementary school children has demonstrated that friends were important sources of companionship for these second, third, fi fth, and sixth graders. Friendship is an important part of the lives of preadolescents; it can promote healthy adjustment (Waldrip, Malcolm, & Jensen-Campbell, 2008; Way, 2011). Friends can also be a negative infl uence during this developmental period, providing encouragement for destructive behaviors (Berndt, 2004; Wissink, Dekovi, & Meijer, 2009).

Gender differences in the development of intimate friendship appear during elementary school. One possible basis for the gender differences in friendships during middle childhood comes from the different activities that girls and boys enjoy during these years. For example,

Photo 9.1 Boys tend to form friendships based on activities.

238 Relationships

boys are more fond of rough-and-tumble play than girls are. Such play involves play-fi ghting and chasing and is more common among boys than girls (Scott & Panksepp, 2003). Boys also tend to play in somewhat larger groups, to spend more time outside, and to engage in activities that involve gross motor skills , such as running, jumping, and throwing a ball. Observing children on playgrounds demonstrates gender segregation but not overall differ- ences in levels of activity—girls are as physically active as boys (Mota et al., 2005). However, girls both seek and value intimacy more than boys (Cleary et al., 2002; Rose, 2007). This desire may also make girls’ friendships more fragile than boys’ friendships; girls’ friendship networks change more rapidly than boys’ circles of friends (Benenson & Christakos, 2003; Chan & Poulin, 2007).

Gender is not the only basis for self-segregation during the early school years. Ethnic and racial backgrounds are also characteristics that children notice and use as a basis for forming groups. Ethnic background showed less of an effect than gender as a basis for groupings in one study (DuBois & Hirsch, 1990). When put into a position to choose, children crossed ethnic lines before gender lines. Interracial friendships form at school, but tend to be less common as children get older (Aboud, Mendelson, & Purdy, 2003). However, the patterns of crossing ethnic lines to form friends may persist into adulthood (Joyner & Kao, 2000), and cross-ethnic friendships are similar to other friendships in terms of loyalty and intimacy. Attending a multiethnic school increases the chances of making friends with someone from another ethnic group, but ethnicity remains a basis for grouping.

Photo 9.2 Girls tend to form friendships that include emotional intimacy.

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Gender segregation is a strong force during the elementary school years, and some research- ers have contended that two worlds exist for children during this developmental period—a girls’ and a boys’ culture (McDougall & Hymel, 2007). Children are certainly reluctant to cross gender lines (Thorne, 1993), imposing this segregation on themselves, even when adults do not. When children cross the gender boundaries, some of the interactions are hos- tile, taking the form of name-calling, invading another’s space, pollution games and rituals (“cooties”), and occasional fi ghts. Situations of comfortable interaction may not represent common observations, but a study of children and adolescents (McDougall & Hymel, 2007) found that almost all the participants reported that cross-gender friendships were possible, and 93% said they had experienced such a friendship.

Preadolescents must avoid members of the other gender except under certain sanctioned circumstances, yet each gender must have suffi cient contact to learn about the other. Research has suggested that friendships are important in the development of romantic relationships. Indeed, friendships may be more important than parental relationships in forming later romantic relationships (Furman, Simon, Shaffer, & Bouchey, 2002). Considering that both friendships and romantic relationships are peer relationships of relative equality, this similar- ity makes sense. Thus, same-gender friendships during childhood may serve the function of allowing individuals to learn how to form relationships without the pressure of sexual contact. Referring back to Sternberg’s model of relationships, these relationships allow the development of intimacy and commitment without passion. Childhood friendships, then, might be regarded as a type of practice for adolescent and adult romantic relationships. The active avoidance that children practice for the other sex changes to active interest during ado- lescence; contact between girls and boys becomes more common, but friendships between girls and boys remain much less common than same-sex friendships.

Friendships over the Lifespan

Friendships during adolescence are similar to those of preadolescence, but adolescents intensify the intimacy in their relationships with a greater degree of personal sharing and self-disclosure than those of younger children (McDougall & Hymel, 2007). The gender differences in the value and attainment of intimacy persist, with girls more likely to be interested in forming emotionally intimate friendships with a smaller set of girls, and boys more likely to form activity-based friendships with a more extensive set of boys. The type of friendship may relate to the gender difference in competition among friends. Boys are more competitive with their friends than girls are, but competition decreases relationship satisfaction (Singleton & Vacca, 2007).

Adolescent girls use talk as a way to develop intimacy, to reveal and learn intimate knowl- edge about each other, which includes a greater involvement with problems and life tran- sitions than boys’ friendships do (Roy, Benenson, & Lilly, 2000). Although this type of exchange tends to make girls’ friendships closer, it may serve as a way to magnify problems and increase personal distress (Calmes & Roberts, 2008). Not all girls’ relationships involve the same degree of talk-based intimacy. Unexpectedly, boys’ friendships include more talk that meets the defi nition of gossip than girls’ friendships (Watson, 2012), but boys’ gossip revolves around gaining social knowledge, which give them status and power, not intimacy. African American women rated emotional communication as less important to friendship than European American and Asian American women (Samter & Burleson, 2005). African American men placed the lowest value on emotional communication.

This attitude of aloofness and withdrawal from intimacy is a set of behaviors that Richard Majors and his colleagues (Hall, 2009; Majors & Billson, 1992; Majors, Tyler, Peden, & Hall, 1994) labeled cool pose . Cool pose is a way that African American men present themselves,

240 Relationships

used as a compensation and coping strategy. The poses, postures, humor, readiness to use violence, and suppression of emotional displays are intended to create visibility for those who have been made invisible by a society that fails to grant African American men the status of European American men. The violence and suppression of emotion are elements of the masculine gender role, and cool pose uses an exaggeration of this role. This exaggeration allows African American men to feel a sense of masculinity. Cool pose magnifi es some of the destructive elements of the masculine gender role, creating problems for those who take this pose. In addition to the violence associated with interpersonal confl icts, the emotional remoteness that is essential to the cool pose also inhibits the development of intimacy, both with women and with other men. Studies of young African American men confi rmed both the feelings of vulnerability and the hypermasculinity that are characteristic of cool pose (Cassidy & Stevenson, 2005) as well as strivings for wealth and leadership and avoidance of femininity (Harris, Palmer, & Struve, 2011).

Adherence to a traditional model of masculinity affects men of all ethnic groups because emotional closeness is a feminine behavior, and traditional men must avoid feminine behav- ior. Indeed, one study (Oransky & Marecek, 2009) of White adolescent boys examined how these boys concentrated on deriding and mocking displays of concern and caring in their peer groups, labeling them as “girly” and “gay.” This attitude discourages men from having close friends but allows comrades or “buddies.” The distinction is important: A comrade is important for the function he serves, such as playing cards, fi xing cars, or being a team mem- ber, but another person can fi ll that position. Friends are valued as individuals in personal relationships. A study of middle-aged White men (Levy, 2005) showed that acceptance of traditional masculinity predicted having buddies but not friends.

Studies of friendship among college students (Caldwell & Peplau, 1982; Radmacher & Azmitia, 2006; Roy et al., 2000) confi rmed some gender differences and similarities in friendship. These studies failed to fi nd differences in the number or importance of friend- ships or in the time spent with friends. Men were more likely than women to choose an activity to do with a friend rather than “just talk” and to choose their friends on the basis of shared activities rather than shared attitudes. Women in Russia reported similar patterns of friendship (Sheets & Lugar, 2005). One of the shared activities for male college students is drinking alcohol, which may bond these friends in college, but will also have a negative impact on their education (Li, Frieze, Nokes-Malach, & Cheong, 2013).

With the formation of committed love relationships, birth of children, and transition to the workforce, changes occur in existing friendships and the opportunities to form new friendships. Workplace settings become important in friendship formation, presenting peo- ple with similar interests with whom colleagues spend time. Research on young professionals’ work-based friendships (Gibbons & Olk, 2003) indicated that young professionals readily crossed gender but not ethnic boundaries in making friends at work.

During the early years of marriage or committed relationships, both partners may relinquish other relationships to develop their relationship, seeking emotional intimacy and support from each other rather than from friends. When couples become parents, the children take up time that might have been devoted to friends (or even to spouses). Young couples, especially those with children, tend to devote less time to other friendships than people who are single or child- less, which tends to alter friendships (Fehr, 2000). Women are more likely than men to work at maintaining a network of social relationships, and these relationships are important for their well-being and health (Cable, Bartley, Chandola, & Sacker, 2013). For men, friendships are important for their happiness, but family relationships are related to their health.

Aging produces changes in friendships; older adults need more practical support, and their number of friends decreases due to death. Children and families are the main sources of caregiving and practical support for older adults (Movement Advancement Project [MAP],

Relationships 241

2010), and older people strive to maintain social networks (Pahl & Pevalin, 2005). In addi- tion, friendships among older adults have many advantages, not only for the participants but also advantages over friendships in other age groups (Luong, Charles, & Fingerman, 2011). For example, older adults reported deriving greater satisfaction from their social interactions and showed better strategies to avoid confl ict as well as increase positive experiences in these interactions.

Although a social network is important to most people, older individuals who are lesbian, gay, bisexual, or transgender (LGBT) rely on “families of choice” for social support and care- giving to a greater extent than older people who are heterosexual (MAP, 2010). Individuals who are LGBT are less likely to have children and are also less likely to have good relation- ships with their families, which puts them in positions of creating a social network. These relationships lack legal status, which presents barriers for LGBT individuals as they age and require health care and social services.

Social networks are also important to heterosexual older women living alone, decreas- ing their loneliness in ways that contact with their children does not (Eshbaugh, 2009). Indeed, confi dants perform a variety of support functions for older women (Moremen, 2008). Women become more numerous in the social networks of older adults because men die at younger ages, leaving more women. Thus, men’s same-gender friendships tend to be replaced with relationships with women, making friendship more female-based among older people. Table 9.1 summarizes some of the key characteristics of friendships over the lifespan.

Table 9.1 Characteristics of Friendships over the Lifespan

Developmental Period Dominant Theme Girls’ Tend to Boys’ Tend to

During Early Childhood and Preschool

• Gender segregation begins • Friendships replace play

preferences

Be active in exchanges with other girls but passive with boys

Be responsive in interactions with boys but not with girls

During Elementary School

Friendships become important and intimacy develops

Engage in cooperative play with other girls

Engage in rough-and- tumble play with other boys

During preadolescence

Gender segregation is strong Value friendships but also engage in confl icts with friends

Value friendships but risk being drawn into destructive play

During adolescence Intensifi ed intimacy Form talk-based relationships with girls but possibly cross-gender friendships

Form activity-based friendships with boys but possibly cross-gender friendships

During college years Friendships remain important Continue with talk-based, intimate friendships with women

Continue with activity- based, “buddy” friendships with men

During young adulthood

Family and careers diminish time for friends

Are likely to maintain some close friendships with women

Are less likely to have a close friend but likely to have buddies

During middle adulthood

Family and careers are more important than friends

Maintain the social and friendship network

Make friends through workplace relationships

During later adulthood

• Friendships become more female-based

• Social network must provide practical as well as social support

Have better strategies to maintain positive interactions with friends

Are more likely to form friendships with women

242 Relationships

Flexibility of Styles Men may fi nd emotional intimacy easier with women than with other men. As Francesca Cancian (1987) proposed, love has become “feminized,” that is, defi ned in feminine terms, as the expression of feelings and as self-disclosure. These characteristics are commonly asso- ciated with women and are actually more common in women’s than men’s friendships. But men can also use this style of relationship and tend to do so when they relate to women, either as friends or as romantic partners.

When people think of friends, they imagine people of the same gender, so cross-gender friendships break this “rule.” The model for cross-gender relationships is romance, so cross- gender friendships also break this rule. These friendships are a social development that did not exist 100 years ago when Western societies were strongly gender segregated, and women governed the home and men occupied the world of work, politics, and business. Although gender segregation still exists in some situations, school and work offer opportunities for cross-gender relationships (Sias, Smith, & Avdeyeva, 2003).

Because these friendships deviate from people’s stereotypes of what friendship should be, cross-gender friendships face challenges and constraints. The friends frequently must explain “we’re just good friends” to others, especially romantic partners, who may be jealous (Bevan & Samter, 2004). Some research has found that cross-gender friendships face barriers (Werk- ing, 1997), but other research (Felmlee, Sweet, & Sinclair, 2012) indicates that cross-gender friendships are similar to same-gender friendships. Indeed, a survey of people in the United States indicated that cross-gender friendships have become more common and more well accepted, among both children (McDougall & Hymel, 2007) and young adults who grew up with less gender segregation than older individuals (Paul, 2003).

Individuals involved in cross-gender friendships agree that these relationships differ from same-gender friendships (McDougall & Hymel, 2007), but both men and women are usually able to use different styles of relating in different relationships (DeLucia-Waack, Gerrity, Taub, & Baldo, 2001). The ability to adapt to the situation by using a more “feminine” or “masculine” style of interaction indicates that styles of friendship are indeed roles that men and women learn. Although not all men may learn the intimate sharing and self-disclosure that are typical of women’s friendships, most do and use this style when they form friendships with women (Werking, 1997). Men who scored higher in feminin- ity and women whose masculinity scores were high on the Bem Sex Role Inventory were more likely than individuals with more traditional gender role beliefs to form cross-gender friendships (Reeder, 2003).

Men may feel uncomfortable in enacting this friendship style for several reasons. As several researchers have pointed out, homophobia —the unreasonable fear and hatred of homosexuality—restrains men from seeking emotional intimacy with other men. Even when men know the style, they may be reluctant to use it. When they use it, they may feel more comfortable in this type of relationship with women rather than with other men.

The constraints on women’s behavior are not as strong; their typical style of emotional intimacy with other women carries no homosexual connotations. However, emotional inti- macy between women and men often has an element of a sexual relationship, so women who seek friendships with men also often feel that they must be vigilant in maintaining the nonsexual aspect of these friendships. Women who adopt an activity-based style of rela- tionship with men, being “one of the boys,” can participate in the same activities that men enjoy with each other—playing baseball, poker, or other recreational activities. This choice creates a style of relationship typical of men’s “buddy” friendships, demonstrating fl exibility in friendship styles.

Relationships 243

Love Relationships

Love relationships are an experience that occurs in all cultures, but our current concept of romantic love is not universal. Elaine Hatfi eld and Richard Rapson (1996) contended that this type of love has not been the basis for permanent relationships until recently in indus- trialized Western countries. Historically, passionate, romantic love has posed a threat to the existing social structure and has rarely formed the basis for permanent relationships. Many cultures have literature or legends about lovers who have died tragically as the result of their passion and the unsuitability of any permanent relationship. The story of Romeo and Juliet is an example familiar to English-speaking cultures, but Hatfi eld and Rapson described similar stories from ancient and modern societies around the world. Passionate love has been seen as madness rather than a good basis for marriage. The more common pattern for forming per- manent relationships has been (and in many cultures remains) arranged marriages in which families choose mates for children. In such arranged marriages, fi nancial considerations rather than love or passion have been the motivations for the match.

Several different patterns of love relationships have existed over the past several centuries in Western cultures (Cancian, 1987). Before the 1800s, an agricultural economy required both men and women to work on family farms, making the family the center of both men’s and women’s lives. Although men were the heads of households, both men and women believed that marriage gave them the duty to love and help one another. In Sternberg’s (1986) triangular model of love, this Family Duty blueprint ensured high commitment and an equal relationship between the partners. Sharing home life made intimacy very likely, but the component of passion might have been missing from such duty-bound relationships. In arranged marriages, passion might never be part of the relationship of a married couple.

During the 1800s, the Industrial Revolution changed the pattern of many people’s lives in ways that affected marriage and family. Work and family became separate spheres. Men worked in jobs in factories and offi ces rather than on farms. Women, too, might work in fac- tories, but the ideal pattern was for men to fulfi ll the Good Provider role (Bernard, 1981) and for women to be mothers and wives. This division led to the Doctrine of the Two Spheres (Welter, 1978), the view that women’s place was home and family life, and men’s role was to go into the outside world and earn a living.

Women’s role as caregivers led to the widespread perception that women were the experts in love: They were the ones who had the tender feelings and experienced the emotions, they were the ones who needed love and depended on men and children for it, and they were the ones most capable of providing love to others. This type of marriage made women depen- dent on men for fi nancial security, so maintaining the love of a husband became essential to women’s fi nancial security.

During the 1920s, women started to take paid jobs outside the home and move into the male world of work. Increasing economic power made women less dependent on men for fi nancial security, which changed the blueprint for marriage to the Companionship model and the feminization of love (Cancian, 1987). This model focused on affection and mutual support, but women were still the experts on love and held the responsibility for the relation- ship: “Marriage was to be all of a woman’s life but only part of a man’s” (Cancian, 1987, p. 34).

The Companionship model for marriage became the standard. Spouses were supposed to love each other before they married; they, not their parents, made the choice.

In terms of Sternberg’s model, the goal was consummate love, with an equal mixture of intimacy, passion, and commitment. However, romantic love was also a possibility—a combination of passion and intimacy but lack of commitment. The divorce rate increased during this time, which provided evidence for the rising lack of commitment under the Companionship blueprint (Cancian, 1987).

244 Relationships

The emphasis on personal compatibility and romance in marriage prompted a different method of selecting marriage partners. Rather families choosing mates for their children or individuals making decisions on an economic basis, men and women started to choose their own partners. Dating arose as a way of fi nding suitable marriage partners for Companion- ship-style marriages.

Dating

Dating began during the 1920s as a form of courtship but has expanded to fulfi ll a variety of other functions, including recreation, status, companionship, sexual exploration, and the skills to form intimate relationships (Quatman, Sampson, Robinson, & Watson, 2001). Along with this form of courtship came a format for dating, which can be analyzed in terms of a script that guides young men’s and women’s behavior on dates (Morr Serewicz & Gale, 2008; Rose & Frieze, 1993). College students’ descriptions of a date adhered to this script. Descriptions of an actual and hypothetical fi rst date showed a great deal of agreement between the two scripts (Rose & Frieze, 1993). However, the scripted roles for women and men differed substantially, with men leading and acting and women following and reacting. The woman’s reactive role includes being concerned about her appearance, participating in the activities her partner planned, and reacting to his sexual advances, all of which matches traditional gender stereotypes. Although they do not have traditional gender stereotypes to follow on fi rst dates, gay men’s and lesbians’ fi rst dates also follow a script that is very similar to that of heterosexual couples (Klinkenberg & Rose, 1994; Rose & Zand, 2002).

Greater variety in dating began to appear after the 1940s, with girls initiating, planning, and paying for dates. Dating has evolved into a variety of activities, including mixed-gender group dating, which is popular among young adolescents (Connolly, Craig, Goldberg, & Pepler, 2004). According to Green’s (2013) headline article, additional changes have occurred, but more systematic evaluations of dating (Eaton & Rose, 2011; Laner & Ventrone, 2000; Morr Serewicz & Gale, 2008) have confi rmed that the script for heterosexual dating has not changed much.

Dating has become an important part of adolescent life, and 57% of young people in the United States between 12 and 17 years old go out on dates regularly; about a third have a steady boyfriend or girlfriend (Fetto, 2003). Older adolescents are more likely to be involved in a romantic relationship than younger adolescents (Meier & Allen, 2009). Younger ado- lescents reported that excitement was more important to their dating choices than did older adolescents, but companionship and emotional involvement were important for all ages of adolescents involved in dating.

Although dating is a highly desired activity for most adolescents, dating presents disad- vantages as well as advantages (Furman, Ho, & Low, 2007). Disadvantages include stress, an increased chance of depression, and a decrease in academic motivation and achieve- ment; advantages include an increase in prestige and self-esteem (Quatman et al., 2001). Both the advantages and disadvantages intensifi ed with more frequent dating. Girls who begin dating at younger ages tend to experience increased risks for problem behaviors such as smoking, alcohol use, and other sensation-seeking behaviors (Martin et al., 2007). Both boys and girls feel similar anxiety and pressures involved in dating and experience similar emotional involvement with their dating partners (Giordano, Longmore, & Manning, 2006). Having a boyfriend/girlfriend adds to prestige but does not compensate for being unpopular among same-sex peers. Early adolescents who were unpopular with peers and had a boyfriend or girlfriend were more poorly adjusted and showed more behavioral problems than unpopular adolescents who did not (Brendgen, Vitaro, Doyle, Markiewicz, &

Relationships 245

Bukowski, 2002). Therefore, for adolescents, dating and romantic relationships are impor- tant and desirable but not entirely positive experiences.

Many single adults are interested in dating to fi nd a long-term relationship; 68% of respondents in a poll of single adults named love and marriage as a goal (PRN Newswire, 2008). Younger singles were more interested in marriage than older ones, but both older and younger adults have begun to use online dating services as a way to form a relationship. However, about one-fourth of those polled had not been on a date during the past year. Less than two decades ago, few singles went online to fi nd a date, but now over 49 million people in the United States have tried an online dating service (Statistic Brain, 2015). Even older adults use online dating services to seek romantic partners (Malt, 2007). However, most singles continue to rely on friends, family, and coworkers to introduce them to potential partners (PRN Newswire, 2008).

The advent of the ability to meet people online has affected relationships for both adolescents and adults. A nationwide survey of adolescents (Wolak, Mitchell, & Fin- kelhor, 2002) revealed that 14% had formed a close relationship with someone online within the year. Only 2% described their online relationship as a romance, but 71% were cross-gender relationships. Despite widespread publicity about teenagers victim- ized by adult predators online, most teenagers are more cautious than publicity suggests (Wolak, Finkelhor, & Mitchell, 2008). A small minority (17%) qualifi ed as unrestricted Internet users that participated in behaviors that put them at risk of receiving unwanted

Gendered Voices: I Was Terrible at being a Girl

“I was fairly bad at being a girl when I was a child,” a middle-aged woman told me. “I did tomboy-type things. But I was really terrible at it when I was a teenager and trying to date and attract boys. Dating seemed like a game, and the rules were so silly. And I was bad at the game. Flirting was a disaster—I felt so silly and incompetent.

“My mother practically despaired of my ever behaving in ways that would lead to dates. She would give me advice, such as ‘Hide how smart you are, because boys don’t like to date girls who are smarter than they are,’ and, ‘Wait for him to open the door for you.’ I thought both those things were pretty pointless. Why should I hide how smart I was? I had gone to school with most of the guys in my high school since we were all in elementary school, so they knew how smart I was. Besides, if I could have fooled one, I didn’t think that I could have kept up the charade. I wasn’t smart enough to play dumb for all that long. Also, why would I want to date a guy who wanted a dumb girl? Sounded like a poor prospect to me.

“I know that opening doors became an issue in the 1970s feminist movement, but my objections were about 10 years earlier. It just seemed silly to me that a perfectly capable person, me, should inconvenience a guy to open a door. I was more than capable of doing so, and I never saw why I shouldn’t—still don’t for that matter. I now see having doors opened as a courtesy, which is O.K. I open doors for both men and women. There’s prob- ably too much made of that particular issue, but when I was a teenager, it was something my mother warned me about on numerous occasions. I just had a hard time getting the rules of the game—I was terrible at the girl stuff. I am much better at being a woman than I was at being a girl.”

246 Relationships

Gendered Voices: Dating Strategies

Two women in their 30s were talking about their lives, and one told the other that she had gone on a date with a man but didn’t see the point of continuing to do so because it didn’t show much promise of turning into a serious relationship. The other woman tried to con- vince her friend that not all dates were prospective mates, so dating does not necessarily lead to a serious relationship.

These two attitudes refl ect the research about dating, with some adults concentrating on fi nding lifelong partners and others dating as part of an active social life. The reluctant woman remained diffi cult to convince, but her friend told her, “Just think of it as your own catch-and-release program.”

sexual solicitations, but the majority (51%) were cautious Internet users who interacted online only with individuals they knew personally. Nevertheless, young adolescents use the Internet to interact with people they do not know. Some share sexual information, which places them at risk for exploitation, but some fail to perceive these risks (Baumgartner, Valkenburg, & Peter, 2010).

As individuals move into young adulthood, their dating may include casual dating but also tends to become more focused on long-term relationships. What people want in casual dating partners may differ from what they seek for long-term relationships (Sprecher & Regan, 2002). The qualities of warmth and kindness, expressivity and open- ness, and a good sense of humor appeared as commonly valued traits across all types of relationships, but an emphasis on physical attractiveness and social status was high for long-term dating relationships. For short-term relationships, both women and men emphasized physical attractiveness (Li et al., 2013). For long-term relationships, gender differences appear in some characteristics: Women are more interested in partners’ social status, and men care more about physical attractiveness. These gender differences align with the view of mate selection proposed by the sexual selection theory view within evolutionary psychology.

Evolutionary psychology is an area of psychology that examines how adaptation pres- sures have shaped contemporary behavior. “Evolutionary psychologists believe that females and males faced different pressures in primeval environments and that the sexes’ differing reproductive status was the key feature of ancestral life that framed sex-typed adaptive problems” (Eagly & Wood, 1999, p. 408). That is, remote prehuman history left gender- related differences that appear today in people’s selection of mates. This view hypothesizes that men’s best strategy was to reproduce as often as possible, whereas women are limited in their reproductive abilities because they can bear a limited number of children. Thus women must select mates who will help them raise their children by providing resources and support (Buss, 1994). Preference for physical attractiveness is one of the factors that evolutionary psychology sees as value of men because attractiveness is a sign of health and reproductive fi tness.

Various tests of these hypotheses have yielded mixed support. Men tend to emphasize the attractiveness of their partner more than women do (Buss, 1994; Li et al., 2013) but not under all circumstances. When women’s access to economic resources are similar to men’s, the gender differences in characteristics important to mate selection decrease (Moore, Cassidy, Smith, & Perrett, 2006). In a study spanning almost 60 years (Buss, Shackelford, Kirk- patrick, & Larsen, 2001), results indicated that men are not alone in valuing looks—both

Relationships 247

men and women have become more equal in valuing attractiveness. In addition, the adaptive advantage of attractiveness is questionable; beauty is not closely related to health and repro- ductive ability (Weeden & Sabini, 2005). Many women considered beautiful have fertility problems. A more reliable sign of reproductive capability is having borne children; however, the evolutionary psychologists do not hypothesize that women with young children are the most attractive potential mates, despite their demonstrated reproductive success.

Evolutionary psychology also predicts that attractiveness should be more important in het- erosexual attraction than for gay or lesbian couples (who are not choosing for reproductive fi tness). Several tests of this hypothesis failed. In one study (Howard, Blumstein, & Schwartz, 1987), few differences in partner preference appeared in the descriptions of desirable partner characteristics in male–male, female–female, or male–female couples. All said they wanted romantic partners who were kind, considerate, and physically attractive. In addition, gay men and lesbians reported preferences for characteristics of dating partners and long-term mates that were similar to preferences of heterosexuals (Regan, Medina, & Joshi, 2001). In a study of lesbians (Smith, Konik, & Tuve, 2011), honesty appeared as the most important characteristic of a potential partner.

In emphasizing gender differences in mate selection, evolutionary psychology overlooks the large similarities: Love and mutual attraction rank as the most important reason for mate selection, but intelligence, education, and a pleasing personality also receive high ratings (Buss et al., 2001). Regardless of sexual orientation, people seek similar qualities in roman- tic partners (Li, Valentine, & Patel, 2013; Peplau & Fingerhut, 2007). Thus, evolutionary psychology’s conceptualization of mate selection highlights gender differences but to the neglect of examining the larger similarities that women and men share in mate selection and the infl uence of cultural factors (Eagly & Wood, 2013).

Despite the opinion of adolescents that their dating is not oriented toward mate selection, dating is the process through which most men and women fi nd partners. The patterns of relating to each other established during dating carry over into marriage, but marriage is a major life transition. When people marry, they assume the new roles of husband and wife.

Marriage and Committed Relationships

Marriage is not the only form of committed romantic relationship; couples choose to live together without marrying (Copen, Daniels, Vespa, & Mosher, 2012). Gay and lesbian couples can marry in some countries, but some choose cohabitation, as do an increasing number of heterosexual couples. Indeed, that number has increased from about 3% of women between ages 15 and 44 in the early 1980s to 11% by 2010. As shown in Figure 9.2 , this increase is dramatic and represents the biggest change in committed relationships. For some couples, cohabitation has replaced marriage, but for many cohabiting couples, cohabi- tation precedes marriage. Its increased social acceptance has made cohabitation a variation in intimate relationships.

Marriage and divorce have also changed over the past 50 years. The rate of marriages declined between 1970 and 2012 (National Vital Statistics System, 2015; U.S. Census Bureau, 2011). Divorce rates more than doubled between 1960 and the 1980s but began to decline in the 1990s. Both trends continue, as shown in Figure 9.3 .

Despite the increased prevalence of cohabitation, the majority of research on gender and committed relationships has focused on marriage. Several styles of marriage now exist, fol- lowing the patterns Cancian (1987) called the Companionship, Independence, and Inter- dependence blueprints. Partners who follow the Companionship blueprint tend to have well-defi ned and separate gender roles, with women responsible for maintaining the love relationship. The Independence blueprint arose during the 1960s, as personal freedom,

248 Relationships

1

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ill io

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Year

1960 1970 1980 1990 2000 2010 2014

.4 39

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9

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Figure 9.2 Increases in Number of Unmarried Couple Households, 1960–2014

Source: From Unmarried Partners of the Opposite Sex/1, by presence of Children/2: 1960 to the Present, by U.S. Census Bureau, 2013. Retrieved January 7, 2016 from https://census.gov/population/socdemo/hh-fam/uc1.xls

increases in paid employment for women, and the women’s movement led to the belief that marriage should be a partnership of equals. This model emphasizes self-development over commitment and obligations, holding that a relationship is the meeting of two indepen- dent individuals. This blueprint involves more self-development than commitment. The Interdependence blueprint includes fl exible gender roles, but calls for commitment based on acknowledging mutual dependence. Cancian argued that partners are always dependent on each other in marriage and that both the Companionship and Independence blueprints ignore this inevitable interdependence. Table 9.2 shows the three blueprints and the impor- tant characteristics of each.

Sternberg’s (1986) triangular model of love explains these different blueprints for mar- riage with differences in the three components of intimacy, passion, and commitment. Companionship-style marriages would have all three components but not in equal propor- tion for men and women. Under this blueprint, women seek more intimacy than men, producing an unequal balance between such partners. The Independence blueprint is short on the component of commitment, but Interdependent marriages should fi t what Sternberg called consummate love, the equal balance of all three components.

12

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9. 8

4. 7

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Year

Figure 9.3 Trends in Marriage and Divorce in the United States, 1950–2014

Source: Data from Statistical abstract of the United States, 2006 (125th ed.), Table 72, U.S. Census Bureau, 2006, Washington, DC: U.S. Government Printing Offi ce, and “National Marriage and Divorce Rate Trends” Centers for Disease Control and Prevention, Retrieved January 7, 2016 from http://www.cdc.gov/nchs/nvss/marriage_divorce_tables.htm.

Table 9.2 Cancian’s Blueprints for Love Relationships

Companionship (devotion to each other)

Independence (self-development)

Interdependence (mutual dependence)

Are traditional gender roles maintained?

Yes No No

Is the relationship stable? Yes No Yes

Who is responsible for maintaining the relationship?

Women Neither partner Both partners

Who develops personal interests? Men Both partners Both partners

250 Relationships

Marriages and other committed relationships may follow any of the blueprints, and con- temporary couples may build any of these various types of relationships. However, a longi- tudinal study of expectations for marriage (Botkin, Weeks, & Morris, 2000) revealed that changes have occurred in women’s conceptualizations of marriage. Between the 1960s and the 1970s, a large shift occurred toward beliefs in egalitarian marriages. After the 1970s, those beliefs have persisted, and the percentage of college women who believe in egalitarian marriage relationships is over 90%. This percentage has implications for several facets of committed relationships, including men’s and women’s concepts of romantic love and mar- riage, communication between partners, division of labor in households, power and confl ict in marriage, and the stability of love relationships.

Concepts of Love and Marriage

Contrary to popular expectation (see According to the Media and According to the Research), men have more traditional concepts of love and marriage and are more romantic than women (Harrison & Shortall, 2011). Although men and women tend to choose partners who have similarly traditional or nontraditional beliefs about gender roles, the man of any given couple is likely to be more traditional than the woman and more likely than women to endorse statements such as “Women’s activities should be confi ned to the home” (Glick & Fiske, 2001). This tendency for men to be more traditional concerning gender roles appears in many cultures (Hatfi eld & Rapson, 1996), but these discrepancies tend to become smaller through the years of marriage by men becoming more egalitarian (Kalmijn, 2005; Pnina, 2009). The continued association of marriage partners diminishes but does not erase men’s more traditional gender beliefs; even after years of marriage, husbands are more likely than wives to hold traditional, conservative beliefs about gender roles.

According to the Media . . . Bad Men Can Be Transformed by Women’s Love

The notion that love can be transformational reaches far beyond fi lms, but movies are fi lled with images of selfi sh, roguish scoundrels transformed into heroes by women’s love. This plot is a movie staple (Aronson & Kimmel, 1997) and an enduring myth (Galician & Merskin, 2007). Probably the ultimate transformation by love was the Beast of Beauty and the Beast , who was transformed—literally—from a monster into a prince by Beauty’s love (“Dr. FUN”, 2004).

These portrayals affect women, who come to believe that their love has the power to transform a bad man into a good one. New York Times columnist Anna Quindlen (reported in Aronson & Kimmel, 1997) asked female readers to choose a mate—either a kind, faithful, careful man or a roguish, self-interested scoundrel, and the vote was overwhelmingly for the nice guy. When she identifi ed one as Ashley Wilkes and the other as Rhett Butler, however, some women felt different. One woman said, “Well, that’s different. . . . Rhett Butler’s never been loved by me. When I love him, he’ll change” (Aronson & Kimmel, 1997, p. 32), demonstrating the belief in the media-based romantic fantasy of the transformational power of their love. One advice columnist proposed this strategy to “nice guys,” suggesting that they act like “bad boys” and make “her believe that she is the one to tame you” (Marder, 2005, p. 40).

Relationships 251

According to the Research . . . Bad Men Are Dangerous to the Women Who Love Them

When women hope to change bad men through love, they may put themselves in danger. Some scoundrels may be changed through love, but many remain danger- ous and harm the women who love them. Women are often reluctant to leave their abusive partners, partly for the reasons that attracted them—the risk taking associated with scoundrels may be seen as evidence of bravery, a characteristic that women fi nd attractive (Rebellon & Manasse, 2004). Women also tell themselves that “he will change” and “this time will be the last time he will hit/be unfaithful to/humiliate me,” which allows women to believe that their abusive partners will change (as they often promise) to become the men these women fantasized.

When they leave their abusive partners, women do not necessarily escape the danger they have experienced. Indeed, leaving an abusive partner puts women at increased risk for harm (Tjaden & Thoennes, 2000). Angry, resentful, or jealous former partners may stalk and do violence to the women who have left them. Indeed, women are more likely to be killed by an intimate partner during a separation than when they lived with these violent men. Staying with them is also dangerous: Women experience more than 1.3 million physical assaults from male partners each year. The romantic notion of transformative love appears in movies; in real life, abusive part- ners are dangerous.

Men’s idealized romantic beliefs extend across ethnic groups in the United States and exist in China (Sprecher & Toro-Morn, 2002) and Taiwan (Lin & Raghubir, 2003). For example, men are more likely to have romantic beliefs such as “Love lasts forever” and “There is one perfect love in the world for everyone.” Women, however, are more likely to report physical symptoms of being in love, such as feeling like they are “fl oating on a cloud.” Men choose Valentine messages that send messages of praise and commitment to their beloved, whereas women’s Valentines convey love and fi delity (Quintero Gonzalez & Koestner, 2006). In other ways, men and women are similar in idealizing love; both tend to believe that their partners are better looking than they are (Swami, Stieger, Haubner, Voracek, & Furnham, 2009) and that love and mutual attraction are the most important factors for marriage (Fal- coni & Mullet, 2003).

Romanticism does not necessarily make men feel more favorable toward marriage (Mar- quardt, Blakenhorn, Lerman, Malone-Colón, & Wilcox, 2012). Indeed, young, single women expressed a greater desire to get married than comparable men (Blakemore, Law- ton, & Vartanian, 2005). Despite men’s lack of enthusiasm for marriage, married men are physically and mentally healthier than single men (de Vaus, 2002). Married women may experience more satisfaction from marriage than men do (Kiecolt-Glaser & Newton, 2001), but they also fi nd more stresses in their marriages (Sachs-Ericsson & Ciarlo, 2000).

However, most of the studies of marital satisfaction have questioned only European American participants, which limits generalizability. Young African American adults appear more reluctant to marry than those in other ethnic groups; they expressed more negative opinions about romantic relationships and a mistrust of marriage (Simons, Simons, Lei, & Landor, 2012). Indeed, African Americans tend to be less satisfi ed with their marriages than their White counterparts, with women less satisfi ed than men (Corra, Carter, Knox, & Houvouras, 2006).

252 Relationships

Communication between Partners

The issue of couples’ communication in marriage has received an enormous amount of publicity. Indeed, it has become an industry; John Gray’s (1992) Men Are from Mars, Women Are from Venus topped the best-seller list for years, prompting sequels, and allowing Gray to hold seminars, train other counselors, and present a Broadway show based on the concept. His proposal that men and women are from different planets originated from his advice to women to communicate with their husbands as if they were beings from another planet. Gray’s characterization is an overstatement of gender differences in communication (Cam- eron, 2007; Perrin et al., 2011), but some differences do exist.

The same-gender differences that researchers have identifi ed in friendship styles also infl uence communication in marriage. Women create emotional intimacy through talk and self-disclosure, whereas men tend to do so through activity. In marriage, sex is often the activity that men use to create intimacy. Cancian (1987) argued that in most contem- porary couples, wives do not count sex as communication or as a method for establish- ing intimacy. Research has confi rmed this difference: Women would like for their male partners to be more emotionally communicative, and men would like more sex (Heyman, Hunt-Martorano, Malik, & Slep, 2009). This difference can produce a discrepancy in what each thinks is the level of communication in their relationship. Cancian’s (1987) survey of couples revealed that wives value talking about feelings more than husbands do, but husbands may feel threatened when their wives want to talk. “Talking about the relationship as she wants to do will feel to him like taking a test that she has made up and he will fail” (p. 93).

The differences between men’s and women’s typical styles of communication have been proposed as a major source of confl ict in marriage (and other relationships). Deborah Tannen (1990) contended that men and women use different communication styles and strategies, even when the goals are similar. Tannen argued that men and women see communication as “a continual balancing act, juggling the confl icting needs for intimacy and independence” (p. 27). She contended that women’s communication is oriented toward intimacy, focusing on forming communal connections with others, whereas men’s communication is oriented toward hierarchy, focusing on attaining and demonstrating status, which is consistent with the styles that develop for same-sex friendships during childhood.

Tannen is correct in believing that communication is a major task for couples, but research has not substantiated her other contentions. In a study in which men and women offered supportive communications (a “feminine” task), few differences appeared between men’s and women’s style of communication (MacGeorge, Graves, Feng, & Gillihan, 2004). Tannen is correct in stating that communication is important for couples. The quality of premarital communication related to adjustment during the fi rst fi ve years of marriage and to divorce; negative communications increased for couples with increas- ing distress and increasing likelihood of divorce (Markman, Rhoades, Stanley, Ragan, & Whitton, 2010).

Another way to analyze communication focuses on communication in terms of dominance and power, which encompass gender-related factors (Barnett & Rivers, 2004; Cameron, 2007). This view holds that men typically have more power, and the powerful communicate in ways that differ from the less powerful. Thus the subordinate role is more important in the communication than sex or even gender role. Indeed, unequal power and status affect many aspects of marriage and intimate relationships.

Relationships 253

Balance of Power

Most dating couples believe that marriages should be an equal balance of power and deci- sion making (Sprecher, 2001; Sprecher & Felmlee, 1997), and these attitudes are shared by married couples, high school students, gay and lesbian couples (Peplau & Fingerhut, 2007), and the general population in the United States (Thornton & Young-DeMarco, 2001). Indeed, the growth of egalitarian attitudes is a striking trend that developed over the past 40 years, changing societies from a widespread acceptance of patriarchy and men as heads of households to a culture with egalitarian ideals, which has occurred in the United States and many other countries (Schwartz & Rubel-Lifschitz, 2009). The growth of egalitarian ideol- ogy paralleled the trend of employment for women, and access to economic resources is an important factor in power in intimate relationships (Tichenor, 2005a, 2005b). However, the association of men with earnings and high status give men a type of “hidden” power, which forms a cultural background for male dominance. “The marital power equation must take both money and gender into account” (Tichenor, 2005b, pp. 192–193).

The ideal of equal power often fails to be realized in couples’ relationships because the background of traditional gender roles gives men more power than women. Thus it is not surprising that a little more than half of dating couples (Sprecher, 2001) reported that the man had more power. According to an extensive survey of couples in the United States performed by Philip Blumstein and Pepper Schwartz (1983), almost 64% reported an equal balance of power, but 28% of husbands and 9% of wives said they had more power. Other studies have shown a higher percentage of male dominance in heterosexual couples (Peplau & Campbell, 1989; Sprecher & Felmlee, 1997). In addition, men’s decision-making power was higher than their overall power (Sprecher & Felmlee, 1997; Tichenor, 2005a), which may lead to substantial male dominance. Table 9.3 shows the power structure in couples according to three studies.

Even in couples that report an equal balance of power, both partners may not have an equal say in all decisions. What couples report as an equal balance of power may actually be a division of decision making into husbands’ and wives’ domains, with men making fi nancial decisions and women making household decisions. Results of a survey by the Pew Research Center (Jayson, 2008) confi rmed this division: Women made more household decisions. However, this division does not necessarily refl ect wives’ power; wives may be put into the position of making decisions that their husbands consider chores. For example, wives may decide what to have for dinner and what brand of cleaning products to use, and husbands may decide which house to buy and where to live.

Table 9.3 Ideal and Actual Power Structure in Couples

Peplau and Campbell Study (1989)

Blumstein and Schwartz

(1983)

Sprecher and Felmlee Study (1997)

Men Women Couples Men Women

Believe in equal power 87% 95%

Have equal power 42 49 64% 47% 48%

Husband has more power 28 35 29

Wife has more power 9 19 24

254 Relationships

Gendered Voices: When I Got Sober

“The balance of power in my marriage didn’t change when I went to work, but when I got sober,” a woman in her 40s told me. She had been a homemaker for a number of years before she started a career, and she said that earning money didn’t make much of a change in her marriage. By the time she began her job, she had already started drinking heavily, and she continued to do so.

“Everybody took care of me, so I could drink and take drugs and get away with it. So I did. My daughter took care of me for most of her childhood. My husband also let me get away with being drunk most of the time. I was dependent on them, but then I got sober, and things changed.

“When I got sober, I started being able to take care of myself, and my family wasn’t used to it. The balance of power changed in my marriage, and we eventually split up. I was sober and involved in AA, and my husband was still drinking, but that wasn’t the main problem. I started to become independent, and he couldn’t adjust. I realize that it was quite an adjust- ment: I had never taken care of myself—never in my life—and then I started.

“I remember one incident in particular. I was trying to change the batteries in my small tape recorder, and my husband came over and took the recorder out of my hands and did it for me. I thought, ‘I can do that for myself.’ I started thinking that about a lot of things. As I started to become more independent, our marriage changed. In fact, our entire family changed, and most of those changes were good. The kids could come to me rather than go to their father for everything. I became a responsible person. With that responsibility came a growing desire to be independent, and now I am. The marriage became an emotional power struggle, with my growing self-reliance and my husband still trying to be in control.”

One drawback of a majority of research is the educational and ethnic composition of the participants; couples are often college-educated, and most are White. A consideration of other ethnic groups brings other factors relating to power. The concepts of matriarchy and machismo have been associated with African American and Hispanic American families, respectively. A review of research on families, however, found that both patterns of unequal power were more myths than descriptions of the actual balance of power in these families (Peplau & Campbell, 1989). African American families are more likely to be headed by women than White families, but African American couples’ power relationships show similar discrepancies to those in White couples (Cowdery et al., 2009). An equal sharing of power, the most common pattern in a large-scale study (Blumstein & Schwartz, 1983), was also the most common pattern in African American couples. For couples with an unequal balance of power, male dominance was more common than female dominance. The same patterns appeared in Mexican American families, with the most common pattern being one of shared power. Despite the prominence of the concepts of matriarchy and machismo, a fairly equal balance of power seems to be the rule for most couples in the United States, regardless of ethnic group. For couples that immigrated to the United States, a struggle occurred between the values of egalitarianism and the tradition of higher male power (Maciel, van Putten, & Knudson-Martin, 2009).

The background of gendered expectations cannot be a factor in power differences for les- bian and gay male couples, but such couples also experience power differentials (Peplau & Fingerhut, 2007; Peplau & Spalding, 2000). The differentiating factor for these couples also applies to heterosexual couples: money. For gay men and lesbians, both partners typi- cally are employed, but incomes may be unequal (Blumstein & Schwartz, 1983; Solomon,

Relationships 255

Rothblum, & Balsam, 2005). For gay men, the relationship between money and relationship power was clear: Those with more money had more power. The relationship between money and power was less clear for lesbians, who tried to maintain an equal monetary contribu- tion in their relationship so as to avoid unequal power, and failure to do so was a source of problems for these women.

For heterosexual couples in the United States, paid employment is an important factor in the balance of power in marriage that interacts with gendered expectations of the culture. Earnings have different meanings and thus different impacts to couples in other cultures (Ludwig-Mayerhofer, Allmendinger, Hirseland, & Schneider, 2011). U.S. women who do not have paid employment tend to have less power in their marriages than women who earn money (Deutsch, Roksa, & Meeske, 2003; Steil, 2000). The amount earned is also a factor; husbands who earn more money have more power. However, wives do not gain as much power from their earnings as husbands do (Bittman, England, Folbre, Sayer, & Matheson, 2003; Tichenor, 2005a, 2005b). Women accrue more power to the point that they earn about as much money as their husbands, but ironically, wives who earn more money than their husbands actually have less power in their marriages. This situation occurs because both wives and husbands work toward maintaining the appearance of traditional gender roles in which the wives perform the majority of the household work and child care and the husband manages the fi nances and makes important decisions (Tichenor, 2005a, 2005b). Wives receive appreciation for their earnings, but husbands may minimize wives’ contributions and behave in ways to preserve their dominance. Therefore, wives who earn no income have low power; earning money brings increased power, but achieving marital power through income is diffi cult for women to achieve but easy for men.

Division of Household Labor

The division of household labor has become an area of interest to gender researchers because who does the laundry may reveal information about power and equity in relationships. In addition, performance of household chores is a source of confl ict for couples. As Karen Zagor commented, “Forget the glass ceiling: the new battle of the sexes is over housework” (2006, p. 34).

Traditional gender roles include a division of labor in households, with men working outside the home for wages and women working in the home providing housekeeping and child care. Throughout the 20th century, however, an increasing number of women in industrialized countries joined the paid workforce. Now, a majority of women in the United States and Australia, even those with young children, work for wages outside the home in countries throughout the world (World Bank, 2013).

To maintain equity, the changes in paid labor for women should have prompted a con- comitant change in the division of housework, but those changes have been slow in coming. Researchers who examined division of household labor during the 1970s and 1980s found that employed women still performed the large majority of household labor (Coltrane, 2000). Sociologist Arlie Hochschild (1989) called this arrangement the Second Shift, a situation in which women work for wages outside the home plus perform the majority of housework and child-care chores at home. This arrangement can result in a situation in which women work the equivalent number of hours of two full-time jobs. According to an extensive review completed during the 1980s (Thompson & Walker, 1989), wives did about 3 times more housework and child care than husbands. More recent research (Coltrane, 2000; Cunningham, 2008; Sayer, 2005; Sullivan & Coltrane, 2008) has noted changes, with women doing less and men doing somewhat more household work. However, women still perform more household work and child care than men do.

256 Relationships

Many factors contribute to this continuing inequity. A very important factor is the belief that household work is gendered—some chores are “women’s work” and others are “men’s jobs” (Coltrane, 2000). The fi ve most time-consuming chores (preparing meals, cleaning house, shopping for groceries, washing dishes, and doing laundry) are all work associated with women. Men’s chores tend to be less time-consuming and less frequently required (mak- ing household repairs, taking out the trash, mowing the lawn). As women have moved into paid employment, the household work burden has become more obviously unfair to both men and women (Öun, 2013). This perception may or may not motivate men to do the laundry, depending on a host of relationship and demographic factors. However, women’s participation in the workforce has prompted an increase in men’s participation in household work (Chesters, 2013).

Examining daily activities of women and men in countries around the world reveals that women spend more time than men in household work and child care (Fisher & Robinson, 2011), but men’s participation varies a great deal. That rate is particularly low in Brazil, Italy, Latvia, Spain, and Turkey and the highest in Norway and Sweden.

An examination of gay and lesbian couples reinforces the importance of gendered expec- tations for household work. Gay and lesbian couples cannot use stereotypical associations to determine who does what chores (Boren, 2007; Kurdek, 1993; Peplau & Spalding, 2000). Both gay and lesbian couples tended to share household work more equitably than het- erosexual married couples (Nico & Rodrigues, 2013; Peplau & Fingerhut, 2007; Solomon et al., 2005). Gay couples were more likely to split tasks, with each partner performing a set of chores. Lesbian couples were more likely to alternate in sharing tasks, taking turns in performing the same chores. For gay and lesbian couples, communication and negotia- tion were important and tended to result in a more equitable division of household labor (Boren, 2007).

In addition to ideology, family and societal factors contribute to the division of house labor. Women’s employment is an important factor: Employed women do less household work (Chesters, 2013; Coltrane, 2000). Wives who have high-status, highly paid employ- ment (such as professional or managerial jobs) experience increased power in their marriages, which may give these wives the freedom to do less housework (Bittman et al., 2003; Deutsch et al., 2003). High income does not always equate to high power for women (or fewer chores), but earning a high salary is an advantage for women in their marriages (Kan, 2008).

Marital status, education, and presence of children are also factors that affect household work arrangements. Being married increases the amount of household work that women do and decreases the amount men do (Coltrane, 2000), but the amount of time a man spends living on his own before marriage tends to push his attitude toward equal participation in household work (Pitt & Borland, 2008). Education also shows different patterns of infl uence for women and men. Women with higher levels of education tend to do less household work than women with lower levels of education, but men with higher levels of education are likely to do more household work than men with lower levels of education. This pattern occurs in Japan as well as in Western societies (Iwama, 2005). The presence of children increases women’s work and decreases men’s household work in the United States, possibly because women tend to decrease and men tend to increase their employment when children are born (Singleton & Maher, 2004) but possibly because poor parental leave policies in the United States tend to restrict men from child care. In Sweden, with its more accessible parental leave policies, parenthood affects men and women in similar ways (Dribe & Stanfors, 2009). Table 9.4 summarizes some of the factors that relate to sharing of household work.

Men’s participation in household work shows a complex relationship to social class (Coltrane, 2000; Hochschild, 1997). In the United States, ethnicity is a factor in shared household work (Wight, Bianchi, & Hunt, 2013); White and African American couples

Relationships 257

share chores more equitably than Asian American or Hispanic couples. However, confl ict over household work was a common report (Stohs, 2000). The Hispanic American women worked fewer hours per week in their jobs outside the home than African American or Asian American women did, which might lead them to feel that doing more household chores is fair. Hispanic American wives were more likely to enlist their husbands’ help when their con- tributions to household income were higher, which may have made these contributions more essential to the family (Pinto & Coltrane, 2009). However, husbands’ help is not easy to obtain for any level of social class or ethnicity, and the feeling that husbands were not doing a fair share of household work was common and a source of dissatisfaction in relationships.

Within the issue of household work, the concept of inequity is important. A large majority of women and most men believe in an equitable distribution of household work (Apparala, Reifman, & Munsch, 2003; Van Willigen & Drentea, 2001). During the 1990s, researchers began to fi nd that women reported increasing dissatisfaction with an inequitable distribution of household work. Between 25 and 33% of wives believe that their husbands are not doing a fair share of housework and want them to do more. Men tend to agree that they should share the chores, but husbands are reluctant to participate in work that they tend to see as women’s domain and are not eager to give up their leisure time to do chores (Sayer, 2005). Confl icts between work and family obligations and an unfair division of household work present areas increasingly mentioned as sources of couples confl ict (Donaghue & Fallon, 2003; Saginak & Saginak, 2005).

Confl ict and Violence

How couples resolve confl icts refl ects differentials in power. Indeed, the factor of power infl uences partners’ physiological changes during confl icts; the partner with less power exhib- ited a stronger stress response (Loving, Heffner, Kiecolt-Glaser, Glaser, & Malarkey, 2004). The partner who has more power also tends to behave in different ways from the partner whose power is less. Indeed, an examination of confl ict resolution strategies can reveal the power dynamics in a relationship (Gottman & Notarius, 2000). In heterosexual couples, women are more likely to start a marital confl ict discussion and to direct that discussion (Solomon et al., 2005), but women reported that this behavior did not refl ect their feelings

Table 9.4 Factors Related to Division of Household Work

Men Do More Household Work When Men Do Less Household Work When

Wives are employed outside the home Wives are not employed outside the home Wives earn more money than their husbands

Wives’ salaries are similar to their husbands’ salaries Husbands or wives hold traditional gender role beliefs

Wives earn money that husbands consider important to the household

They are married, especially in fi rst marriage

Both wives and husbands have high education levels A fi rst child is born

Chores are “feminine”

Both husbands and wives hold egalitarian beliefs

Husbands believe that it is fair to share household work

Men have lived as bachelors on their own before marrying

Chores are “masculine”

Timing of task is fl exible

258 Relationships

of power (Gottman & Notarius, 2000). To the contrary, women said that their strategies were aimed mostly at avoiding upsetting their husbands. This tendency to avoid confl ict also appeared in a study in which power was a factor (Solomon, Knobloch, & Fitzpatrick, 2004). This study also revealed that large power differentials exert a silencing effect that deterred aggrieved partners from seeking confrontations.

Are women justifi ed in taking steps to avoid confl ict? Men tend to display more coercive styles of confl ict resolution than women (Gottman & Notarius, 2000), which can constitute the fi rst step toward couples’ violence. Historically, domestic violence has been considered appropriate, with women as targets of marital (and even premarital) violence in many soci- eties and throughout many time periods (Bonvillain, 2000; Kar & Garcia-Moreno, 2009). Even though physical abuse is not the most common method of resolving confl icts in con- temporary relationships, violence is not unusual between married, cohabiting, or even dating partners; about 23% of women and 11% of men reported that they had experienced such violence and threats of such violence (Black & Breiding, 2008). Both men and women use violence toward each other (Hamel, 2009; Langhinrichsen-Rohling, Misra, Selwyn, & Rohling, 2012; Straus, 2009), and the rate of violence may even be close to equal for women and men in relationships. However, the severity and rate of injury is not; women are much more likely to be injured and to sustain serious injury as a result of domestic violence (Tjaden & Thoennes, 2000; Weston, Temple, & Marshall, 2005).

Many people think of partner violence as men beating women, but results of many studies have indicated that this conceptualization is too simplistic (Langhinrichsen-Rohling et al., 2012). One way to understand the types of couples’ violence is to follow Michael Johnson’s (1995, 2005; Johnson & Leone, 2005) distinction among situational couples violence, inti- mate (formerly called patriarchal ) terrorism, and violent resistance. Johnson used the term situational couples violence to describe a situation in which confl icts become physical fi ghts. This type of violence is all too common, and women may be almost as likely to instigate such violence as men. Intimate terrorism , on the other hand, is a severe form of violence used mostly by men to control their families. Such individuals consider that they should be the unquestioned head of the family and have the right to enact any measure to maintain their dominance. Substantiating evidence appeared in an analysis of men’s motives in battering their partners (Winstok & Perkis, 2009), which indicated that control was an underlying factor in their behavior. Violent resistance occurs when victims fi ght back.

Contrary to what people may perceive, several national surveys of couples in the United States have revealed a decreasing amount of violence between partners. A survey in the 1980s (Straus & Gelles, 1986) showed 16% of homes reported some kind of violence between spouses within the previous year, which represented a 27% decrease from a similar survey in 1975. An examination of crime victimization records (Rennison, 2003) revealed that intimate partner violence decreased by more than 40% between 1993 and 2001. Even with this magnitude of decrease, over 700,000 incidents occur in the United States each year. The majority of these incidents were minor, but discounting the acts of minor violence in domestic confl ict is not wise; even minor violence is predictive of more serious violence between spouses (Feld & Straus, 1989). Furthermore, women who fi ght back are likely to escalate rather than halt the violence directed toward them.

Unfortunately, many people fi nd some level of violence between partners acceptable. About 25% of wives and over 30% of husbands found violence toward each other accept- able under some circumstances (Straus, Gelles, & Steinmetz, 1980). Younger couples are at higher risk for intimate partner violence than older couples (Caetano, Vaeth, & Ramisetty- Mikler, 2008), and attitudes toward violence as a way to resolve confl ict was a factor in the age difference (Bookwala, Sobin, & Zdaniuk, 2005). With these attitudes, the escalation of minor violence to abuse is not surprising, nor is it likely to change.

Relationships 259

Marriages in which the partners have an equal balance of power (Jewkes, 2002) and countries in which women have better access to education and fi nancial resources (Devries et al., 2013) are less likely to involve partner violence than situations with less equality. The tendency toward equal power in lesbians’ and gay men’s relationships does not exempt them from intimate partner violence. Gay men are the perpetrators and targets for intimate violence at rates somewhat higher than heterosexual couples (Greenwood et al., 2002), but lesbians experience this type of violence at rates similar to heterosexual women (Owen & Burke, 2004). Regardless of nationality or sexual orientation, or which partner has more power, both partners are more likely to be the targets of violence in couples with a dominant and a subordinate partner. Inequalities of power promote violent confl ict in couples, putting both partners at increased risk.

Therefore, a connection exists among the issues of power, confl ict, and violence in com- mitted relationships. Power affects confl ict and confl ict management. When confl ict leads to violence, women are about as likely as men to behave violently. However, women are more likely than men to be injured in a violent confrontation. As long as women and men con- tinue to fi nd physical violence acceptable as a confl ict resolution strategy, intimate partner violence will continue.

Stability of Relationships

Relationships that involve physical violence are less stable than those with no violence (Beck, Anderson, O’Hara, & Benjamin, 2013), but some of these violent relationships endure with partners relatively satisfi ed (Williams & Frieze, 2005). Many people fi nd it diffi cult to imagine why a woman would stay with a man who repeatedly abuses her, but some women do (Eisikovits, Winstok, & Gelles, 2002). Abusive men often work to isolate their partners from family and friends, depriving them of social support and alternative residences (Heise, Ellsberg, & Gottemoeller, 1999; Jewkes, 2002). Abused women who are unemployed, with few marketable skills and young children in need of fi nancial support, may feel as though they have no options except to stay in the relationship, no matter how abusive. With the rise of shelters for women to escape abusive homes, abused women have an option, and thousands take this option each year.

Abusive relationships are an extreme case of confl ict in love relationships, but all couples experience some level of confl ict. Experiencing confl icts is related to decreased satisfaction in relationships (Cramer, 2002). The number of confl icts mattered but the magnitude did not; either minor or major confl icts contributed to lower ratings of satisfaction with the relationship, but the strategies for resolving confl icts are more strongly related to satisfac- tion and stability. John Gottman (1991, 1998) and his colleagues (Gottman & Notarius, 2000; Levenson, Carstensen, & Gottman, 1994) have investigated the elements and styles of confl icts that strengthen relationships as well as those that signal problems. They have even managed to reduce these factors to a predictive equation that has over 90% accuracy in predicting divorce (Gottman, Swanson, & Swanson, 2002).

Surprisingly, Gottman’s results have indicated that marital satisfaction is not a strong pre- dictor of separation but that the level of physical arousal during confl ict is. That is, couples whose heart rates, blood pressure, sweating, and physical movement during an argument were elevated were more likely to separate within the next 3 years than couples with lower levels of arousal. Couples whose physiological reactions were calmer tended to have mar- riages that improved over a 3-year span.

Behavioral factors also predicted divorce, including patterns of interaction between part- ners. Husbands’ tendency to be unresponsive (“stonewall”) by withdrawing emotionally and avoiding eye contact with their wives during an argument predicted dissolution of the

260 Relationships

marriage (Gottman, 1991; Gottman & Driver, 2005; Gottman & Silver, 2000). Wives’ tendency to complain, criticize, and behave defensively also constituted a danger signal. The couples headed toward separation also showed different facial expressions during their con- versations, including the wives’ expressions of disgust and the husbands’ “miserable smile,” a smile that affects only the mouth, as when people try to “put on a happy face.” Gottman concluded that these patterns of interaction worked toward driving couples apart rather than allowing them to resolve confl icts. Indeed, many of the couples that exhibited these interaction patterns were in the process of dissolving their relationship emotionally, and their physiological reactions, confl ict tactics, and facial expressions signaled their impending separation. These fi ndings apply to gay and lesbian couples as well as to heterosexual ones (Gottman et al., 2003). Table 9.5 summarizes these factors.

The institution of marriage often holds couples together when they might otherwise dissolve their relationships, which means that cohabiting heterosexual, gay, and lesbian couples in the United States are more likely to end their relationships than married people are (Kurdek, 2004, 2008), and same-sex couples in Great Britain are more likely to separate than heterosexual couples (Lau, 2012). Changing laws regarding same-sex marriage may change these statistics over time.

However, same-sex couples tend to exhibit similar levels of satisfaction and adjustment as well as better confl ict resolution skills than married couples. Gay men and lesbians can also have stable, long-term relationships: 76% of lesbian couples and 81% of gay male couples were together during 12 years of assessments (Kurdek, 2004). In a study of heterosexual and same-sex couples who had stayed together for an average of 30 years (Mackey, Diemer, & O’Brien, 2000), several factors were related to psychological intimacy and continuation of the rela- tionship, including lack of confl ict, method of handling confl ict, quality of communication,

Photo 9.3 All couples experience confl ict, but how they resolve the confl ict is a key to the stability of their relationship.

Relationships 261

equity, and expression of affection. Lesbians reported their relationships as closer than did gay men or heterosexuals.

According to Sternberg’s (1986, 1987) triangular theory of love, relationships that have only one of the components should lack stability, and the commitment component is clearly the most strongly related to relationship stability. Commitment “can be essential for getting through hard times and for returning to better ones. In ignoring it or separating it from love, one may be missing exactly that component of loving relationships that enables one to get through the hard times as well as the easy ones” (Sternberg, 1986, p. 123). In a study of reasons that people stayed married, loving one’s partner was the most common reason that participants gave (Previti & Amato, 2003).

Dissolving Relationships

Relationships go through phases of attraction, development, and sometimes dissolution. All relationships are subject to these stages, but people expect the dissolution of casual relationships and believe that such breakups pose no problems for the people involved. Unfortunately, even relationships with commitment sometimes fail to endure. When close friendships or love relationships dissolve, the two individuals are not the only ones affected. As Susan Sprecher and her colleagues (Sprecher, Felmlee, Schmeeckle, & Shu, 2006, p. 457) noted: “No breakup occurs on an island.” The end of such relationships poses problems for both people involved as well as for their social network of friends and family.

Love relationships without institutional support, such as cohabitation, are more likely to break up than are marriages. Even couples that have cohabited before marriage are more likely to divorce than those who did not (Copen et al., 2012). In three studies of couples (Blumstein & Schwartz, 1983; Kurdek, 2004; Lau, 2012), married couples were more likely to remain together than gay or lesbian couples. Figure 9.4 shows the separation rates for different types of couples over time. As marriage has become an option for same-sex couples, research has begun to show that marriage also gives stability to these unions (Rosenfeld, 2014); same-sex couples who marry stay together at a rate similar to heterosexual married couples.

The institutional support for marriage is no guarantee of stability. Although marriages have never been permanent, divorce increased dramatically since the 1950s (U.S. Census Bureau, 2011), hit a high level in the 1980s, decreased slightly, and decreased somewhat in

Table 9.5 Factors Related to Marital Separation

Factor Prediction

Marital satisfaction No strong relationship to separation

Physical arousal during confl ict—heart rate, blood pressure, sweating, moving

Higher levels predict increased likelihood of separation; calmer reactions predict strengthening of relationship

Wives being overly agreeable Increased likelihood of separation

Husbands participate in housework Increased satisfaction for husbands and wives; increased health in husbands

Husbands stonewall Increased likelihood of separation

Wives criticize and complain Increased likelihood of separation

Husbands disagree with wives Increased likelihood of separation

Couples are defensive Increased likelihood of separation

Facial expressions during confl ict—“miserable smile,” wives’ disgust, husbands’ fear

Increased likelihood of separation

262 Relationships

recent years (see Figure 9.3 ). Even lengthy marriages end in divorce. Indeed, divorce during middle and older age—“gray divorce’—has become a notable trend in the United States (Brown & Lin, 2012). The divorce rate for people over age 50 doubled between 1990 and 2010. This trend has shifted the majority of older people who live alone from those who are widowed to those who are divorced.

The high divorce rate is not necessarily a condemnation of marriage as much as the failure of women and men to fulfi ll their vision of what they believe marriage should be. Compared to dating and married couples, engaged couples expressed an idealized vision of marriage (Bonds-Raacke, Bearden, Carriere, Anderson, & Nicks, 2001), which may lead couples to unrealistic expectations that build a foundation for confl ict. As research on relationship stability has indicated (Gottman, 1991; Gottman & Driver, 2005; Gottman & Notarius, 2000), how partners handle confl icts in the early years of marriage is a predictor of divorce.

Several intensive studies tell stories about the effects of divorce. One study, by Catherine Riessman (1990), was an interview study of divorced men and women; another interview study (Thomas & Ryan, 2008) focused on women; yet another interview study (Canham, Mahmood, Stott, Sixsmith, & O’Rourke, 2014) explored the reasons and aftermath of divorce among older adults. A study by Mavis Hetherington and John Kelly (2002) was a quantitative study, the Virginia Longitudinal Study of Divorce and Remarriage, which lasted over 30 years and followed almost 1,400 families. These studies have revealed similarities in the factors that underlie divorces and the processes of adaptation and recovery. These studies show that men and women experience similar feelings, but they also show substantial gender differences in the process of divorce.

Most people who divorce keep their ideas of marriage and what it should be (Canham et al., 2014; Riessman, 1990; Sandfi eld, 2006). That idea often matches what Cancian called the Companionship blueprint for marriage. When they separated and divorced, women and

Figure 9.4 Separation Rates for Couples over 18-Month, 5-Year, and 12-Year Periods

Source: The data for the 18-month period are from American Couples, by Philip Blumstein and Pepper Schwartz, 1983, New York: Pocket Books. The data for 5-year period are from “Relationship Outcomes and Their Predictors: Longitudinal Evidence from Heterosexual Married, Gay Cohabiting, and Lesbian Cohabiting Couples,” by Lawrence Kurdek, 1998, Journal of Mar- riage and Family, 60, pp. 553–568. The data from 12-year period are from “Are Gay and Lesbian Cohabitating Couples Really Different from Heterosexual Married Couples?” by Lawrence Kurdek, 2005, Journal of Marriage and Family, 66, pp. 880–900.

Relationships 263

men usually failed to question the blueprint. Rather, they found fault in their own marriages, blaming either their former spouses or themselves for failing to fulfi ll some component of their marital ideal.

Gendered Voices: I Wasn’t Any of His Business Anymore

A woman, talking with her friend about her ex-husband, said, “I saw Ed at a country western club last Friday night. He was there with some of his friends, drinking. I went there because I wanted to get out and have some fun. He didn’t see me at fi rst, and then he kept looking in my direction, trying to make sure he was seeing right.

“Finally, he came over to me and said, ‘What are you doing in a place like this? You shouldn’t be here.’ I told him that what I did wasn’t any of his business anymore. We were divorced, and I could do what I wanted. I didn’t need his permission to go to a bar, and he didn’t have any right to say anything to me. He said some pretty ugly things, calling me a bitch and a whore, and I just walked away from him. I had enough of his ordering me around when we were married.”

Divorced men and women described failures to live up to their ideals, but their descriptions showed some variation (Riessman, 1990). Both saw failures in achieving emotional intimacy, but they attributed the failures to different reasons. Women tended to say that their husbands had not talked and shared feelings with them as they had expected. They claimed that their husbands just didn’t communicate with them, and research has confi rmed these problems as divorce risks (Markman et al., 2010). Divorced men largely agreed with this assessment, blaming themselves for not communicating with their former wives and maintaining that they had diffi culties in talking about their feelings. Divorced men also believed that their wives had failed to give them emotional support, which they tended to defi ne as physical affection. The working-class men repeatedly said that their wives were not waiting “with their arms open and a kiss” when the men came home from work (Riessman, 1990). These men felt that the absence of such behaviors indicated that their marriages lacked emotional intimacy. These gender- related differences illustrate the talk-based versus action-based styles that are typical of women and men and highlight the importance of these differences in the dissolution of relationships.

Gendered Voices: My Ex-Wife Acts Like We’re Still Married

“Although we were divorced three years ago, my ex-wife acts like we’re still married,” a man in his mid-30s said. “I understand why she calls me when something involves the kids, but she calls me when she needs things done to the house.” He considered these requests inappropriate because he and his ex-wife had both remarried. “I can’t help it if she married a wuss who can’t fi x the toilet. I don’t think she should be calling me to do the chores. We’re not married anymore, and taking care of her house is not part of my job now.”

The motives that lead to divorce show some changes but few differences for older versus younger people. Partners still believe that extramarital affairs, alcoholism, and physical abuse are reasons to separate (Canham et al., 2014; Thomas & Ryan, 2008), but these are not the most common reasons that push people toward divorce. Instead, failures to meet partners’ relationship expectations, lack of shared interests, and problems in balancing work and fam- ily demands have become more common motives for divorce (Canham et al., 2014; de Graaf &

264 Relationships

Kalmijn, 2006). With the growing acceptability of divorce, even relatively small problems combined with a failure to receive rewards make divorce a consideration (Hetherington & Kelly, 2002).

People often ask “Why would a couple who has been married for over 20 years get divorced?” An interview study (Canham et al., 2014) asked older adults who had divorced to talk about some of the reasons that prompted their divorce; their reasons were similar to those listed by younger individuals. For some partners, dissatisfaction was a recurring theme that began early in their relationship. Communication problems, power imbalance, and confl ict and abuse all appeared as factors that contributed to the decision to divorce, but partners also described how they had drifted apart in interests and goals. Unhappy couples may stay together for economic reasons or for their children. However, for dual-earner couples with grown children, the reasons to stay in an unhappy marriage dissipate, which constituted the underlying factor for some of these divorces. Similar to younger adults, these older adults reported both negative and positive aspects to the divorce. One difference was sex; other than sexual abuse by a partner, the older people did not mention sexual problems as an underlying cause of their divorce.

The divorced people in both longitudinal studies with younger adults (Riessman, 1990; Thomas & Ryan, 2008) mentioned problems with sex in connection with their divorce. The men mentioned dissatisfaction with the frequency of sex and resentment over their wives’ refusal to have sex as often as husbands wanted. Sexual affairs were a factor in 34% of the divorced people in Riessman’s study, and both women and men believed that affairs had been the impetus for the dissolution of their marriage. The women took their own as well as their husbands’ affairs as a sign of emotional betrayal, signaling that their marriage was over. The men did not necessarily share that attitude, but they also acknowledged that affairs had been a factor in their divorces. Wives found it diffi cult to forgive husbands’ affairs, and wives who had had affairs tended to leave their husbands for their lovers.

These feelings suggest that women might be the ones to initiate breakups, and fi ndings from the Virginia Longitudinal Study and a study in Australia (Hewitt, 2009) confi rmed this fi nding. Women initiate about two-thirds of the breakups of heterosexual couples but are less likely to do so if they have very young children. The likelihood of women initiat- ing breakups may be due to women’s tendency to be more vigilant about monitoring their relationships; they know when something is going wrong more quickly than men do. Alter- natively, women’s willingness to divorce may refl ect their increased incomes, which allow them to leave unhappy marriages. This situation highlights a substantial asymmetry in love relationships. Women fall out of love more quickly and fall in love more slowly than men do.

Women and men both experience different lives after the dissolution of a love relationship. For partners who have been married or have cohabited, the dissolution of the relationship is usually fi nancially as well as emotionally diffi cult (Avellar & Smock, 2005; Gadalla, 2009; Zagorsky, 2005). Women’s lower earning power coupled with their custody of children tends to create fi nancial hardship, whereas men’s fi nancial position may improve after divorce. Women’s increasing earning power has moderated the fi nancial impact of divorce (McKeever & Wolfi nger, 2001), but women continue to experience fi nancial disadvantage up to 3 years after divorce (Gadalla, 2009).

Many men and women search for and fi nd positive as well as negative consequences as a result of the divorce experience (Bevvino & Sharkin, 2003; Riessman, 1990; Thomas & Ryan, 2008). Both said they enjoyed the freedom that came with divorce, but their feelings had different sources: Women liked being free from their husbands’ dominance, whereas the men liked being free of their wives’ expectations. Women were more likely than men to fi nd something positive about the experience, but many women experienced grief and depres- sion related to their divorce (Sakraida, 2005). Despite the depression, they also discovered

Relationships 265

heightened self-esteem and feelings of competence through performing activities their hus- bands had done when they were married (Riessman, 1990).

Men are more likely to “lose” in the divorce (Baum, 2004). Dissolution of marriage often deprives men not only of companionship and emotional support from their wives but also of their children and feeling of being a family (Bailey, 2007) and of their network of friends and family (a network typically maintained by women). Women tend to use these support networks after divorce, but men do not, which may be related to men’s increased likelihood of experienc- ing health problems, including early death, after divorce (Sbarra, Law, & Portley, 2011). The men in Riessman’s (1990) study were surprised at the diffi culties of being alone, but they also described feelings of satisfaction from developing competencies in domestic chores.

Divorced men and women are likely to feel displeased with their ex-spouses rather than with marriage itself, and most showed their endorsement of marriage by remarrying (Heth- erington & Kelly, 2002). Cohabiting presents an alternative to marriage that has become increasingly common among divorced people (Wu & Schimmele, 2005). Second marriages (and cohabitations) may differ from fi rst marriages. People in second marriages endorsed an equal sharing of power, and women tend to negotiate relationships with more equal power, greater access to resources, and more equitable sharing of household labor than their fi rst marriages (Clarke, 2005). These marriages, however, show many more similarities than dif- ferences (Allen, Baucom, Burnett, Epstein, & Rankin-Esquer, 2001). Second marriages are even more likely to end in divorce than fi rst marriages, which Riessman (1990) interpreted as an increased unwillingness to endure an unhappy relationship combined with the knowledge that divorce offered positive as well as negative experiences.

Considering Diversity

The blueprints for marriage have changed over time in the United States (Cancian, 1987). In the 1800s, the Family Duty blueprint was the rule; couples often entered arranged marriages for economic reasons, and their feelings revolved around a sense of duty to each other and their children. Looking further back into history and to other cultures, Nancy Bonvillain (2000) analyzed gender and marriage in a variety of settings, contrasting male-dominated and egalitarian societies. Her analysis pointed to economics as an important factor in the power that women have in their marriages and in society in general.

In societies in which women contribute signifi cantly to household subsistence, the women have power in their personal relationships. For example, the Ju/’hoansi are a society of forag- ing people who live in Botswana and Namibia. Gender roles and behaviors vary in Ju/’hoansi society, but women’s foraging is essential to band survival. This contribution is refl ected in Ju/’hoansi women’s full participation in social decisions. The Inuit of Arctic North America are also a foraging band society, but their culture is male dominated. An economic analysis reveals that the scarcity of foods results in men’s hunting as the main source of food; women are forbidden to hunt. Consequently, women’s contributions are perceived as less important, and their status is lower.

In tribal societies, both egalitarian and male-dominated societies have existed, and the eco- nomic analysis continues to maintain validity (Bonvillain, 2000). When Europeans arrived in North America, the Iroquois allowed women access to economic resources, whereas the Yanomamo of Brazil and Venezuela were a tribal society that did not allow such access. These two societies showed the predicted patterns of egalitarianism and male dominance, respec- tively. In even larger and more complex groups such as state and industrialized societies, the restriction of economic production to men gives them power and puts women in the position of subordinates in many ways, including in marriages. A comparative study of 27 countries (Cha & Thébaud, 2009) supported this analysis, showing a relationship between economic

266 Relationships

support for men as breadwinners and men’s gender ideology—greater structural support for men as breadwinners was related to men’s lower endorsement of egalitarian beliefs.

Bonvillain contended that when women’s contributions are seen as minor, their status is lower, resulting in little power in their relationships. Lack of power manifests itself in the inability to leave unhappy marriages or to avoid physical abuse. Consistent with the economic viewpoint, participation in the labor force is a signifi cant predictor of divorce in nations around the world. An analysis of 71 countries on six continents (Greenstein & Davis, 2006) revealed that paid employment was a predictor of countries’ divorce rate; countries with high divorce rates tend to be industrialized countries in which women comprise a high percentage of the paid labor force. Figure 9.5 presents some examples of the varying divorce rate around the world.

Australia

Belarus

Belgium

Canada

Chile

China

Costa Rica

Cuba

Denmark

France

Germany

Greece

Guatemala

Iran

Italy

Japan

Jordan

Mexico

Netherlands

Poland

Russia

Singapore

South Korea

Sweden

Switzerland

United Kingdom

United States

1 2 3 4 5

Divorce Rate per 1,000 Population

2.8

2.0

2.2

2.2

2.3

1.8

4.7

1.7

2.0

1 2 3 4 5

2.2

2.1

2.1

1.8

4.1

2.9

0.2

2.5

2.6

2.8

2.3

1.2

0.2

1.8

0.9

2.1

2.6

0.8

Figure 9.5 Divorce Rate in Selected Nations

Source: Data from Demographic Yearbook, 2012, by United Nations, 2012, Table 24. Retrieved November 15, 2015 from http://unstats.un.org/unsd/demographic/products/dyb/dyb2012/Table24.pdf

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A cross-cultural analysis of violence against women (Heise et al., 1999; Shahidulla & Nana Derby, 2009; United Nations, 2010) also related domestic violence to societies with strong male dominance. Consistent with Bonvillain’s view, these analyses cited fi nancial dependence and restriction of access to resources as contributors to domestic violence and changes in these situations to laws against such abuse. Examining domestic violence against women across cultures revealed a great deal of variation in the percentage of women who reported abuse (United Nations, 2010). In cultures that endorse men’s right to control women and to “discipline” wives, the rates of abuse were high—over 40%. In such societies, men (and sometimes women, too) fi nd a variety of justifi cations for abuse, including failure to obey husbands’ orders, asking for money, failure to take care of children, suspicion of adultery, or refusing sex. Other societies set stricter limits on domestic violence, and these societies have a lower rate of reported partner violence. Indeed, domestic abuse does not occur in all societies.

A growing worldwide campaign against this type of abuse has arisen. Since 1993, when the United Nations General Assembly passed the Declaration on the Elimination of Vio- lence against Women, many countries have developed initiatives to curb domestic violence. The modernization that has occurred in many parts of the world has prompted changes in attitudes and in laws related to partner violence (Shahidulla & Nana Derby, 2009). Not only have such laws appeared in North America and Western Europe but Brazil, India, Japan, Bangladesh, and Ghana have formulated similar laws, and freedom from violence at home is coming to be seen as a human right.

Summary

Sternberg’s triangular model of relationships provides a framework for understanding all relationships, including friendships and love relationships. Gender differences in friendship styles appear early in development; children voluntarily segregate themselves according to gender before age 5 years. Girls tend to associate in small groups, whereas boys play in larger groups with more of a hierarchical organization.

Adolescents are more concerned with developing emotional intimacy in their relation- ships, but girls emphasize this aspect of relationships more than boys. Men fi nd it diffi cult to develop such relationships, especially with other men. Instead, they have buddies with whom they form activity-based relationships. When young men and women form couples, these relationships often decrease the amount of time and emotional energy they have to devote to friends. Some research has indicated that both men and women have a fl exibility of friendship styles, and they use different styles to relate to male and female friends. Cross- gender nonsexual friendships are a recent phenomenon. Both men and women acknowledge that such relationships are possible (and even desirable) but require special rules.

Love relationships currently form through dating, an activity that fi rst arose during the 1920s as a response to changing patterns of mate selection. Dating has now become not only a method of courting, but also a forum for recreation, socialization, and sexual explora- tion. Adolescents tend to choose dates similar to future mates, and men and women prefer partners who are warm and kind, expressive, intelligent, and physically attractive. People with either heterosexual or homosexual sexual orientation describe their preferred partners in similar ways.

Currently, marriage and other committed relationships can follow several different blueprints: Companionship, Independence, and Interdependence. The Companionship blueprint involves separate gender roles and emphasizes the woman’s role in maintaining a love relationship. Both the Independence and Interdependence blueprints emphasize self- development for both men and women, but they differ in the emphasis on commitment.

268 Relationships

Gender researchers have explored several issues in love relationships, including beliefs about love, communication, division of household labor, power and confl ict, and relation- ship stability. Men are more romantic in their conceptualization of love than women are, and marriage tends to benefi t them more, but they are not necessarily happier with their mar- riages. Communication is a major factor for relationships, and a great deal of publicity has focused on differences in men’s and women’s communication. However, research indicates that differences are more likely due to power differentials than to gender. The balance of power in marriage generally favors men, both because they have greater economic resources and because society accords men more power. Even when women make as much or more money than their husbands, they do not have equal power.

The division of household labor refl ects the power difference; women perform far more of this work than men, even when women have paid employment outside the home. Women have become increasingly dissatisfi ed with this inequitable division, and men have begun to do more household work, but some inequity continues and produces confl ict. Couples experience confl ict from many sources, but some marital confl ict results in violence. Men and women both behave violently toward each, but women are more likely than men to be injured as a result of relationship violence.

Violence decreases the stability of relationships, but does not necessarily end them. Stable love relationships tend to occur in couples with similar attitudes and values, and the com- mitment factor in marriage produces greater stability than in other love relationships. But marriages dissolve. In the United States, divorce increased dramatically during the 1980s and then decreased during the 1990s. People who have divorced tend to see the fault in their ex-spouses rather than in the institution of marriage. Although divorce brings fi nancial and emotional problems, most women and men also fi nd positive factors in divorce. Most remarry or cohabit, and some evidence suggests that both women and men form more equitable second marriages.

Across time and cultures, many patterns of marriage have existed. Analyzing the economic contributions of women in a variety of societies leads to the conclusion that women experience more egalitarian relationships and roles in societies in which they make signifi cant economic contributions. Male-dominated cultures restrict women’s access to resources, tend to establish restrictive marriages, allow fewer options for women to leave marriage, and condone greater intimate partner violence. Growing labor force participation and a worldwide campaign against domestic violence is in the process of changing male–female relationships around the world.

Glossary

companionate love a combination of commitment and intimacy without passion. gross motor skills skills involving use of large muscles of the body, producing large move-

ments, such as throwing, kicking, running, and jumping. homophobia the unreasonable fear and hatred of homosexuality. machismo a Spanish word meaning strong and assertive masculinity and implying complete

male authority. matriarchy a family pattern in which women are dominant or a pattern in which women

are the head of the household due to the father’s absence.

Suggested Readings

Berndt, Thomas J. (2004). Children’s friendships: Shifts over a half-century in perspectives on their development and their effects. Merrill-Palmer Quarterly, 50 , 206–222. One of the leading researchers in the area of children’s friendships provides a thorough review of this research

area over the past 50 years.

Relationships 269

Gottman, John; & Silver, Nan. (2000). Seven Principles for Making Marriages Work . New York: Crown. Gottman is one of the world’s leading researchers on couples’ relationships. His popular book draws from

his research on factors related to success and failure in marriage and formulates ways to make marriages work.

Hatfi eld, Elaine; & Rapson, Richard L. (1996). Love and sex: Cross-cultural perspectives . Boston: Allyn & Bacon. Hatfi eld and Rapson’s book examines love and sex across contemporary cultures as well as delving into history

for additional examples. They consider attraction, the diffi culties of forming relationships, and the problems involved in ending romantic relationships. Their cross-cultural and historical review adds a valuable (and fasci- nating) point of view to the understanding of passionate love.

Rudman, Laurie A.; & Mescher, Kris. (2012). Feminism and romance. In M. A. Plaudi (Ed.), The psychology of love (Vol. 3, pp. 109–129). Santa Barbara, CA: Praeger. Feminism and romance are often considered incompatible, but Rudman and Mescher’s analysis demonstrates

how individuals who hold feminist values have an advantage in forming good relationships.

Suggested Websites

The Public Broadcasting System (PBS) maintains a website with many resources, including information about child development. One section focuses on girls’ friendships (http://www.pbs.org/parents/parenting/ raising-girls/friends-social-life/), which charts age-related development and discusses pitfalls and problems that arise in girls’ friendships. Interestingly, the section about raising boys has no similar information on boys’ friendships (although it contains good information about issues that boys face throughout their early development).

John Gray’s Mars & Venus approach to romantic relationships has been infl uential in our culture but draws heavily on gender stereotypes but not so much on research. An article by Hara Estroff Marano, reprinted on Psychotherapy.net (https://www.psychotherapy.net/article/gottman-and-gray) reviews Gray’s work, approach to couples’ counseling, and credentials in contrast with John Gottman, possibly the most important research psy- chologist to have studied relationship stability and dissolution.

QueenDom’s website includes Relationships as a topic (http://www.queendom.com/tests/testscontrol. htm?s=74), with over a dozen relationships tests.

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Headline: “How to End the War over Sex Ed,” Time Atlantic, April 6, 2009

When Jewels Morris-Davis turned 16 years old, she was proud of being “the fi rst person in [her] family to reach 16 without getting pregnant—or getting somebody pregnant” (Sullivan, 2009, p. 38). Jewels lived in a rural area in South Carolina that had a very high rate of teen pregnancy until her school instituted a sexuality education program that changed that county’s teen pregnancy rate and may provide a guide for how to end the U.S. “war” over sexuality education.

There is no argument over the problem of teen pregnancy: Despite declines in the rate of teen pregnancy over the past 20 years, the United States still has the highest rate in the indus- trialized world (Sedgh, Finer, Bankole, Eilers, & Singh, 2015). The confl ict has revolved around what type of programs can lower that statistic. In the 1996 Welfare Reform Act, the U.S. Congress provided funding for abstinence-oriented sex education, which emphasized sexual activity as exclusively part of marriage. Proponents of this view argue that providing information on sexuality encourages questions and fantasies that push children toward sexual activity; the only acceptable message is “Don’t have sex.” Others believe that the abstinence approach leaves young people vulnerable and unprepared in a world fi lled with sex, but the federal funding limitation to abstinence-only programs limited sexuality education in U.S. public schools.

Anderson County, South Carolina, found community funding to institute a comprehen- sive sexuality and relationship program (Sullivan, 2009). The county hired a professional sexuality educator (rather than follow the typical pattern of putting a coach or biology teacher in charge of sexuality education) and encouraged development of a curriculum that included not only information about pregnancy and sexually transmitted diseases (STDs) but also decision-making skills. During the fi rst 3 years of the program, the teen birth rate stayed high, but after that, it declined sharply. Surprisingly little controversy occurred in Anderson County, but other parts of the country have been plagued by protests, and many school systems offer little or no sexuality education beyond messages to abstain (Fields & Tolman, 2006).

The controversy over sexuality education is but one of many within the area of sexuality. Other controversies include sexual orientation, childhood sexuality and abuse, and gender differences in sexuality. It seems that no area of sexuality escapes controversy, and that general principle applies even to the research on sexuality, which is the fi rst topic for this chapter. Later sections explore the research and controversies in the development of sexuality during childhood and the development of the sexual orientations of heterosexuality, homosexuality, and bisexuality.

Sexuality 10

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The Study of Sexuality

Researchers who want to know about sexual behaviors and attitudes have several options in choosing a method of investigation. They may question people about their sexual behavior, or they may directly observe people’s sexual behavior. Both of these approaches present sci- entifi c, practical, and ethical problems.

Those researchers who choose to question people about their sexual behaviors or attitudes are using the survey method, which has been the most common approach to studying sexu- ality. People’s truthfulness is a limitation to this method, which may be lacking when they respond to questions about a private, personal issue such as sex. In addition, some people refuse to participate in sex surveys; these people are likely to differ from those who are will- ing to answer questions about their sexual attitudes and behavior. This situation describes self-selection of participants , which biases the procedure so that the individuals are not a representative sample —a group of people that refl ects the characteristics of the population from which the sample was drawn. The results can still reveal interesting and important information, but self-selected participants prohibit researchers from generalizing the results to the general population. A goal of sex survey researchers is to obtain a representative por- tion of participants who report truthfully.

Another possibility for investigating sexual behavior is through direct observation of sexual activity. People are even less willing to participate in this type of research than in a survey, but nonhuman animals have (or at least have voiced) no such objections. The problems of gen- eralizing results from these studies to humans are more serious, but a prominent example of this type of research appears in Patterns of Sexual Behavior (1951) by anthropologist Clellan Ford and psychologist Frank Beach. These two researchers presented not only a cross-cultural study of human sexual behavior, but cross-species comparisons as well. A small number of people have been willing to have sex in a research laboratory. Such participants allowed Wil- liam Masters and Virginia Johnson (1966) to study human sexual behavior in ways that no other researchers had managed.

Despite the challenges of both approaches, researchers have attempted to understand sexual behavior by using both surveys and direct observations of sexual behavior.

Sex Surveys

Before Alfred Kinsey’s groundbreaking survey of sexual behavior in the 1930s and 1940s, several other investigators completed reports on sexuality (Brecher, 1969). For example, Henry Havelock Ellis worked in England between 1896 and 1928, and Clelia Duel Mosher began studying sexual behavior among college women in the United States in 1892 (Degler, 1974). Each conducted research that led them to question the prevailing Victorian social norms of repression and denial of sexuality that he saw around him were not refl ected in people’s sexual behavior. For example, Mosher found that most of the women she questioned experienced both sexual desire and orgasms. Several other researchers completed small-scale sex surveys during the early 1900s, but the most famous of the surveys on sexual behavior were those completed by Alfred Kinsey and his colleagues.

The Kinsey Surveys

In 1937, Alfred Kinsey was a professor of biology at the University of Indiana, where he began to teach a newly created course in sex education, a controversial topic at that time.

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Kinsey found that little systematic research existed on sexuality, so he began such research in 1938. He constructed an interview that included information about nine areas: social and economic background, marital history, sex education, physical characteristics and physiology, nocturnal sex dreams, masturbation, heterosexual history, history of same-sex sexual activity, and sexual contact with animals. Each of these areas included subdivi- sions, creating an extensive but time-consuming interview. Kinsey and his associates, Wardell Pomeroy, Clyde Martin, and Paul Gebhard, conducted a total of 17,500 inter- views (Brecher, 1969).

Although the interviews were extensive and many people participated, Kinsey’s sample was not representative. His fi nal groups of 5,300 men and 5,940 women were White, well educated, mostly from Indiana, and largely Protestant. His failure to obtain a representative sample means that his results do not apply to the U.S. population.

Kinsey’s surveys managed to overcome the problem with truthfulness associated with survey research (Bancroft, 2004; Brecher, 1969). His technique included asking questions such as, “At what age did you fi rst experience full intercourse?” This approach assumed that everyone had done everything, which may have made people more comfortable and encour- aged them to tell the truth. Reinterviewing some participants 18 months after their fi rst interview revealed mostly minor inconsistencies that came from memory lapses rather than intentional deception, indicating to Kinsey that people were telling the truth.

The results from Kinsey’s surveys appeared in two parts, Sexual Behavior in the Human Male (Kinsey, Pomeroy, & Martin, 1948) and Sexual Behavior in the Human Female (Kinsey, Pomeroy, Martin, & Gebhard, 1953). Kinsey’s reports appeared during a time when sex was not a topic of polite conversation, when women were supposed to be reluctant to have sex, and when same-sex, premarital, and extramarital sexual activities were illegal in many areas. The results of the surveys surprised (and even shocked) many people, because the partici- pants reported such a wide variety of sexual behaviors, including some that were socially unacceptable and even illegal.

Kinsey’s results indicated that women enjoyed sex; that a substantial percentage of men had participated in male–male sexual behavior; that children experienced sexual excitement and activity; and that masturbation, premarital sex, and extramarital sex were common for both women and men. Around 90% of the women in the study had experienced an orgasm by age 35 years. Of the 10% who had not, another 8% reported experiencing sexual arousal, leaving only 2% of women who had failed to enjoy sexual activity, a fi gure much lower than most people had imagined.

Some of Kinsey’s most controversial fi ndings concerned same-sex sexual behavior, which Kinsey referred to as homosexual. The term has become stigmatized because it highlights the sexual aspect of these individuals’ lives and nothing else. The term gay is an alternative that many fi nd preferable and that may apply to both men and women, but it is more often used to describe men who have sexual relationships with men. The term lesbian refers to women who have sexual relationships with women.

A total of 37% of the men in Kinsey’s survey reported at least one sexual experience with another man that led to orgasm. This fi gure included men who had had sexual experiences with other men only during early adolescence and men who had had only one such expe- rience. Some of these men reported that they had no subsequent sexual experiences with other men or no longer felt sexual attraction toward men. Both the percentage of men who had some type of sexual experience with other men (37%) and the percentage of men who primarily or exclusively had sex with other men (13%) were higher than previous estimates (Brecher, 1969). Kinsey’s fi gures on female sexual activity with other women were similar to the fi gures for men, but the percentages were smaller: 28% of women had at least some sexual experience with other women, but only 7% reported primarily or exclusively lesbian

Sexuality 283

Table 10.1 Percentage of Participants Reporting Sexual Activities in Four Sex Surveys

Sexual Activity Kinsey Surveys (Kinsey et al., 1948, 1953)

Playboy Foundation Survey (Hunt, 1974)

National Health and Social Life Survey (Laumann et al., 1994)

National Survey of Sexual Health and Behavior (Herbenick et al., 2010)

Men Women Men Women Men Women Men Women

Masturbation to orgasm

92.0% 58.0% 94.0% 63.0% — — 67.5–94.3% 43.3–86.6%

Masturbation before age 13

45.0 14.0 63.0 33.0 — — — —

Masturbation during marriage

40.0 30.0 72.0 68.0 57.0% 37.0% 60 26

At least one homosexual experience

37.0 28.0 — — 7.1 3.8 9.5 received, 9.5 gave oral sex

< 5 received, 11 gave oral sex

Primarily homosexual orientation

13.0 7.0 2.0 1.0 4.1 2.2 4.2 0.9

Premarital intercourse 71.0 33.0 97.0 67.0 93.0 79.0 — —

Extramarital sex 50.0 26.0 41.0 18.0 <25.0 <10.0 — —

Sexual abuse during childhood

10.0 25.0 — — 12.0 17.0 — —

sexuality. Table 10.1 shows these fi gures. The frequency of same-sex sexual attraction and activity are part of a continuing controversy. Kinsey’s fi gures for the number of men who primarily or exclusively have sex with other men are not only higher than previous estimates, but they are also higher than later estimates (Hunt, 1974; Laumann, Gagnon, Michael, & Michaels, 1994) and are likely not representative (Bancroft, 2004).

Another controversial fi nding related to childhood sexuality (Bancroft, 2004). Many participants in the Kinsey survey reported that as children they had sexual feelings and sometimes acted on those feelings. The most common type of childhood sexuality was masturbation , manipulation of the genitals to produce sexual pleasure. Infants and young children masturbate, some to orgasm. A total of 14% of the women and 45% of the men in Kinsey’s survey said that they had masturbated before age 13 years. They also remembered other-gender and same-sex exploratory play with peers as well as sexual contact with adults. Men recalled preadolescent intercourse more frequently than women did. Almost one-fourth of the women recalled incidents during which adult men had shown their genitals, touched them, or attempted intercourse. Over half of the incidents reported by women involved acquaintances or family members. Adults’ recollections of their childhood sexual activities are most likely not completely accurate, but Kinsey’s results suggested that children experi- ence sexual curiosity and exploration as well as sexual abuse by adults.

Kinsey’s survey revealed that masturbation was a common sexual activity that begins for a small percentage during preadolescence and increases during adolescence. Almost all of the men and about two-thirds of the women had reached orgasm by masturbating. Married people told Kinsey that they continued to masturbate, although they also had sex with their spouses. Around 30% of married women and 40% of married men reported that they mas- turbated. These fi gures contradicted the popular notion that masturbation was primarily a practice of adolescence and that people with a sexual partner no longer masturbated. Recent

284 Sexuality

research confi rms Kinsey’s fi ndings. In a representative sample of U.S. adults (Das, 2007), 38% of women and 61% of men reported that they masturbate. Indeed, over half of women in the United States own and use a vibrator (Herbenick et al., 2010).

Kinsey surveyed people who lived in a society that accepted different sexual standards for men and women. Although both were supposed to be sexually inexperienced before mar- riage and to have sex only with their spouses, men were not held to this standard but women were. This double standard for sexual behavior stretches back at least a century, and Kin- sey found evidence for it in the different rates for both premarital and extramarital sex. By 25 years of age, 83% of unmarried men but only 33% of unmarried women said that they had participated in intercourse. A similar discrepancy occurred in the reports of extramarital affairs—about half the men but only 26% of the women admitted having extramarital affairs.

In summary, Kinsey surveyed men and women to determine their sexual behavior, and his results popularized the study of sex. After the Kinsey reports, many other sex researchers chose the survey method of investigation.

Hunt’s Playboy Foundation Survey

In the 1970s, the Playboy Foundation commissioned a survey of sexual behavior in the United States to update the Kinsey fi ndings and to obtain a more representative sample. This effort resulted in the 1974 publication of Sexual Behavior in the 1970s by Morton Hunt. Although the attempt to obtain a representative sample fell short, the fi nal sample matched characteristics of the U.S. population in terms of ethnic background, education, age, and marital status. The 2,026 participants fi lled out a lengthy questionnaire about their backgrounds, including sex education, attitudes toward sex, and sexual histories. A total of 200 also participated in an even lengthier interview that was similar to the Kinsey interviews.

As Table 10.1 shows, this survey confi rmed the prevalence of masturbation; the rate of masturbation during adulthood was similar and preadolescent masturbation was higher than Kinsey found. Hunt’s results showed a lower percentage and a different pattern of same-sex sexual activity than Kinsey’s data. Hunt concluded that most such activity occurs as a form of adolescent experimentation; most of the women and men who had same-sex sexual expe- riences discontinued this form of sexuality by age 16. Hunt estimated that 2% of men and 1% of women were exclusively gay or lesbian in their sexual orientation.

Hunt found some evidence for a sexual revolution in the form of increases in certain sexual activities. For example, a total of 97% of the unmarried men and 67% of the unmarried women reported having intercourse by age 25 years, representing an increase in intercourse and a decrease in the double standard. By the 1970s, extramarital sex was more common, especially among younger women.

The Playboy Foundation survey also found evidence that more people were engaging in a wider variety of sexual activities than Kinsey reported. For example, a higher percentage of respondents in the Playboy Foundation survey reported oral–genital sexuality than in Kinsey’s surveys. Fellatio is oral stimulation of the male genitals, and cunnilingus is oral stimulation of the female genitals. Kinsey found a difference in popularity of oral–genital sexuality according to educational background: 60% of people with a college education, 20% of those with a high school education, and 10% of those with a grade school education had engaged in oral–genital sexual activity. Hunt reported that 90% of the young married couples in his survey said they had engaged in oral–genital stimulation, revealing a dramatic increase in prevalence and a leveling of social class differences.

In summary, Hunt’s Playboy Foundation survey showed that Kinsey was correct in con- cluding that people’s sexual behaviors are more varied than the social norms suggest. Hunt’s

Sexuality 285

estimates for same-sex sexuality were much lower than Kinsey’s fi gures, but Hunt found evidence for an increase in premarital, extramarital, and oral–genital sexual activity.

The National Health and Social Life Survey

Two major U.S. sex surveys appeared during the 1990s, one conducted by Samuel and Cyn- thia Janus (1993) and the other called the National Health and Social Life Survey (NHSLS) by a team headed by Edward Laumann et al. (1994). The NHSLS survey came closer to obtaining a representative sample.

Results from the NHSLS revealed a slightly different picture of sex in the United States than either the Kinsey or Hunt survey had shown. One difference was a continuation of the trend toward more liberal sexual standards, with sex serving either as an important factor in love relationships (regardless of marital status) or as a recreational activity (without any necessity for a committed relationship). Only around 30% of respondents expressed the traditional, conservative view that sex outside marriage is always wrong and that procreation is the main reason for having sex.

The other difference expressed in the NHSLS indicated some degree of conservatism concerning sex. For example, a low percentage of participants reported attraction to and practice of a variety of sexual behaviors. Indeed, the NHSLS results showed that vaginal intercourse was not only the most frequent form of sexual activity with a partner, but also the most appealing to both men and women. Giving and receiving oral sex and watching a partner undress were at least somewhat appealing to a majority of participants, but group sex, anal intercourse, sex with strangers, and forcing or being forced to do something sexual were not appealing to the majority of participants.

This survey also found gender differences in sexuality, just as the other surveys had done. One large gender difference related to the experience of fi rst intercourse: 28% of women but only 8% of men said that they did not want to have intercourse at the time but either did so out of affection for their partners or were forced to do so. Men also reported more varied sexual interests and behavior, including more lifetime sex partners and a slightly higher interest in group sex, anal intercourse, watching others do sexual things, visiting sex clubs, viewing sexually explicit books or videos, and giving and receiving oral sex. Men were more likely to masturbate, but women were more likely to report feeling guilty about masturbat- ing. Table 10.1 summarizes information from this survey.

Contrary to media depictions, “The general picture of sex with a partner in America shows that Americans do not have a secret life of abundant sex” (Michael, Gagnon, Laumann, & Kolata, 1994, p. 122). The most common category for frequency of intercourse was a few times a month , and only about 7% reported having sex four or more times a week. In addition, about two-thirds of both men and women said that they had only one sex partner within the past year, with reports showing only small variations across different ethnic groups, religious affi liations, or educational levels. The NHSLS results refl ected a less sexually varied United States than the media or people’s imaginations often present, but it also showed an acceptance of sex for pleasure and outside the boundaries of marriage.

National Survey of Sexual Health and Behavior

In 2010, Debby Herbenick and her colleagues (Herbenick et al., 2010) presented results from a new survey of sexual behavior, the National Survey of Sexual Health and Behav- ior (NSSHB). Using the Internet and sophisticated techniques to obtain a representative sample of U.S. residents, this group collected data from 5,856 men and women between 14 and 94 years old. These participants answered questions about their sexual experiences, including solo masturbation, partnered masturbation, giving and receiving oral sex, vaginal

286 Sexuality

intercourse, and anal intercourse. The researchers’ aim was to assess changes in sexual behav- ior that had occurred since the NHSLS.

Herbenick et al. reasoned that changes in U.S. society such as the availability of sexual infor- mation and pornography on the Internet, the use of drugs for erectile dysfunction, and cam- paigns to increase condom use may have prompted changes in sexual behavior. Their results confi rmed some similarities to and changes since the NHSLS in the 1990s. For example, the results for masturbation were similar to earlier studies—that behavior was reported as com- mon throughout all age ranges in the survey but more common for men than women. Vaginal intercourse was common for some age ranges but not others. For example, this type of sex was not common for young adolescents but was the most common form of partnered sex for men in their 20s and 30s and women in their 20s. After these ages, frequency of vaginal intercourse declined for both women and men. Anal intercourse is a less common sexual behavior, but it is not unusual for either men or women. More than 40% of 25- to 50-year-olds reported that they had engaged in this sexual behavior at some time in their lives.

Oral sex with a partner of the other sex was also a more common behavior in this survey than the previous sex surveys. For both women and men between ages 18 and 49, over half reported that they had engaged in oral sex within the past year. Oral sex with a same-sex partner was not a common experience for these participants, but its frequency varied a great deal with age. Around 14% of men in their 40s and 50s said that they had received oral sex from another man at some time during their lives, but less than 5% of women in most age groups said that they had received or given oral sex to another woman. For men, receptive anal intercourse was less common, but around 10% of men in several age groups reported this behavior.

This survey revealed that adolescents and adults in the United States engage in a variety of sexual behaviors. Consistent with other surveys, partnered sex is less common for younger and older people, especially older women. Also consistent with earlier surveys—married people have sex more often than those without partners (Reece et al., 2010). The frequency of a variety of sexual behaviors indicates a change from the NHSLS in the 1990s.

Gender Differences (and Similarities) in Sexual Attitudes and Behavior

The four major (and many smaller) sex surveys have shown gender differences in several sexual behaviors and in some attitudes toward sexuality. Although the more recent surveys have indi- cated a smaller variation in sexuality of men and women, even recent studies have indicated gender differences. Meta-analyses (Oliver & Hyde, 1993; Petersen & Hyde, 2010) and sum- maries (Christopher & Sprecher, 2000; Fischtein, Herold, & Desmarais, 2007; Peplau, 2003) have indicated that gender differences exist in some aspects of sexuality but not in others.

Incidence of masturbation, use of pornography, frequency of casual sex, and permissive attitudes toward casual sex were higher among men than women (Oliver & Hyde, 1993; Petersen & Hyde, 2010). These differences are moderately large, whereas other gender dif- ferences in sexuality are small or nonexistent. This gender difference may relate to a tem- perament difference in a factor called surgency , the tendency to seek stimulation, including taking risks and behaving impulsively (Else-Quest, Hyde, Goldsmith, & Van Hulle, 2006). This gender difference appears early in childhood and may constitute an underlying factor in many of the gender differences in sexuality.

The greater acceptance of casual premarital sex applies to men in a variety of cultures, including Canada, Africa, Hong Kong, Sweden, and all ethnic groups in the United States (Hatfi eld & Rapson, 1996). The term casual also seems to apply to online sex; about 84% of those who engage in this type of sexual activity are men (Cooper, Morahan-Martin, Mathy, & Maheu, 2002). In addition, men expressed more positive attitudes about casual online sexual relationships than women did (Grov, Gillespie, Royce, & Lever, 2011). (See According to the Media/According to the Research for more about cybersex.)

Sexuality 287

According to the Media . . . Sex is Just a Mouse Click Away

Tim Fountain (2003) described the joys of Internet sex: “The Worldwide Web offers us an opportunity to go to our graves having fulfi lled most of our sexual fantasies” (p. 21). According to Fountain, the Web offers a sexual banquet, regardless of one’s tastes. For gay men such as Fountain, chat rooms offer sexually oriented “chat” as well as arrangements for people to meet online and plan for sex in the real world, including websites specializing in casual sex.

Sex on the Internet offers a number of possibilities for online sexual activity, which people of all sexual orientation use (Grov et al., 2011; Lever, Grov, Royce, & Gil- lespie, 2008). The possibilities include fi nding sexual information, dating services, and sexual entertainment (Cooper, 2004). The entertainment activities consist of a variety of fantasies and interactions such as cybersex —using the Internet to exchange photos or sexual messages that lead to sexual gratifi cation.

The Internet offers what Al Cooper and his colleagues (Cooper, Delmonico, Griffi n- Shelley, & Mathy, 2004) called the Triple-A Engine —accessibility, anonymity, and afford- ability. The Internet has over 600 million users worldwide, and sex is the most researched topic; about a third of those online use the Internet to obtain some form of sexual informa- tion or entertainment. As Cooper suggested, the Internet may be the new sexual revolution.

As Fountain had discovered, gay, lesbian, and bisexual individuals have been enthusi- astic about online sexual activities (Blackwell & Dziegielewski, 2012; Lever et al., 2008), along with others whose sexuality has been subject to restriction, such as individuals with disabilities or those with fetishes (Cooper, 2004). Online sexual activity opens the world to these individuals, so they are no longer restricted to their geographic location.

According to the Research . . . The Internet Offers New Possibilities for Sexual Addiction

The possibilities for sexual activity on the Internet are numerous, some of which are posi- tive and others of which present dangers (Whitty & Fisher, 2008). The positive possibili- ties include ready access to sexual information. However, most of the millions of people who use the Internet for online sex choose one of the entertainment options, viewing sex- ual images, participating in sexually oriented chat, or engaging in sexual fantasy activities.

For the large majority of users, online sexual activities serve as a type of recreational activity used for distraction and stress relief (Cooper et al., 2004). These users may consider their online sexual activity as entertainment, but their partners may feel that online sex is “cheating” (Zitzman & Butler, 2009), which indicates that even noncom- pulsive online sexual activity may present problems.

For some individuals, use develops into compulsive involvement with online sex (Beutel et al., 2011). Similar to other types of compulsions, problems arise when a person’s involvement begins to create diffi culties with personal relationships or work. Internet involvement in sexual activities decreases the likelihood of being involved in a satisfying personal relationship.

Large gender differences exist in online sexual activity (Cooper et al., 2004). Women are not as likely as men to be involved in online sexual activities—only about 15% of those who use the Internet for sexual activities are women. Those women participate in the same range of activities that men do—viewing sexually explicit photos, sexual chat, and fantasy sexual experiences. Contrary to stereotype, a larger proportion of female than male Net users develop problems (Ferree, 2003). Therefore, online sexual activity may create problems in men’s and women’s lives and relationships.

288 Sexuality

Other gender-related differences in sexuality were smaller, and some of the meta-analysis comparisons (Oliver & Hyde, 1993; Petersen & Hyde, 2010) failed to show gender varia- tions. Table 10.2 shows some of the behaviors and attitudes from these meta-analyses, along with the magnitude of gender-related differences. However, the gender differences in atti- tudes toward sex may be larger than this meta-analysis revealed. All of the studies in this analysis were based on self-reports, which draw on explicit attitudes—attitudes that people are conscious of holding. Implicit attitudes are those that are automatically activated yet not in conscious awareness, and people may hold implicit attitudes that differ from their explicit attitudes (Greenwald & Banaji, 1995). A study of implicit attitudes toward sexual words (Geer & Robertson, 2005) revealed that women held more negative implicit attitudes than men did.

Gender differences in sexuality may be smaller than research suggests. Self-reports rely on what participants reveal to researchers and are thus subject to distortion and misrepresenta- tion. For example, young men lie about the number of sex partners they have had as a way to increase their prestige (Jonason & Fisher, 2009). A procedure called the bogus pipeline helps researchers obtain more truthful responses by leading participants to believe that their responses are monitored by a polygraph (“lie detector”). One bogus pipeline study of sexual behavior and responses (Alexander & Fisher, 2003) showed very small differences in women’s

Table 10.2 Sexual Attitudes and Behaviors Showing and Failing to Show Gender-Related Differences

Sexual Behaviors/Attitudes Direction of Difference

Large Differences

Incidence of masturbation Higher for men

Acceptability of casual sex Higher for men

Moderate to Small Differences

Acceptability of sexual permissiveness Higher for men

Incidence of sex in committed relationship Higher for men

Incidence of intercourse by engaged couples Higher for men

Acceptability of premarital sex Higher for men

Age at fi rst intercourse Lower for men

Frequency of intercourse Higher for men

Incidence of same-gender sexual experiences Higher for men

Anxiety, fear, and guilt associated with sex Higher for women

Acceptability of double standard of sexual behavior Higher for women

Acceptability of extramarital sex Higher for men

Number of sexual partners Higher for men

No Differences

Incidence of oral sex

Incidence of kissing

Incidence of petting

Acceptability of masturbation

Acceptability of same-gender sexuality

Belief that gays and lesbians should be given civil rights

Sexual satisfaction

Sexuality 289

and men’s responses to questions about sexual behavior. Male and female participants gave similar estimates of the number of lifetime sexual partners, age at fi rst intercourse, volun- tary exposure to sexually explicit material, and frequency of masturbation. A second study (Fisher, 2013) indicated that men’s responses changed more than women’s when questioned about sexual behaviors using the bogus pipeline. These results suggest that men’s and wom- en’s sexual behavior may not differ as much as most self-report studies indicate.

Masters and Johnson’s Approach

As noted earlier, researchers who want to observe sexual behavior directly can conduct their studies on nonhuman animals, or they can enlist the cooperation of people who are willing to engage in sex in a research laboratory. Such participants are far from average, but they can furnish information about sex that is more objective than self-reports. The most famous researchers to take this approach were William Masters and Virginia Johnson.

Masters and Johnson recruited volunteers to participate in sexual activity in a research laboratory while their physiological reactions were monitored. Those who volunteered con- sisted of married couples as well as single men and women who, undoubtedly, were not representative of the U.S. population. Participants were also required to regularly achieve orgasm, which further restricted the characteristics of the sample. Masters and Johnson’s focus was physiology, so these issues were not important to them. Others (Kaschak & Tiefer, 2001; Tiefer, 1995) argued that Masters and Johnson’s selection of participants and their own preconceived notions about the sexual experience biased the interpretation of their results.

In these laboratory studies, the married couples had intercourse, masturbated each other, or engaged in oral–genital stimulation. The unmarried participants did not have sex with a partner; the men masturbated and the women either masturbated or were stimulated by an artifi cial penis designed to measure vaginal responses during sexual arousal and orgasm. In addition to collecting information by measuring genital activity during sex, Masters and Johnson gathered physiological measurements such as heart rate, muscle contraction, and dilation of the blood vessels from both men and women. They analyzed their fi ndings (Masters & Johnson, 1966) into four phases of sexual activity—excitement, plateau, orgasm, and resolution. They contended that these four phases describe the sequence and experience of sexual arousal and orgasm for both women and men. Table 10.3 shows the four phases, including and the organs affected and the responses that are the same and those that differ for women’s and men’s sexual response.

Not only did Masters and Johnson’s research suggest that both women and men are similar in experiencing four stages of sexual response, but it also failed to support Freud’s contention that women experience two types of orgasm—clitoral and vaginal orgasm. He believed that girls experience clitoral orgasm during masturbation, beginning during early childhood, but women are immature if they continue to require clitoral stimulation for orgasm. Freudian theory described women who experience orgasm through intercourse as psychologically healthier than women who have only clitoral orgasms. Masters and Johnson’s results showed that women experience only one type of orgasm—a clitoral orgasm. Some women have clitoral orgasms during intercourse and some do not; intercourse may not provide suffi cient clitoral stimulation to produce orgasm in some women. This important fi nding has not had the impact it should have. A study on research, teaching, and popular usage of sexual terms (Ogletree & Ginsburg, 2000) revealed that the word clitoris is not used as the female counterpart to penis. Indeed, the word clitoris is not often used, and this omission may have important implications for sexuality.

Masters and Johnson’s research has been infl uential but also controversial. As with other physiological processes, individual variations exist in the experience of these stages of sexual

290 Sexuality

Table 10.3 Masters and Johnson’s Phases of Sexual Response

Women Experience Men Experience

Phrase 1—Excitement

Increased muscle tension, heart rate, blood pressure, breathing

Increased blood fl ow to genitals

Clitoris and nipples become erect Penis becomes erect

Vaginal walls swell Testicles swell

Vaginal lubrication begins Scrotum tightens

Breasts enlarge

Phase 2—Plateau

Continuation and intensifi cation of changes from Stage 1, including muscle tension, heart rate, blood pressure, and breathing rate

Clitoris becomes very sensitive Testes withdraw into scrotum

Outer vagina becomes engorged with blood and swells

Phase 3—Orgasm

Blood pressure, heart rate, and breathing reach highest level

Muscle tension release

Flush may appear over the entire body

Vaginal muscles and uterus contract rhythmically Muscle contraction in base of penis result in ejaculation of semen

Phase 4—Resolution

Physical status returns to normal levels

If stimulated, may experience sexual arousal quickly and may experience multiple orgasms

If stimulated, do not experience sexual arousal quickly; require recovery time

Source: Information from Human Sexual Response by William Masters and Virginia Johnson, 1966, Boston, MA: Little, Brown.

response, and Masters and Johnson ignored these variations (Tiefer, 1995). Their conceptu- alization became so well accepted that people who do not conform to these stages are open to being diagnosed with sexual dysfunctions. The Masters and Johnson research has been valuable in measuring sexual physiology, but their research fi ndings may not be as universal as they contended.

Childhood Sexuality: Exploration and Abuse

Sexuality begins before puberty. Even as infants, children take part in sexual exploration, and they are sometimes the victims of sexual abuse. Infant boys have erections, and infant girls experience erections of the clitorises as well as vaginal lubrication (DeLamater & Friedrich, 2002). Infants touch their genitals as they explore their bodies, and this exploration teaches children that their bodies can produce pleasurable sensations. Preschool-aged children manip- ulate their genitals, sometimes several times a day.

Children’s sexuality is not equivalent to adult sexual behavior; their underlying motiva- tions and cognitions differ (Kilmer & Shahinfar, 2006). However, parents who notice their children’s genital self-explorations may accept them, or they may be surprised or shocked.

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Gendered Voices: What Some Early Adolescents Have Learned about Sex

Linda Charmaraman and Corinne McKamey (2011) talked to urban early adolescents about their experiences of learning about sex from family, school, and the Internet. The messages that these adolescents received were fi lled with warnings and threats of danger as well as parents’ reluctance to discuss sex.

A boy’s grandmother told him to “remain a virgin or else his weewee was going to fall off” (p. 11).

One girl reported that her mother said that “I’m not supposed to have sex until I’m fi fty- one” (p. 11).

Another girl said that her brother told her that she “shouldn’t be like grandma, having kids when I’m sixteen and dropping out of school” (pp. 12–13).

Yet another girl reported her mother asked, “Why are you in sex-ed class? Are you preg- nant?” (p. 15).

Their attitude and their method of dealing with their children’s masturbation can convey positive or negative messages about sexuality, and these messages can have a lasting impact (DeLamater & Friedrich, 2002). Parents and other adults who say, “That’s not nice,” or “Nice boys and girls don’t do that,” or who move their children’s hands away from their genitals send negative messages about sexuality (Surtees, 2005).

Another aspect of childhood sexuality that may make parents uncomfortable revolves around their children’s questions about sexuality, pregnancy, and birth as well as their chil- dren’s sexual exploration with other children. By age 4, most children have a concept of gender and women’s and men’s roles. They know that women have babies and men do not, and they know the connection among romance, kissing, and sexuality (Blaise, 2010). Parents may feel embarrassed about giving straightforward answers to questions about sex, so they substitute terms make the discussion easier for them but may confuse children. Parents’ discomfort complicates the delivery of answers with correct information without excessive details to young children’s questions about sex and birth.

“I would love for him to grow up to be a doctor, but I sure wish he’d wait another twenty years to specialize in gynecology,” the mother of a 5-year-old said (Segal & Segal, 1993, p. 131). This mother humorously expressed her concern over her son and the neighbor’s daughter, who were exploring each other’s genitals. Such behavior is normal and more of an expression of curiosity than sexuality (Thanasiu, 2004).

Parents may be unaware that sexual explorations during childhood include same-sex as well as other-sex sexual play, but both are common. In studies with high school students (Larsson & Svedin, 2002) and college students (Whealin, Zinzow, Salstrom, & Jackson, 2007), students recalled their childhood sexual experiences, and about 80% remembered some sexual activity, most often with an age-mate. Sexual contact also occurs between siblings, and parents are not aware of most such contacts. The majority of such contact consists of examining the genitals and touching, and a low percentage of sibling sexual activity includes attempted or successful intercourse. Nonetheless, sexual activity between siblings qualifi es as incest —sexual activity between family members. An early study (Finkelhor, 1980) reported that 15% of college women and 10% of college men recalled

292 Sexuality

sexual experiences with their siblings. A later study (Whealin et al., 2007) found higher percentages—28% of men and 26% of women. Some of these college students did not believe that the experience had harmed them, but many others evaluated this sexual contact as unwanted. Sexual contact between siblings is more common than between parents and children (Krienert & Walsh, 2011).

Age is a critical factor in defi ning sexual exploitation of children (Finkelhor, 1984). When sexual contact occurs between children who are close to the same age, this activ- ity may fall into the category of exploration . When a child has sexual contact with an adult or an adolescent at least 5 years older than the child, that activity falls into the category of exploitation or sexual abuse , but children and young adolescents may also use coercion or force on other children, which is abuse. Also included as abusive are sexual relationships between adolescents and adults whose age exceeds the adolescents’ age by at least 10 years.

Incest is one form of sexually abusive relationships, but children can also be sexually abused by nonrelatives, including strangers and adults in positions of authority. The Kinsey et al. (1948, 1953) surveys included questions about childhood sexual experiences with adults, and his results revealed that 25% of girls and 10% of boys reported such contact. More than half the cases involved adults whom the children did not know, but later research (U.S. Department of Health and Human Services [U.S. DHHS], 2015) has indicated that most children know their abusers.

Determining the rate of sexual abuse of children is diffi cult. Many cases are never reported, making law enforcement data incomplete. Survey data tend to come from memories of victims and perpetrators, both of whom may be inaccurate. Not surprisingly, research has yielded varying rates for sexual abuse, ranging from 11 to 40% for women and from 3 to 16% for men (Bagley & King, 1990) in the United States. Examining the results from many reviews (Bagley & King, 1990; Greenfi eld, 1996; Tjaden & Thoennes, 2000; USDHHS, 2015; Whealin et al., 2007), including one worldwide meta-analysis with almost 10 million people (Stoltenborgh, van IJzendoorn, Euser, & Bakermans-Kranenburg, 2011), reveals some commonalities. The world over, girls are victims of sexual abuse more often than boys, and men are the instigators of abuse far more frequently than women; men represent between 94 and 100% of those who abuse girls and between 60 and 84% of those who abuse boys. Both girls and boys are at risk during their entire childhood and adolescence from family members, family friends, adult authority fi gures, and strangers. The risk is not equal for all ages or from all adults; pre- and early adolescents are the most vulnerable. Chil- dren in Asia are at the lowest risk, and girls in Australia and boys in Africa at the highest risk (Stoltenborgh et al., 2011). Table 10.4 shows the range of estimates and the characteristics of sexual abusers and victims.

The emphasis in research and therapy has been on boys and men as perpetrators and girls and women as victims, and this image is so prominent that people have trouble thinking of women as sexual abusers (Denov, 2003; Kramer & Bowman, 2011). Some women victimize boys in the guise of initiating them into sexuality, and boys may have diffi culty identifying this activity as abuse (Larsson & Svedin, 2002). In addition, women sometimes act as part- ners to men who sexually abuse children (Seto, 2004). However, some female sex abusers act alone and share characteristics with men who perpetrate sexual abuse. For example, a majority are family members, and most abuse is heterosexual (Seto, 2004). Female abusers tend to choose younger victims (Peter, 2009). Children have more diffi culty reporting a female than a male perpetrator, and authorities have trouble recognizing such behavior in women (Denov, 2003).

Sexuality 293

Gendered Voices : My Parents Never Said Anything Until . . .

“My parents never said anything to us about sexual abuse until my brother was molested,” a teenager said. “Then our whole family talked sexual abuse. My brother had to tell us what happened, tell us what the person had done very explicitly. Maybe that wasn’t a good thing for him to have to do, because he had to talk about it a lot, but we learned about what to be careful about. And they never said anything before he was molested.

“It was tough on the family, because the person who molested him was a cousin. He was about 4 or 5 years older than my brother, and our families don’t speak to each other anymore. It was hard to know what to do, because the cousin had been molested when he was younger, so he was just repeating what happened to him. Should he be punished for doing what he had learned? My brother was still hurt, but it was diffi cult not to feel sorry for my teenage cousin.

“We went for counseling as a family, and I think it helped. I hear that it can be much worse to ignore it, because it won’t go away if you don’t talk about it. We talked about it afterward, but not before something happened.”

Table 10.4 Summary of Offender and Victim Characteristics for Childhood Sexual Abuse

Characteristic Range of Estimated Occurrence

Lowest Highest

Girls abused while under age 16 (average age 10.2–10.7 years) 11.0% 40.0%

Girls who rated the experience negatively

Girls whose abuser was male 94.0 100

Boys abused while under age 16 (average age 11.2–12 years) 3.0 8.6

Boys who rated the experience negatively 38.0

Boys whose abuser was male 83.0 84.0

Children whose offender was a stranger 11.0 51.0

Children whose offender was a friend or an acquaintance 33.0 49.0

Children whose offender was a relative 14.0 50.0

Girls whose offender was a sibling 15.0

Boys whose offender was a sibling 10.0

Children whose offender was a biological parent 1.0 6.8

Girls whose offender was a stepfather 7.6 17.0

Children who had force or threats used against them 55.0

Children whose abuse consisted of exhibition 26.0 28.0

Children whose abuse consisted of being fondled 26.0 40.0

Children whose abuse consisted of forced fondling of offender 10.0 14.0

Children whose abuse consisted of intercourse 15.0 18.0

Source: Based on Child Sexual Abuse: The Search for Healing by C. Bagley and K. King, 1990, London: Tavistock.

294 Sexuality

Probably the most famous type of sexual abuse involves biological fathers and their daugh- ters, but this type of sexual abuse is not the most common. Stepfathers or mothers’ boyfriends are much more likely to force this type of relationship. In a classic study (Russell, 1986), stepdaughters were targets of sexual abuse (17%) by stepfathers much more commonly than biological daughters (2%). Newer research (Stroebel et al., 2012) showed that 1.2% of bio- logical fathers were perpetrators of incest with their daughters. Such cases, however, are most damaging, creating both short-term and long-term consequences (Noll, Trickett, & Putnam, 2003; Stroebel et al., 2012). The short-term effects include fear, anxiety, depression, anger, sexually inappropriate behavior, and academic problems (Dube et al., 2005). The long-term effects include posttraumatic stress disorder, depression, suicide and suicide attempts, sexual adjustment problems, substance abuse disorders, and problems in their marriages (Dube et al., 2005; Stroebel et al., 2012). Few gender differences exist between boys and girls who have been the victims of sexual abuse; both suffer similar negative effects from their victimization (Dube et al., 2005; Paolucci, Genuis, & Violato, 2001).

Despite the impression that news reports have created about increasing danger from pedophiles, the sexual abuse of children may be declining (Graff, 2012; Jones, Finkelhor, & Halter, 2006). The rate of child sexual abuse remains distressingly high, but that rate has declined over the past 20 years. Prominent researcher David Finkelhor (in Graff, 2012) speculated that more effective treatment for at-risk adolescents and the publicity about childhood sexual abuse cases such as Jerry Sandusky and the scandals involving pedophile priests have sensitized the public, making people more vigilant about childhood sexual abuse. Thus, these lower numbers represent some success in the efforts to stop the sexual abuse of children.

In summary, childhood sexuality is more active than most parents imagine; it begins during infancy when children explore and manipulate their own genitals and then progresses to curiosity about and exploration of others’ genitals. Although parents may fi nd these signals of sexuality distressing, such behavior is normal. Sexual exploitation also occurs when older ado- lescents or adults initiate sexual activity with children. Results of various surveys indicate that at least 15% of women and 5% of men have been sexually abused as children. Girls are much more likely to be abused than boys, and men are much more likely than women to be abus- ers. There are few gender differences in short-term and long-term effects of childhood sexual abuse, which include posttraumatic stress disorder, depression, and suicide, as well as adult sexual and substance abuse problems. However, the rate of sexual abuse may be declining.

Heterosexuality

Most people develop erotic or sexual interests that result in attraction to people of the other sex rather than people of the same sex. That is, most people develop a heterosexual, rather than a same-sex, sexual orientation. Signs of heterosexual erotic interest may begin dur- ing childhood, but sexual activity during childhood mainly takes the form of masturbation and exploratory play, which can be directed toward same- or other-sex children (Larsson & Svedin, 2002). Thus, children’s sexuality often is not clearly heterosexual.

During late childhood and preadolescence, children seek the company of same-gender peers and avoid associating with other-gender peers (see Chapters 6 and 9 ). This gender segregation restricts the opportunities for heterosexual activity, but does not signal children’s lack of heterosexual interest. Indeed, children often tease each other by announcing who “likes” whom and by threatening to kiss others who are unwilling (Thorne, 1993). Such games demonstrate an awareness of heterosexuality and an early knowledge of gender roles in heterosexual interactions.

Sexuality 295

During Adolescence

Although a distressing number of children are introduced to sexuality through force or coer- cion, adolescence is the typical period of sexual initiation. These activities consist of formal and a great deal more informal education. As the headline story for this chapter pointed out, contemporary American culture discourages adolescent sexuality but also sends many messages about sex and its pleasures. These messages pose problems for adolescents who see and hear about the promised joys of sex but are urged not to participate.

These messages are not equal for girls and boys. Girls receive many more messages to beware of sex than boys do (Baldwin & Baldwin, 1997); while abstinence-oriented sex edu- cation conveys information about the dangers of sexually transmitted diseases and pregnancy, some programs focus on building guilt in participants to frighten them about premarital sex (Schalet, 2009). Few question the dangers of sex for early adolescents. Teen pregnancy, sexually transmitted diseases, date rape, and sexual exploitation are possibilities for teenagers who engage in sex. But most sexuality education authorities contend that teaching children to fear sex is a bad strategy and argue that abstinence-only programs are inadequate (Sullivan, 2009).

Sexuality education is more successful when the program includes information about sexual health, birth control, relationships, and decision making such as the one implemented in Anderson County, South Carolina, and described in the headline story for this chapter

Photo 10.1 Sexuality is an important part of people’s lives, beginning during adolescence.

296 Sexuality

(Sullivan, 2009). Including an abstinence component may be desirable but not adequate (Santelli et al., 2006). Messages about the dangers of sex do not help adolescents develop knowledge or attitudes for healthy sexual relationships at some future point in their lives.

Deborah Tolman (2002) heard about young women’s sense of vulnerability in extensive interviews with adolescent girls about their sexuality, including “dilemmas of desire,” prob- lems in reconciling sexual desire with being the “nice” girls that parents, peers, and schools urged them to become. The girls repeatedly mentioned the reluctance of their families to acknowledge their sexuality and the frequent reminders of the dangers that sex could bring, especially in the form of pregnancy. In the intervening years, girls have supposedly become empowered in their sexuality, but Tolman (2012) considered that girls have become sexual- ized in terms that are attractive to boys but perhaps not authentic to themselves. Girls still have dilemmas of desire that boys do not face.

Despite the emphasis on marriage as the appropriate context for sexual activity, most people do not wait until marriage to have sex; premarital sex has become more common over the past decades in the United States. During the 1930s and 1940s, a majority of young men had intercourse before marriage (Kinsey et al., 1948), but a substantially smaller percentage of young women did (Kinsey et al., 1953). This discrepancy refl ected the double standard, which has decreased over the past 60 years. In the 1950s, approximately 13% of girls and young women were sexually active, but by 2010, the percentage was 46.2% (Martinez, Copen, & Abma, 2011). Age of fi rst intercourse for young women also declined between the 1950s and 2010, going from 19 years to about 17 years of age.

Gendered Voices: Sex De-Education

A shiver goes up my spine remembering my “sex education” experience in the sixth grade. Now, I don’t know if the teacher had some problems with sexuality in general, or if perhaps it was part of her job, but I’ll never forget the fear of sex and sexual contact she put into about 95%, if not all, of the young girls in that class.

The majority of the information was in reference to reproduction and sexually transmitted diseases. My teacher brought in this old, old medical book and proceeded to show these pictures of people with severe stage STDs. These pictures showed people with ulcerated sores all over their bodies; parts of their fl esh were falling off, and she said, “This is what happens to people who have sex when they’re not married.” It was disgusting, not to mention terrifying.

As if that wasn’t bad enough, when she taught the section on the male genitalia, she brought another visual aid. She brought in a rubber replica of a male penis and testicles, and the thing was HUGE and she represented it as actual size. I’ve never heard so many young girls gasp in terror at the same time in my life. She was very quick to relay how painful sex with a man was. I never understood her motivation. She was married with three kids. Maybe her husband was that big, but it seems unlikely.

To this day, I still wonder how many of these young girls were traumatized by their “sex education” and how that affected their fi rst sexual encounter with a man. I’ve also won- dered what techniques were used to teach the boys in our school.

The changes for boys and young men have been smaller than for women. In the 1950s, over 50% of boys and men reported being sexually active, and that percentage has fallen slightly, to around 41.8% (Martinez et al., 2011). The age of fi rst intercourse decreased from 18 in the 1950s to 17 in the 2010. Considering only intercourse biases the picture of

Sexuality 297

adolescent sexuality; a larger percentage of teens engage in oral sex than vaginal intercourse (Halpern-Felsher, Cornell, Kropp, & Tschann, 2005).

Many studies have shown ethnic differences for age of fi rst intercourse (Cavazos-Rehg et al., 2009; Martinez et al., 2011; Wells & Twenge, 2005). Recent results (Martinez et al., 2011) reveal small differences, but adolescents tend to misremember and misrepresent their sexual experiences to conform to gender stereotypes, just as adults do (Alexander & Fisher, 2003). Thus, the differences among African American, Hispanic, Asian American, and White adolescents may be inconsequential. However, acculturation may be a signifi cant factor in early intercourse; for example, Mexican American teens whose families were less acculturated to U.S. culture reported later ages of fi rst intercourse than White teens (Adams, McGuire, Walsh, Basta, & LeCroy, 2005).

The decision to have intercourse may represent an attempt to make the transition to adulthood (Ott & Pfeiffer, 2009), but about two-thirds of teens who have had intercourse report regret that they did not wait longer (Martino, Collins, Elliott, Kanouse, & Berry, 2009). The reasons for girls’ and boys’ decisions to have sex often differ. For boys, having sex is a means not only to pleasure but also to social prestige (Baldwin & Baldwin, 1997; Jonason & Fisher, 2009). “For teenage boys, their fi rst sexual experience may be the primary symbol of manhood—a rite of passage” (Stark, 1989, p. 12). Boys feel pressure from their peers to “score,” and their sharing the stories is a way to gain admiration from their peers. The pressure boys experience may be conveyed to the girls they date by demands for sex. Boys may have sex to prove a point. Girls may refuse sex to prove a point, or they may give in to this pressure and have sex. Women who readily consent to sex are at risk for being considered promiscuous, and that potential consequence may infl uence the decision to say “no” more than a lack of desire (Tolman, 2002). Openly acknowledging desire may lead to many unkind labels (Kreager & Staff, 2009) because the double standard for sexual behavior tends to be stronger among adolescents than adults.

Messages about the dangers of sex have some basis—forced sex, pregnancy, and sexually transmitted diseases are all too common in the lives of adolescents. Date rape , or acquain- tance rape , is forced sexual activity between people who are dating or otherwise acquainted. Chapter 8 discussed rape as an aggressive crime disproportionately committed by men. Adolescents’ sexual scripts conceptualize rape as an attack by a stranger (Krahé, Bieneck, & Schienberger-Olwig, 2007), but the majority of rapes and other acts involving forced or coerced sex occurs between acquaintances.

A classic study by Mary Koss, Christine Gidycz, and Nadine Wisniewski (1987) presented a survey of college students about sexual activities and found that 54% of the young women in the survey claimed to have been the victims of some type of coerced or forced sexual activ- ity at some time during their lives, and over 15% had been raped. A review of the prevalence of forced sex (Post, Biroscak, & Barboza, 2011) confi rmed Koss’s fi ndings by revealing that unwanted sexual contact is a common experience; between 10.6 and 18% of women report- ing unwanted sexual contact that met the defi nition of rape.

Some gender differences in attitudes increase the risk for coercive sexual behavior. For example, fl irting does not carry the same meaning for boys as for girls; men tend to see fl irt- ing as more sexual than women do (La France, Henningsen, Oates, & Shaw, 2009), which may lead to different expectancies for sexual activity. Other research (Willan & Pollard, 2003) has indicated that men’s expectancies for sex were set early in an encounter, and those expec- tancies were resistant to change, regardless of protests from the women involved. Research with high school students in Israel (Geiger, Fischer, & Eshet, 2004) revealed widespread attitudes that support sexual coercion, such as blaming the situation rather than the perpe- trator for rape, minimizing the seriousness of rape, and justifying rape by believing that the victim had intended to have sex. Both female and male students held these attitudes, but

298 Sexuality

young men were much more likely than young women to believe in these rape myths. Thus, adolescents may hold attitudes that allow for coercive and violent sex.

Concern over pregnancy is another issue for adolescents who have sex—an anxiety that affects girls more than boys. Although some sexuality education includes the full range of birth control options, the abstinence view is more common and emphasizes the danger of sex to both girls and boys. The concern is not without reason. The United States has a higher rate of pregnancies among teens than any other industrialized country: in 2008, 69.8 of every 1,000 teenaged girls between 15 and 19 years old living in the United States got pregnant (Ventura, Curtin, Abma, & Henshaw, 2012); in 2010, the rate was 57 per 1,000 (Sedgh et al., 2015). Although these rates are high, they represent about a 40% decline since the early 1990s.

Sexually transmitted diseases (STDs) represent even more of a danger for adolescents than others. One of the objections to abstinence-only sexuality education has been its failure to provide information about STDs and prevention (Santelli et al., 2006). Indeed, adolescents who made a pledge to remain sexually abstinent until marriage experience a similar rate of STDs as other adolescents (Christopher Trenholm, Devaney, Fortson, Quay, & Wheeler, 2008), demonstrating that this approach is not effective.

In summary, as adolescent sexuality becomes increasingly oriented toward heterosexual encounters, young people receive messages of the dangers of sex. Girls have always received messages of danger and vulnerability rather than pleasure, but all students in abstinence-only sexuality education may receive similar messages. Such programs do not best serve adolescents in preventing sexually transmitted diseases or preparing for future sexuality. First intercourse typically occurs during adolescence, and gender differences in the age of fi rst intercourse and rates of sexual activity have diminished over the past 60 years. Nonetheless, adolescent sexual- ity poses risks such as pregnancy and sexually transmitted diseases.

During Adulthood

Traditionally, marriage has not only been a major transition, but also the primary context for adult sexuality, often in the form of vaginal intercourse. The more recent studies of college students and surveys with more representative samples have indicated that the standards for sexual behavior have changed. Increases in sexual activity among female adolescents and increases in the acceptability of a variety of sexual activities suggest that both young women and men accept more frequent and more varied sexual behaviors. Sexuality has become an important part of life for young adults, regardless of their marital status (Christopher & Sprecher, 2000).

Despite the importance of sexual satisfaction for adults, some are celibate. Celibacy , refraining from sexual activity, is sometimes a voluntary choice. For example, some reli- gions require celibacy for clergy and for those who are not married. Inspired by religion or other codes of personal morality, some people choose celibacy, but the number of young adults who have sex before they are married is high—around 84% (Regnerus & Uecker, 2011). Research on those who are celibate (Donnelly, Burgess, Anderson, Davis, & Dillard, 2001; Netting, 1992; Netting & Burnett, 2004) revealed that reasons for refraining from intercourse include moral or religious values, fear of STDs, and lack of opportunity. Among college students (Netting & Burnett, 2004), 36% of young women chose celibacy, about one-third of whom were waiting for love, and 25% of young men, about one-third of whom were waiting for a willing partner. However, not engaging in intercourse did not equal not having sex: 30% of the college students who were not engaging in intercourse were having oral sex.

Sexuality 299

Between 10 and 12% of men and 14 and 16% of women reported no sex partner within the past year (Butler, 2005; Laumann et al., 1994). Lifelong celibacy is, however, unusual: Only 2.9% said they had never had a sex partner. Those who are ill or whose partners have died are especially likely to be celibate, and both circumstances are associated with increas- ing age. Thus, celibacy increases sharply after age 60. Older women’s longer life expectancy makes them far more likely to be celibate than men of the same age.

Monogamy means having only one sexual partner in a committed love relationship. This choice represents the ideal for many people within many cultures (Christopher & Sprecher, 2001; Hatfi eld & Rapson, 1996), but lifelong monogamy represents the actual lifestyle for a smaller number. Despite advocating monogamy, many people practice serial monogamy , in which a person has relationships with a series of partners, one at a time (Donnelly et al., 2001; Netting & Burnett, 2004). Series of exclusive dating partners and divorce followed by remarriage are examples of this pattern. Others believe in monogamy but have no cur- rent sexual partner, and still others say that they believe in monogamy but have sex with other partners (Wilkins & Dalessandro, 2013). Thus, several departures from monogamy allow people to subscribe to the ideal without adhering to the practice of having one sexual partner for life.

Women tend to endorse monogamy more strongly than men, but in the United States, about 99% of both male and female college students (Pedersen, Miller, Putcha-Bhagavatula, & Yang, 2002) said that they wanted to settle down with one exclusive sexual partner at some point in their lives (but not necessarily now). Another study of college students (Netting & Burnett, 2004) found that 57% of the women and 54% of the men were classifi ed as monogamous. The discrepancy between the ideal and the practice of monogamy relates to the social atmosphere of college and young adulthood, which is a culture in which sexuality plays a large role (Regnerus & Uecker, 2011; Wilkins & Dalessandro, 2013). These “emerg- ing adults” may value monogamy but may also see themselves as exempt from the rules of adult society, including a strict version of monogamy.

For married couples, monogamy is the most common style of sexuality. Around the world, monogamy is the most valued relationship choice (Schwartz, Serafi ni, & Cantor, 2013). Over 90% of married couples reporting in the NHSLS were monogamous in the year prior to the study (Laumann et al., 1994). Couples who are not married are less often monoga- mous: Unmarried cohabiting heterosexual partners (76.7%), those who had never been married and were not cohabiting (38%), and those who were divorced or separated (40.5%) were less likely to be monogamous.

For all types of couples, failure to maintain the ideal of monogamy can cause major rela- tionship problems. People become upset when their partners have sex with someone else (Christopher & Sprecher, 2000). The stereotype is that men become jealous over sexual infi delities, whereas women’s jealousy is sparked by emotional infi delities, but research has failed to confi rm these predictions (Nannini & Meyers, 2000; Russell & Harton, 2005). Women were more upset than men by both types of infi delities, and both men and women were more upset by infi delities that involved a sexual component than an emotional one.

Some people choose sexual freedom over monogamy, opting for a sexual style of free exper- imentation. This choice is most common among young, unmarried people (Laumann et al., 1994; Netting, 1992; Netting & Burnett, 2004). People who choose this style tend to value sexual freedom and want to participate in a variety of sexual relationships. Indeed, “hook- ing up” has become widespread among college students and other young adults. This term may apply to sexual activity without a personal relationship or “friends with benefi ts,” who are nonromantic friends who have a sexual relationship (Paul, Wenzel, & Harvey, 2008). Studies of teens (Manning, Giordano, & Longmore, 2006) and college students (McGinty, Knox, & Zusman, 2007) showed that having sex with someone outside a dating relationship

300 Sexuality

was common: More than 50% of sexually active participants had done so. Motivations for friends with benefi ts relationships may include the lack of commitment in such relationships, which allows participants to concentrate on sexual pleasure. Some participants reported this aspect as a satisfying and attractive element of the relationship (Williams & Jovanovic, 2015). However, some participants harbored hopes that these sexual relationships would develop into romantic ones, and these hopes were slightly more common among women than men. Among all adults (Laumann et al., 1994), a small percentage of both men and women reported having fi ve or more sex partners in the year prior to the survey. Table 10.5 summarizes the styles of sexuality among the college students and adults.

Many people believe that older people have little interest in sex and no longer partici- pate in sexual activities, but a survey of individuals between 57 and 85 years old (Waite, Laumann, Das, & Schumm, 2009) revealed otherwise. Indeed, older adults reported many similarities in sexual attitudes and behavior to younger people, but some differences also appeared. Despite the stereotypes of nonsexual older people, sexual activity was not uncom- mon; a majority of participants who had partners reported sexual activity at least once a

Table 10.5 Styles of Sexuality among College Students and Adults

Style Chosen Percentage Comments on Choices

Women Men

College Students*

Celibacy 36% 25% Accepted abstinence before marriage; waiting for the right partner; waiting for an opportunity for sex (especially men)

Monogamy 25 23 Were currently monogamous 18 15 Had had only one partner during their lives

Serially Monogamous 14 16 Currently had one sex partner but had another partner(s) during past year

Free Experimenter 7 20 Valued freedom of expression, including expression of sexuality

Never Married Adults**

Celibacy (no sex partners) 24.5% 17.4% Waiting for partner; believed in sex only within marriage

Monogamy (one sex partner) 50 38.3 Believed in monogamy but not in waiting for marriage to have sex

Sexually Active but Not Monogamous (2–4 sex partners)

20.9 32.1 May represent a series of partners

Free Experimenter (5 or more partners)

4.6 12.0 Young adults were much more likely than older adults to be in this group

Married Adults**

Celibacy (no sex partners) 2.7% 1.7% Partner absent; illness; bad relationship

Monogamy (one sex partner) 94.8 92.2 Commitment to sexual exclusivity

Sexually Active but Not Monogamous (2–4 sex partners)

2.1 4.9 Represents affairs or casual sex

Free Experimenter (5 or more partners)

0.01 1.1 Represents affairs, casual sex, and paid sex

Sources: *Data based on Netting and Burnett (2004).

**Data based on Laumann et al. (1994), and the number of reported sex partners within the past 12 months.

Sexuality 301

month, even in the oldest age group. However, age was a factor in sexual activity; participants reported a decline in interest and sexual activity with aging. In addition, many older people lack partners, especially women 75 or older, almost 60% of whom did not have partners. Figure 10.1 shows some of the changes in sexual behavior and attitudes as individuals age. The similarities with younger adults included an endorsement of the importance of sex and a defi nition of sex as vaginal intercourse. Similar gender differences included greater sexual interest and a desire for more frequent sex among men as well as a weaker endorsement of monogamy.

The sexual attitudes and behaviors of women and men show few differences throughout the lifespan, but those few differences may have larger implications for heterosexuality, espe- cially the choices of monogamy or free experimentation. One of the large gender differences

0

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Age

Figure 10.1 Prevalence of Sexual Activity and Attitudes among Individuals Aged 57–85

Source: Data from “Sexuality: Measures of Partnerships, Practices, Attitudes, and Problems in the National Social Life, Health, and Aging Study,” by L. J. Waite, E. O. Laumann, A. Das, & L. P. Schumm, 2011, Journal of Gerontology: Social Sciences, 64B (S1), Tables 1, 2, and 3.

302 Sexuality

in sexuality has been in the acceptability of casual sex, with men being more acceptant than women (Oliver & Hyde, 1993; Petersen & Hyde, 2010). Women are encouraged to associate sex with love, and they come to believe that sex should occur in the context of a committed relationship, whereas men may not be so relationship centered (McCormick, 1994). The meaning of sex for women and men may continue to differ, but some research (Krahé et al., 2007; Williams & Jovanovic, 2015) suggests that some gender convergence is occurring in the acceptance of casual sex.

Even small gender differences may have large implications, forming areas of confl ict for couples. For women, the association between commitment and sex leads them to believe that commitment should exist before having sex, but men may not share these requirements or expectations. A study of dating scripts for college students (Morr Serewicz & Gale, 2008) revealed that men included expectations of more sexual activity in their fi rst date scripts than women did. Gender is not the only factor that infl uences expectations for sex (Emmers- Sommer et al., 2010). When men ask and pay for dates, their expectations for sex are higher than other combinations of these factors. These differing expectations could be a source of confl ict if men begin to pressure women to have sex and the women do not feel ready, or if women refuse sex when men believe that their relationship warrants it.

The difference in acceptability of casual sex can also have an impact on sex outside the primary relationship. Women are more likely to be monogamous than men, and they tend to value monogamy; men tend to consider monogamy a sacrifi ce (Schmookler & Bursik, 2007). The perception of what constitutes “cheating” also follows stereotypical patterns (Sprecher, Regan, & McKinney, 1998). When the man has sex outside marriage, people predict that he will not necessarily leave his wife for his lover, but people see women’s extra- marital sex as more indicative of the end of the relationship. Thus, the gender difference in the acceptability of casual sex affects dating and extramarital sex and people’s beliefs about what sexual affairs imply for relationships.

The other large gender difference in sexuality is the frequency of masturbation (Oliver & Hyde, 1993; Petersen & Hyde, 2010); men report that they masturbate more often than women say they do. At fi rst, any relationship between masturbation and partnered sex may not seem apparent, but Janet Hyde (1996) explained a connection through women’s guilt concerning masturbation, which results in less familiarity with their bodies and less certain knowledge of how to reach orgasm. Women’s lower likelihood of experiencing orgasm dur- ing intercourse causes distress for many couples. Hyde pointed out that many sex therapists direct women who are having orgasmic diffi culties to masturbate and hypothesized that women’s lower frequency of masturbation may lay the foundation for women to have dif- fi culties in reaching orgasm.

Other gender differences may also have some relationship to the problems that hetero- sexual couples face. One issue is desire for and frequency of sexual activity. The double stan- dard proposes that women will be less interested in sex because they are less sexual creatures than men. Evolutionary psychology also holds that women are less sexual than men because women must be selective in choosing mates who will be able to provide for offspring (Buss, 1994, 1996). Determining a social or biological explanation is very diffi cult because society infl uences everyone, including sexuality, making any interpretation of “natural” sexuality is impossible.

Sarah Blaffer Hrdy (1981, 1986, 1999) criticized the view that women are less sexual than men, which she called the Myth of the Coy Female, by reporting on females unaffected by cultural expectations and the double standard—nonhuman primates. She argued that male scientists have seen female reluctance to engage in sex and have projected the human double standard onto nonhuman primates, revealing more about the human observer than about the observed species. Hrdy contended that the sexual behavior of nonhuman animals varies

Sexuality 303

from species to species. The females of some species, such as baboons and chimpanzees, initiate multiple, brief sexual relationships, whereas the females of other species, such as blue monkeys and redtail monkeys, are very selective about their mating partners. Thus there is no universal pattern for primate sexuality.

Is sexuality really very different for women and men? Gender differences in sexual behavior are converging, which suggests that both female and male sexuality are subject to change and are infl uenced by social standards. During the Victorian era, women were presumed to be less sexual than men, and so they became less sexual. In our sexualized modern culture, women are portrayed as being more sexual than in the past but still less so than men, and so they have become as portrayed. Sexuality is created by each culture and shows enormous differences across cultures. Thus, women and men exhibit a wide variety of sexual behaviors depending on their physiologies, cultures, personal backgrounds, and personal expectations. Carol Tavris (1992, p. 245) summarized heterosexuality by saying, “The question is not whether women are more or less sexual than men. (The answer to that is yes, no, both, and sometimes.) The questions are: What are the conditions that allow women and men to enjoy sex in safety, with self-confi dence, and in a spirit of delight? And how do we get there?”

Homosexuality

Some people develop erotic attraction toward people of the same sex and engage in same-sex sexual activities. The number of people with same-sex sexual interests, behavior patterns, and identities constitutes a minority, but estimates vary on how small a minority (Savin- Williams, 2009). Most of the variation in estimates can be explained according to the varia- tion in defi nitions. Is sexual attraction to those of the same sex a suffi cient indicator? Are persons lesbian or gay if they have engaged in sexual activity with persons of the same sex at any time during their lives? Does having sex primarily or exclusively with members of one’s own sex defi ne homosexuality? Or must people identify themselves as gay or lesbian? These varying criteria produce different estimates.

Kinsey et al. (1948) found that 37% of the men in their survey said that they had engaged in male–male sexual activity at some time during their lives, and 28% of women reported at least one female–female sexual experience (Kinsey et al., 1953). Therefore, a substantial number of participants in the Kinsey surveys reported sexual experiences with members of their own sex, but most did not engage in such relationships as the primary form of sexual- ity throughout their lives. About 13% of the men and about 7% of the women in Kinsey’s surveys identifi ed themselves as primarily gay or lesbian. This estimate has been controver- sial (Bancroft, 2004), and other surveys have asked different questions and obtained lower estimates. Table 10.6 presents a comparison of the various measures of homosexuality for several studies, one of which questioned people in three countries. As this table reveals, the different measures (and cultures) show variations in the percentage of people who might be classifi ed as gay or lesbian.

Understanding homosexual sexual orientation has been a challenge for theorists and researchers. For years, psychologists failed to make a distinction between gender role , the social behaviors associated with one or the other gender, and sexual orientation , the erotic attraction to members of one or the other sex (or to both). Separating masculinity or femininity and sexual orientation allowed psychologists to clarify the relationships among these concepts (Constantinople, 1973; Lewin, 1984a, 1984b). Same-sex sexual orienta- tion has a far from perfect relationship to masculinity or femininity. That is, men who are erotically attracted to other men are not necessarily feminine in appearance or behavior, nor are women who fi nd other women sexually attractive necessarily more masculine than other women.

Table 10.6 Differing Estimates of Same-Sex Attraction and Behavior

Study Percent

Kinsey et al. (1948, 1953) Men Women

At least one same-sex sexual experience 37% 28%

Primarily or exclusively same-sex sexual contacts 13 7

Janus and Janus (1993)

At least one same-sex sexual experience 22 17

Primarily same-sex sex 4 2

Laumann et al. (1994, NHSLS)

Same-sex desires or experiences 10.1 8.6

Done anything sexual with same-sex partner 9.1 4.3

Same-sex partner since puberty 7.1 3.8

Same-sex partner in past year 2.7 1.3

Attracted to same-sex individuals 7.7 7.5

Self-identifi ed as gay or lesbian 2.8 1.4

Sell, Wells, and Wypij (1995)

United States

Same-sex attraction but no activity 8.7 11.1

Same-sex sexual activity since age 15 6.2 3.6

United Kingdom

Same-sex attraction but no activity 7.9 8.6

Same-sex sexual activity since age 15 4.5 2.1

France

Same-sex attraction but no activity 8.5 11.7

Same-sex sexual activity since age 15 10.7 3.3

Butler (2005)

Same-sex sexual activity in past year 2.9 3.5

Turner, Villarroel, Chromy, Eggleston, and Rogers (2005)

Same-sex sexual activity since age 18 5.7 5.4

Same-sex sexual activity in past 5 years 3.6 3.8

Same-sex sexual activity in past year 3.2 2.5

Herbenick et al. (2010)

Performed same-sex oral sex in past year 4.3–8.0 0.9–9.2

Received same-sex oral sex in past year 0.5–8.4 0.6–8.5

Receptive anal intercourse in past year 1.0–6.0 —

YouGov (2015)

Self-rated as not completely heterosexual 29 20

Self-rated as completely homosexual 8 1

Ever had a same-sex sexual experience 20 14

Sexuality 305

The issue of sexual orientation is socially controversial and poorly understood scientifi cally (Jenkins, 2010), possibly because of the focus on homosexuality rather than the broader concept of sexual orientation. Lisa Diamond (2003b) questioned the meaning of sexual orientation and proposed that erotic attraction and romantic attraction were separable com- ponents that usually—but not always—go together. Her questions about the underlying meaning of sexual orientation have been exceptions; most researchers have accepted the assumption that heterosexuality is the standard and thus needs no explanation, whereas homosexuality requires theory and research. This attitude of compulsory heterosexuality (Hyde & Jaffee, 2000) refl ects the lack of acceptance for homosexuality, which occurs in many—but not all—societies. This lack of acceptance is a prominent feature of the social controversy, which also questions the underlying basis for sexual attraction to those of the same sex. Is sexual attraction biologically determined (and if so, how)? Or is sexual attraction the result of experiences (and if so, which ones)? The social controversy continues because research has not yielded clear answers concerning the basis for sexual orientation (Jenkins, 2010). However, theory and research are plentiful, centering on biologically based versus socially based theories.

Early biological theories of sexual orientation focused on genetics and hormones. No simple relationship exists between sexual orientation and either genetic background or hor- monal levels, but both may exert infl uences in complex ways (Hyde, 2005). The evidence is strong that sexual orientation has a genetic component (Veale, Clarke, & Lomax, 2010). One large, representative study of twins (Bailey, Dunne, & Martin, 2000) found that when one of a pair of identical twins was gay, lesbian, or bisexual, about 20% of the other twins also were not heterosexual. Other studies have found a higher degree of concordance, but these studies were based on less representative samples. Any concordance less than 100% suggests that factors other than genes also contribute to sexual orientation.

Another biologically based hypothesis centers around prenatal exposure to testosterone and how such exposure might infl uence the developing brain and thus affect sexual orienta- tion (Bogaert & Skorska, 2011; Cohen, 2002; Rahman, 2005a, 2005b). The reasoning is that too much or too little exposure to androgens produces brain variations that underlie the development of nonheterosexual sexual orientation. Thus, studies have examined physical correlates of atypical prenatal androgen exposure and related these physical differences to sexual orientation, focusing on the ratio of the length of the second (index) and fourth (ring) fi ngers. Prenatal testosterone exposure affects this ratio, so fi nger ratio may differ for gays and lesbians compared to heterosexuals. Some studies have shown the predicted differences for lesbians (Hall & Love, 2003; Rahman, 2005a) and gay men (Rahman, 2005a; Robinson & Manning, 2000), but other studies have failed to fi nd the expected differences or have found the opposite (Kangassalo, Pölkki, & Rantala, 2011). Another approach has focused on the number of male siblings, and results have indicated that older brothers increase the likeli- hood of being gay (Bogaert & Skorska, 2011), which is likely mediated through a maternal immune response. These results are consistent with the hypothesis that prenatal exposure to androgens plays a role in the development of sexual orientation.

Other theories put more emphasis on experience, such as Daryl Bem’s (1996, 2000) theory, the Exotic-Becomes-Erotic. According to this view, individuals become erotically attracted to the class of people from whom they felt different during childhood. For most people, gender segregation makes the other gender that class of people; through separation from the other gender, those in that class seem different and exotic. When adolescents begin to experience sexual feelings, the objects of those feelings are those who were exotic. Thus, Bem contended that the perception of differences leads to the development of sexual interest and orientation.

306 Sexuality

For individuals who develop a same-sex sexual orientation, the Exotic-Becomes-Erotic view hypothesizes that they had childhood activity preferences that were more typical of the other gender. Thus, boys who preferred playing with dolls and kitchen sets tend to associ- ate with girls, making girls more familiar and less exotic. For girls who preferred boys’ toys and games, girls would be more exotic. Therefore, this theory predicts that gay men and lesbians will have childhoods in which gender-atypical activities predominated. Many stud- ies confi rm this prediction for boys (Bailey et al., 2000; Bem, 2000), but the evidence for girls is much weaker (Peplau & Huppin, 2008). Both Bem (2000) and Phillip Hammack (2005) have argued for an interactional view that includes biological, social, and experiential components in a theory of sexual orientation. Integrated theories will remain diffi cult to formulate, partly because researchers remain polarized and cannot agree on what constitutes homosexuality (Savin-Williams, 2006; 2009).

During Adolescence

Adolescence is a time of sexual exploration, and adolescent sexual activity has become more common and more accepted over the past 40 years—for heterosexual individuals. Despite being discouraged, same-sex sexual activity still occurs. Indeed, most of the people who have same-sex sexual experiences do so as part of adolescent experimentation and not as the beginning of a gay or lesbian sexual identity. Some adolescents who are attracted to persons of the same sex do not act on these desires during adolescence (Savin-Williams & Diamond, 2000). Therefore, sexual orientation and sexual activity during adolescence do not corre- spond completely to sexual identity or to sexual activity during adulthood.

The process of developing a gay or lesbian sexual identity must include the recognition of sexual attraction: labeling self as gay, lesbian, bisexual, or heterosexual; engaging in sex; and acknowledging sexual orientation (Savin-Williams & Diamond, 2000). These milestones do not necessarily occur in that order, and women and men show gender-related as well as individual variations in their trajectories of developing sexual identity. However, the recog- nition of sexual attraction tends to be the fi rst milestone, which often occurs between ages 8 and 10 years.

Some gays and lesbians say they questioned if they were heterosexual or knew about their same-sex sexual attraction well before adolescence, but many tried to develop heterosexual interests and fi t into this accepted pattern of sexuality (Carver, Egan, & Perry, 2004). Some may succeed; as many as 90% of lesbians have entered sexual relationships with men (Rust, 2000). Also, sexual orientation in women appears to be less fi xed than in men (Diamond, 2006); over 25% of young women who had identifi ed themselves as lesbian changed that identity within a 5-year period (Diamond, 2003a). Furthermore, the milestone of identifying oneself as gay or lesbian varied for gay men and for lesbians (Savin-Williams & Diamond, 2000). Women tended to self-identify before they engaged in same-sex sexual behavior, but most gay men had a sexual experience with another man before they identifi ed themselves as gay. The percentage of women who report sexual activity with other women has increased over the past 20 years, and this change is most obvious for younger women; 9.2% of 20–24 year olds reported giving oral sex to another woman within the past year (Herbenick et al., 2010). These changes in women’s sexual behavior are compatible with the view that women’s sexuality is fl exible for a longer period in their lives than men’s sexual orientation, which seems to be fi xed earlier in development (Baumeister, 2000).

The acceptance of same-sex attraction is a milestone that presents a major challenge for gay adolescents. They often struggle with feelings that something is wrong with them, and self-esteem may be a problem. Self-acceptance is different (and often comes more easily) than revealing one’s same-sex sexual orientation or behavior to family and friends. Coming out

Sexuality 307

is the process of personally recognizing and publicly acknowledging one’s gay or lesbian orientation to others (Bohan, 1996). The term originated with the phrase “coming out of the closet,” referring to the hidden (closeted) nature of sexuality for many gays and lesbians. Thus, coming out is a positive affi rmation of sexuality but may nevertheless present problems at school and within families (Rasmussen, 2004; Russell, Everett, Rosario, & Birkett, 2014). This process may be part of adolescent development, or it may occur at any time during adulthood. One study (Savin-Williams & Diamond, 2000) indicated that the time between experiencing same-sex attraction and acknowledging gay or lesbian sexual orientation was about 10 years.

Gendered Voices: In my School

In schools, boys and girls are the targets of name-calling and gender harassment based on sexual orientation. The basis of the name-calling is rarely related to sexual behavior.

“If you use good grammar and good English, the kids in my school call you a faggot. It’s crazy.” 15-year-old African American boy attending a suburban school

“If you belong to the drama club in my school, everybody thinks you are gay.” 15-year- old White boy (in the drama club)

“If you belong to the science fi ction club, everybody thinks you are gay because those kids dress all in black and hug each other before they go to class.” 14-year-old White girl attending a suburban school in a large city

“You don’t have to do anything to be called a faggot in my school. The athletes call every- body faggot, just because they are jerks who are trying to intimidate other kids.” 14-year-old White boy attending a private school

Coming out includes developing a sexual self-concept, and many adolescents consult the Internet for information during this phase (Bond, Hefner, & Drogos, 2009). A pub- lic acknowledgment of sexual orientation may occur, or the revelation may be limited to friends and family. Parents may be accepting and supportive, or they may be angry and have trouble accommodating the sexual orientation of this child; they may feel that they are being asked to accept the unacceptable (Freedman, 2008). In addition, friends may react negatively to coming out. Verbal or physical attacks and discrimination are not unusual in school (Goodenow, Szalacha, & Westheimer, 2006; Russell et al., 2014) and in many other contexts (Fedewa & Ahn, 2011). Thus, gay and lesbian adolescents may be estranged from family and peers, and the bullying they experience put them at increased risk for home- and school-related problems.

For adults, coming out often includes acceptance into the gay community. For adoles- cents, such acceptance is not as easy, because activities in the gay community are oriented toward adults. Charges of seducing adolescents or of promoting same-sex sexual activities present situations that make gay adults sensitive about including adolescents in the gay community.

Coming out can be a positive statement of sexuality for adolescents as well as for adults, but adolescents face many challenges in establishing a gay or lesbian identity. A longitudinal study of gay and lesbian gender identity (Rosario, Schrimshaw, Hunter, & Braun, 2006) indicated adolescents who form such an identity tend to be more comfortable and accepting of their sexual identity than those who have not yet taken that step.

308 Sexuality

During Adulthood

Women and men who engage in same-sex sexual activities face disapproval and censure. Sexual activities between people of the same sex have been illegal in many states of the United States, and the controversy over same-sex marriages refl ects the lack of acceptance for these relationships (Turner et al., 2005). Men in the United States hold more negative attitudes than women do toward homosexuality, especially regarding gay men, and students in Ger- many (Steffens & Wagner, 2004) and Italy (Lingiardi, Falanga, & D’Augelli, 2005) showed similar gender differences in their attitudes. Both men and women with strong gender role identities tend to be more prejudiced against gays and lesbians than other people (Whitley, 2001). Although attitudes toward gays and lesbians have become less negative over the past several years (Sarantakis, 2010), explicit attitudes remain more positive than implicit atti- tudes (Breen & Karpinski, 2013).

Photo 10.2 Coming out and becoming part of the gay and lesbian community are events that are important to many lesbians and gay men.

Gendered Voices: Treated Like a Gender Traitor

“When I came out as gay, I got a lot of homophobia reactions,” a college student in his 20s said. “Men were especially bad. Their reactions weren’t exactly fear, although they were nervous. And it wasn’t hatred. It was more like resentment. I wasn’t a real man anymore and like I was some kind of traitor to the male gender.”

Sexuality 309

This lack of acceptance means that gays and lesbians face disapproval and discrimination (Katz-Wise & Hyde, 2012; Sandfort, de Graaf, & Bijl, 2003), which has led to the forma- tion of self-contained gay communities. In many large cities, such communities form the context for the lives of many gay people, who may rarely interact with the outside world of heterosexuals. Friendships and social networks become an essential part of gays’ and lesbi- ans’ social lives. As they age, friendships can provide a support network that acts as a buffer between them and an outside world that stigmatizes their sexual orientation (de Vries & Megathlin, 2009).

Gendered Voices: I Never Imagined the Pain

“Lesbians have been telling me about their problems in coming out,” a female graduate student in counseling said. “For some reason, two women have confi ded in me about the problems with staying in the closet and coming out. They are women I knew and they came to trust me, but I’m not their counselor. I never imagined the pain and the problems. I guess I have led a sheltered life. I have known gays and lesbians, but I had never known or imagined the diffi culties in essentially leading two lives—one for the public and the real, private one.

“One woman has been in a relationship for 17 years. During those years she and her lover have had to pretend to be ‘just roommates’ who share a house. She felt that she could never let the people at work know she was lesbian; she thought she would lose her job.

“She said that she felt pressured and tried to be heterosexual. She was even engaged to be married when she was in her early 20s, but her mother sensed something was wrong and told her that she didn’t have to get married if she didn’t want to. She broke the engage- ment and stopped trying to be something she wasn’t, but she kept her sexual orientation secret for another 20 years.

“This woman has started to come out selectively to people she trusts. Her family still doesn’t know—or at least she hasn’t told them. She has found coming out a great relief and would like to be able to be completely out but does not feel comfortable enough to do so.

“The other woman has not yet come out. I guess you would say she is bisexual rather than lesbian; I’m not sure about these classifi cations. She is married and has a child, but she is attracted to women and has had a number of lesbian affairs, but they upset her. She says that she was ‘good’ when she went on a shopping trip to a large city and did not pur- sue a lesbian relationship, but ‘bad’ when she did. She is very unhappy and troubled over whether she should leave her husband and come out as a lesbian. I am really very concerned for her, because she is suicidal, and I am afraid that she might harm herself. This confl ict is really a problem for her.

“In listening to these women, I was struck by their pain in essentially living a charade, pretending to be something they know they are not. That must be so diffi cult and so stress- ful. Coming out has been like removing a huge burden for the woman who has, but I see the problems in that choice, too. Talking to these two women has really been an education for me.”

Lesbians and gay men form love relationships that have the elements of intimacy, passion, and commitment in them, just as in heterosexual couples’ relationships. Surveys of gay male and lesbian couples contrasting them with heterosexual couples revealed similarities as well as differences among the various confi gurations of couples (Blumstein & Schwartz, 1983;

310 Sexuality

Holmberg & Blair, 2009; Solomon, Rothblum, & Balsam, 2005). The surveys included questions about sexual activities and satisfaction with these activities.

Lesbian couples reported a lower level of sexual activity than any other type of couple and had some reluctance to perform cunnilingus. Lesbians’ socialization as women may have infl uenced their sexuality, making both partners hesitant about initiating sex (Blumstein & Schwartz, 1983; Solomon et al., 2005). The result was a lower frequency of sexual activity than in couples that included a man, who would be socialized to initiate sex. Lesbians who had frequent oral sex were happier with their sex lives and with their relationships than those who had less oral sex (Blumstein & Schwartz, 1983). Nevertheless, only 39% of the lesbian couples reported having oral sex very frequently, and mutual masturbation was the most common sexual activity among these couples. Lesbians also valued nongenital physical contact, such as hugging and cuddling, activities that promoted intimacy but not orgasm. Sex surveys do not count such activities as “having sex,” which may refl ect a heterosexual bias (Frye, 1997). Indeed, lesbians rated a variety of activities involving genitals as having sex (Horowitz & Spicer, 2013).

Sex is a very important part of life for gay men, and their relationships typically include a lot of sexual activity (Blumstein & Schwartz, 1983). Fellatio is an important activity for gay men, but their sex lives are varied, and mutual masturbation is also a common activity. Anal intercourse was never as common an activity as either oral sex or manual stimulation, and its dangers for spreading HIV infection have made it less common than before the appear- ance of HIV. Gay men’s frequency of sexual contact is higher than for any other confi gura- tion of couples during the early years of their relationships. The frequency of activity with their partners falls sharply after approximately the fi rst 2 years of the relationship, but this decrease in frequency may only be a decrease in sex with their long-time partners and not in total sexual activity.

Gay men are more acceptant of casual sex than lesbians are, and even gay men who are involved in long-term relationships are more likely than men in heterosexual relationships to have sex with men other than their partners (Solomon et al., 2005). Indeed, gay men often negotiate permission to have sex with men other than their partners (Shernoff, 2006). Although all types of couples are subject to sexual jealousy (Sheets & Wolfe, 2001) and affairs can present a problem for any couple, sex outside the relationship is not as likely to be a factor in the dissolution of gay men’s relationships as it is for other couples.

However, long-term relationships are less common among gay and lesbian couples than among heterosexual couples, which leaves these individuals more likely to be without part- ners as they age (Brennan-Ing, Karpiak, & Seidel, 2011). This situation creates social as well as sexual problems for people who are gay or lesbian. For example, gays and lesbians are more likely to live alone, resulting in feelings of isolation and even depression. In terms of sexuality, older lesbian and gay individuals reported attitudes and behaviors that were similar to older heterosexual individuals (Waite et al., 2009). Those similarities included attitudes that sex is important and reports that sexual activities continue to be pleasurable but also a decrease in sexual activity during the years after age 60, diffi culties in fi nding sexual partners, and health conditions that posed diffi culties for sexual performance (Brennan-Ing et al., 2011). The prevalence of HIV infection among gay men was also a factor in the sexual behavior of older gay men, but older HIV-positive men reported a higher estimate of the importance of sex and higher rates of sexual activity than comparable HIV-negative men.

In Blumstein and Schwartz’s (1983) survey, many similarities appeared among all con- fi gurations of couples. For example, couples that had sex less than once a week were not as happy as couples who had sex more often. Sex formed a physical bond for all the types of couples and helped them maintain their relationships, but sex can also be source of problems (Solomon et al., 2005). Those couples who fought about sex were less stable than those who

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were happy with their sexual relationships (Blumstein & Schwartz, 1983). For all of the couples, their sexual relationships refl ected the problems that happened in other aspects of their relationships. Sex went well when the relationships went well, and unhappiness with the sexual activity in the relationships tended to be associated with unhappiness in the quality of affection in the relationships.

Bisexuality

In Kinsey’s survey of sexual behavior (Kinsey et al., 1948), a relatively high percentage of men and women reported some same-sex experiences but did not have an exclusive same-sex sexual orientation. This situation suggested to Kinsey that sexuality should not be considered in terms of independent categories. He created a continuum for classifying people’s sexual experience and attraction to members of their own and the other gender. This 7-point scale ranged from strongly heterosexual to strongly homosexual, with gradations in between rep- resenting people who have both types of sexual relationships in varying proportions. These gradations refl ected people who are attracted to individuals of both genders, referred to as bisexual .

The status and even the existence of bisexuality remain controversial (Guittar, 2013; Rieger, Chivers, & Bailey, 2005). It carries a stigma: Those who fi nd same-sex sexuality unaccept- able will object to bisexuality. For gays and lesbians, bisexuality is seen as an unwillingness to acknowledge a gay or lesbian identity by clinging to heterosexuality (Guittar, 2013; McLean, 2008). Thus people who are bisexual have diffi culty fi nding an accepting social group.

Research has also led to questions about bisexuality. A study that measured sexual arousal (Rieger et al., 2005) found that men who identifi ed themselves as bisexual were not equally aroused by men and women; some were more aroused by men and others by women. A later study’s (Rosenthal, Sylva, Safron, & Bailey, 2011) results differed: This study found a pattern of bisexual arousal among men with a history of relationships with both men and women.

Although one view of bisexuality proposes that this sexual orientation represents confl ict, another view focuses on its fl exibility (Diamond, 2008b; Zinik, 1985). Both views may be correct. For some individuals, bisexuality represents a developmental step on the way to forming a gay or lesbian sexual orientation. In two longitudinal studies of nonhetero- sexual adolescents (Rosario et al., 2006; Savin-Williams, Joyner, & Rieger, 2012), 18–25% changed their sexual orientation from bisexual. Some individuals changed to gay or lesbian, but change to heterosexual sexual orientation was common. These statistics are consistent with the view that some individuals experience confl ict over their sexuality and spend time questioning. For these individuals, bisexuality is a way to postpone accepting a gay or lesbian sexual identity.

For others, bisexuality is a successful integration of same- and other-gender sexuality and represents fl exibility. However, not all people who identify as bisexual are equally attracted to both sexes (Diamond, 2008a, b; Rieger et al., 2005). Indeed, a pattern of sexual orientation described as “mostly heterosexual” (Savin-Williams & Vrangalova, 2013) combines same-sex interest that begins during adolescence, continues into young adulthood, and becomes more heterosexual during maturity. Lisa Diamond (2008b) described another conceptualization of sexual orientation fl exibility, which she calls sexual fl uidit y. Diamond (2008b) studied sexual fl uidity in a group of 100 women who had experienced attraction to women over a 10-year span and found several patterns. Some women became more heterosexual, some became more attracted to women, others continued to be attracted to both women and men, and still others were attracted to a person rather than a gender. Fitting into a pattern of a fl ex- ible erotic attraction may not be the same as bisexuality, but individuals who exhibit gender fl uidity fi t some of the characteristics of bisexuality.

312 Sexuality

The frequency of bisexuality is diffi cult to assess. The prejudice in favor of heterosexu- ality pushes many adolescents toward heterosexual experiences, regardless of their sexual attraction. Considering lifetime sexual experiences, most gay men and lesbians have had heterosexual experiences at some time during their lives, which would technically place them in the category of bisexual. Heterosexual activity may represent a type of adolescent sexual exploration among gay and lesbian adolescents rather than a sexual identity (Herdt & Boxer, 1995). Some individuals whose primary sexual orientation is heterosexual have had same-sex sexual experiences, and a behavioral criterion would count this group of individu- als as bisexual. However, sexual orientation may not be as fi xed as most people imagine and categorizing people as heterosexual, homosexual or bisexual may not the a good way to understand sexuality.

Those who identify themselves as bisexual and who accept the possibility of romantic and sexual relationships with both women and men are much less common than those who iden- tify themselves as gay or lesbian. According to the NHSLS results (Laumann et al., 1994), 0.8% of men and 0.5% of women identifi ed themselves as bisexual, however a larger percent- age of people engage in sexual relationships with people of the same sex (Diamond, 2008b).

Studies of attitudes toward bisexuals (Herek, 2002; Steffens & Wagner, 2004) indicated that this sexual orientation is less well accepted than any other. In addition, the number of individuals who claim a bisexual sexual orientation is so small that no community exists to offer support, and most bisexuals are not integrated into the existing gay and lesbian com- munities, leaving many isolated (Balsam & Mohr, 2007; Diamond, 2008b). This situation is beginning to change, and many gay and lesbian community centers and agencies include services oriented to bisexuals. Despite this increased acceptance, bisexuality remains the least researched, least understood, and least accepted sexual orientation.

Considering Diversity

Cultures around the world have chosen a variety of sexual activities for acceptance as “nor- mal” and have designated other choices as abnormal, sinful, or repulsive. Cultures shape sexuality by “choosing some sexual acts (by praise, encouragement, or reward) and rejecting others (by scorn, ridicule, or condemnation), as if selecting from a sexual buffet” (Vance, 1984, p. 8). This selection from the array of available choices has resulted in virtually no universally accepted and no universally rejected set of sexual behaviors. What some cultures have found disgusting, others have found essential.

The behaviors that some cultures have considered essential include forced fellatio per- formed on adult men by adolescent boys, which would be the basis for criminal prosecution in many cultures. However, the Sambia in New Guinea fi nd this practice not only acceptable but also required (Herdt, 1981). According to their beliefs, femininity is natural to girls but masculinity is not natural to boys. To attain masculinity, a preadolescent boy must leave his mother and live with men. Part of the process involves swallowing semen, and the Sambia encourage boys to engage in fellatio with unmarried adolescent and adult men. The men must restrict their same-sex sexual activities to these boys, and fellatio with men their own age is strictly forbidden. When these adolescents and young men marry, they are supposed to make the transition to heterosexuality and to end all same-sex sexual activities.

A related practice occurs among the Keraki, another society in New Guinea, and for similar reasons (Kimmel, 2006). The Keraki believe that boys must receive semen to mature into men, and mature men have anal sex with boys to achieve this goal. This activ- ity stops when the boys begin to develop secondary sexual characteristics such as facial hair and deepening voices. These signs mean that the process has been successful and need continue no longer.

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The acceptance of these practices is diffi cult for people in North America and Europe to accept (Kimmel, 2006). People in Western cultures object both to same-sex behavior and to sexual activity of adults with children. Students, when told of such behaviors, tend to say that they would not participate in such ritualized “homosexual” behavior, which reveals a lack of understanding of the power of culture and a tendency to interpret sexual behaviors in one’s own cultural frame of reference. Searching the world and history more broadly, both behaviors have been choices for various cultures from the sexual buffet.

Another disputed choice is same-sex sexuality, but anthropologists have identifi ed doz- ens of cultures that have included some sanctioned forms of same-sex sexuality (Kirkpat- rick, 2000). Non-Western societies accept such behavior more than in Europe and North America, but many examples may be found among these cultures. Indeed, behaviors that accompany hazing in many fraternity initiations may be interpreted as rituals that include homosexual behaviors (Kimmel, 2006). The participants, however, deny that these hazings indicate that they are homosexual, similar to the denials of the Sambia and Keraki.

Same-sex behaviors are not limited to humans. Many species of nonhuman primates and other animals engage in some same-sex sexual behaviors (Kirkpatrick, 2000; Zuk, 2002). For example, both female and male bonobo chimpanzees engage in same-sex stimulation to orgasm. Olive baboons engage in male–male sexual stimulation. These behaviors seem to act as ways to form alliances or to soothe disagreements. However, these nonhuman primates also engage in other-sex sexual behavior, which makes their behavior similar to most of the humans who have participated in same-sex behaviors.

Children in some societies are allowed and even expected to experiment with sex, whereas other societies restrict sexuality during childhood (Blackwood, 2000; Ford & Beach, 1951). For the societies that allow children to express their sexuality, genital touching and simulated intercourse are more likely to be allowed between peers than between a child and someone older. The Sambia and the Keraki, with their institutionalized adult–preadolescent sexuality, are exceptions, and so are the Lepcha of India, who believe that girls will not mature unless they engage in early intercourse. However, millions of children are subjected to unwanted sexual activity each year in countries throughout the world, including as many as 10 million who are victims of sex traffi cking and forced into prostitution (United Nations Offi ce on Drugs and Crime, 2014). In some cultures, this behavior is acceptable, but in many more it is not. However, attitudes and behavior are not the same thing, and people may condemn and yet practice a sexual behavior. Therefore, disapproval and even social sanction against any specifi c sexual behavior do not mean that people do not engage in that behavior.

Summary

Gender differences in sexual attitudes and behavior have been the object of speculation and research. Most sex research has used the survey technique—questioning people about their sexual attitudes or behavior. Problems with this method include the possibility of inaccuracy with self-reports and the problem of obtaining a representative sample that allows generaliza- tion to the population. Kinsey and his colleagues conducted the most famous sex surveys, which showed the prevalence of many sexual activities that differed from social norms. The results shocked many people. Although some of Kinsey’s results are controversial, the importance of his work is not. He made the study of sexuality a legitimate part of scientifi c research.

Later sex surveys, which include the Playboy Foundation survey (Hunt, 1974), the National Health and Social Life Survey (Laumann et al., 1994), and the National Survey of Sexual Health and Behavior (Herbenick et al., 2010), attempted to obtain a represen- tative sample of U.S. residents and to extend Kinsey’s fi ndings. These surveys indicated

314 Sexuality

some changes—especially a decrease in the double standard of sexual behavior for men and women. All of the surveys have shown that people engage in a wide variety of sexual behavior.

Masters and Johnson took another approach, measuring sexual responses directly during masturbation and intercourse in an attempt to understand the physiology of sexual response. Their 1966 book detailed four stages of the sexual response—excitation, plateau, orgasm, and resolution.

Childhood sexuality includes both exploration and the potential for abuse. Exploration begins very early in childhood, and parents may fi nd these explorations distressing. Con- demning these behaviors may convey the impression that sexual feelings and activities are unacceptable. Exploitation may also begin early in childhood. Sex surveys have revealed that at least 15% of women and 5% of men were sexually abused as children. The large majority of the perpetrators of sexual abuse of children are men, often family members or those in positions of authority, but girls and women are also perpetrators of abuse. Abuse has both short-term and long-term negative effects for male and female victims.

Adolescence is a time of increasing sexual interest and exploration. Sex education tends to emphasize the dangers rather than the pleasures of sexuality, leaving boys with information about the damage that their male sexuality can do and leaving girls with a sense of vulner- ability. The average age of fi rst intercourse had previously been higher for girls, but now that difference has disappeared. Gender differences in premarital sexual activity have decreased over the past 50 years.

Marriage is no longer the only acceptable context for sexual activity; a large majority of unmarried young men and young women now have intercourse before age 25. Celibacy may be a choice or a lack of opportunity, but monogamy remains the ideal sexual relationship for many people, but the reality for few. Choosing sexual free expression with many partners is still not a common choice, but more men than women have multiple sexual partners at the same time. This difference may relate to men’s greater acceptance of casual sex, which is one of the largest gender differences in sexuality. Another large difference is frequency of masturbation, which may lead to women being less likely to experience orgasm during partnered sex.

Another difference that infl uences sexuality is the existence of a double standard for sexual behavior, which holds that girls and women are less sexual than boys and men. Acceptance of the double standard has declined, but its continuation is a factor infl uencing the sexuality of women and men and contributes to confl icts in couples.

Same-sex sexual activity is not uncommon among children and adolescents, but a minor- ity of people experience erotic attraction to only members of the same sex. Estimates vary according to the defi nition, but a small percentage of men and an even smaller percentage of women have primarily or exclusively gay or lesbian sexual orientation. The underlying reasons for this sexual orientation are not understood, but recent research has concentrated on biological factors such as genetics or prenatal exposure to testosterone. These biologi- cal factors may interact with personality traits and preferences to produce heterosexuality, homosexuality, or bisexuality.

Lesbian and gay sexuality is not well accepted, and adolescents who are attracted to mem- bers of their own sex may have trouble accepting themselves and their sexual orientation as well as struggling with coming out—revealing gay or lesbian interests and behavior to friends and family. The sexuality of gay men and lesbian women shows both similarities with and differences from heterosexual couples and from each other. For all types of heterosexual, gay, and lesbian couples, sex provides both a bond of pleasure and a potential for confl ict in their relationships.

When individuals form romantic and sexual relationships with both men and women, they are bisexual. This sexual orientation is controversial and diffi cult to defi ne because

Sexuality 315

many individuals experiment with sexuality by having both male and female partners. Few, however, have a true bisexual sexual orientation, so this sexual orientation remains the least researched and most poorly understood of the sexual orientations.

Around the world, some cultures condemn the sexual behaviors that other cultures require, producing a wide variety of sexuality throughout the world. For example, behaviors such as adults having sex with children and same-sex sexuality are condemned in many societies, yet others sanction these behaviors.

Glossary

bisexual a person who is sexually attracted to individuals of the same as well as the other gender.

celibacy refraining from sexual activity. coming out the process of recognizing and publicly acknowledging one’s gay or lesbian

sexual orientation. cunnilingus oral stimulation of the female genitals. date rape, or acquaintance rape forced sexual activity occurring between people who are

acquainted with each other. double standard for sexual behavior the social standard that allows men greater freedom

of sexual expression than women. fellatio oral stimulation of the male genitals. gay an alternative for the term homosexual , emphasizing the entire lifestyle instead of only

the sexual aspects of it; sometimes used to refer to both men and women, but more often to men, who feel sexual attraction for and choose sexual activity with people of the same gender.

incest sexual activity between family members. lesbian a woman who feels sexual attraction for and chooses sexual activity with other

women. masturbation manipulation of the genitals to produce sexual pleasure. monogamy having only one sexual partner. representative sample a sample (subset) of the population that refl ects the characteristics of

the population from which the sample was drawn. self-selection of participants when participants rather than researchers choose who will

take part in the research. This problem biases the results and prevents generalization to a wider population.

serial monogamy the practice of having a series of monogamous sexual relationships. sexual orientation the erotic attraction to members of the same or the other gender (or to

both).

Suggested Readings

Diamond, Lisa M. (2003). What does sexual orientation orient? A biobehavioral model distinguishing romantic love and sexual desire. Psychological Review, 110 , 173–192. Diamond asks a provocative question concerning the meaning of sexual orientation and offers an answer that

shakes the underlying assumptions of love and sex.

Jenkins, William J. (2010). Can anyone tell me why I’m gay? What research suggests regarding the origins of sexual orientation. North American Journal of Psychology, 12 (2), 279–295. Jenkins reviews the research concerning the basis for nonheterosexual sexual orientation, considering the

variety of infl uences that have been considered over the years.

Regnerus, Mark; & Uecker, Jeremy. (2011). Premarital sex in America: How young Americans meet, mate & think about marrying . New York: Oxford University Press.

316 Sexuality

Sociologists Regnerus and Uecker explored the sexuality of young women and men through extensive inter- views. They found a number of ways in which these emerging adults’ sexual attitudes and behavior differ from adolescents and from adults.

Tolman, Deborah L. (2002). Dilemmas of desire: Teenage girls talk about sexuality . Cambridge, MA: Harvard University Press. Tolman’s extensive interviews with adolescent girls present the diffi culties of developing a healthy sexuality

within the current cultural context. Although the book focuses on girls, boys receive some attention.

Suggested Websites

Sex is certainly a common topic on the Internet, and good advice is possible to fi nd. Love is Respect (http://www. loveisrespect.org/healthy-relationships/sex-and-healthy-relationships/) provides a variety of materials to assist in developing skills to make good decisions about sex. It’s Your Call (https://thenationalcampaign.org/sites/default/ fi les/resource-primary-download/It’sYourCall.pdf ) is a program designed to help people to clarify their sexual values and to make good decisions.

Advocates for Youth (http://www.advocatesforyouth.org/) is another organization devoted to helping young people make good choices about their sexuality. Their website contains information about their approach and materials to help young people develop healthy sexuality, including orientations that are not heterosexual (http:// www.advocatesforyouth.org/lgbtq-issues-home).

The Romance/Sexuality Tests at Queendom.com (http://www.queendom.com/tests/testscontrol. htm?s=16&t=1#h) provide a more light-hearted look at sexual decision making.

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Headline: “The Target,” Vanity Fair , April, 2013

Once upon a time in Europe and the United States, education for girls was a controversial topic; the common view was that girls and women did not have the intellect to profi t from education as boys and men could. That view has faded in many countries, but in low-income countries in Africa and Asia, education for girls remains controversial.

That controversy came to worldwide attention when Malala Yousafzai, a girl from rural Pakistan, became an advocate for the education of girls, beginning when she was 11 years old. Between 2007 and 2012, Malala and her father, who ran the school that Malala attended, became involved in the political struggle in Pakistan against the Taliban and ISI. As schools were shut down and girls were warned against attending school, Malala became more vocal in speaking out against the situation and more determined to continue her education.

Malala’s activism led to an attempted assassination—she was shot in the head while riding home from school on a bus (Brenner, 2013). The assassination attempt failed and placed Malala in an even more prominent position to publicize her message. In 2014, she shared the Nobel Peace Prize with Kailash Satyarthi, an Indian children’s rights advocate. Malala’s story seems to have a happy ending, but millions of girls (and boys) in low-income countries are not in school.

Thus the educational experience of children varies across countries, with girls more neglected than boys in many low-income countries. During the 1980s, many stories detailed how schools were inhospitable places for girls (American Association of University Women [AAUW], 1992), and attention focused on boosting girls’ school achievement, especially in math and science. That attention was successful in boosting girls’ achievement, but the situ- ation now differs in high-income countries: Boys are the ones who have trouble in school. Once, boys were the sports stars, student council presidents, valedictorians, and majority of recipients of all types of degrees. Boys now receive fewer honors, drop out of school at higher rates, and receive fewer college degrees than girls.

Some argue that, in an attempt to better serve girls, school now shortchange boys. Is it possible for schools to educate both boys and girls? What are the problems and inequities of the current system? When do they start? And what are the consequences of the school experience for women’s and men’s lives?

The School Experience

Even before children begin school, their parents and the society in which they live treat boys and girls differently. Chapter 3 included examples of the process of gender stereotyp- ing: dolls for girls but trucks for boys, quiet games for girls but noisy games for boys, frilly

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dresses for girls but grubby jeans for boys, staying close to home for girls but venturing out for boys.

Not all girls or all boys conform to these stereotypes, but by age 4 or 5, children know what behaviors are expected and approved for each. (See Chapter 6 for a more complete discussion of the development of gender identity.) Thus, when children start preschool, they already hold beliefs about what clothes, games, and behaviors are appropriate for boys and girls, and they bring these beliefs to the school experience. Schools often reinforce these stereotypical beliefs, producing differences in attitudes and expectations about careers that result in differences in preparation to pursue careers.

Title IX of the Education Amendments of 1972 prohibits gender discrimination in school programs that receive federal funds. During the 1980s and 1990s, attention to gender equity in education focused on girls and how schools may fail to meet their needs (AAUW, 1992). This attention prompted a backlash, which details the problems that boys encoun- ter in school. The publicity about gender equity has gotten the attention of many teachers (Arnot, 2000), who strive to be fair in their interactions with children in the classroom. Even so, they may fail, both in terms of student achievement (Klein, 2004) and in the eyes of their students, who see differences in how teachers treat boys and girls (Myhill & Jones, 2006; Spencer, Porche, & Tolman, 2003). Indeed, teachers tend to see their students through the lens of gender stereotypes: Girls who are good students and boys who are bad students conform to their expectations, whereas boys who are good students do not (Jones & Myhill, 2004).

The reasons for gender inequity in schools have many roots. Gender equity is not a large part of the curriculum for prospective teachers, nor is it a frequent topic of in-service training for teachers or curriculum reform (AAUW, 1992; Sanders, 2003). Without specifi - cally addressing gender equity issues during teacher training, teachers bring their gender stereotypes to teaching, perpetuating unequal treatment (Brown & Evans, 2004). Such training can be effective in changing teachers’ attitudes (Erden, 2009), but the tendency to view students through a lens of gender continues without specifi c training to minimizes these issues.

Gendered Voices: Treated Like a King

“I’m not sure why I wanted to work with kids,” a young male elementary schoolteacher told me. “I started as a camp counselor, and that job was attractive because of the other counselors—lots of girls. They thought it was cool that I was a counselor and was good with kids. They seemed to think that getting along with children meant I was sensitive. I can get a line of my ex-girlfriends who will testify that I am not any more sensitive than most guys, but I do like working with kids, so I became a teacher.

“The principal and coach are both men, but there is only one other male teacher in my school, so I get a lot of attention from the students and from the female teachers. The kids love me; I’m treated like a king. When I walk down the hall, they want to be near me, and my attention is something special. Some of them live in single-parent families with their mothers, but even the ones who live with fathers seem starved for male attention. I believe that their fathers may not be too emotionally accessible, and I am, so they are drawn to me. I try to have good relationships with them, and it is work that I enjoy, but the administration keeps hinting that I should get a master’s degree so that I can become an administrator. I don’t want to; I’m satisfi ed doing what I’m doing.”

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Early Schooling

The problem of teachers promoting stereotypical gender roles can begin very early in the school experience and may occur even in teachers who do not realize that they are treating girls and boys differently (Garrahy, 2001). Children tend to practice gender segregation, and teachers usually allow and sometimes even encourage this separation (Thorne, 1993). In addition, children have the experience of being taught by an overwhelming majority of female kindergarten and elementary school teachers. The only man in elementary schools may be the custodian. Indeed, less than 3% of early childhood educators in the United States are men (Bureau of Labor Statistics, 2015), and this situation extends to Canada and the United Kingdom (Gosse, Parr, & Allison, 2008) and many countries throughout Europe (Burusic, Babarovic, & Seric, 2012). Both elementary school students and their parents would like more male teachers (McGrath & Sinclair, 2013), but persuading men to teach young children has proven diffi cult. These men are very aware of the female dominance in the profession and their position of providing a male role model and at the same time, behav- ing as nurturant “mothers,” as most of the female teachers do. Male elementary teachers are thus faced with the challenge of presenting both stereotypical and counterstereotypical behaviors.

The preponderance of female elementary school teachers has led to the “myth that early- education environments meet the needs of girls better than boys” (AAUW, 1992, p. 18). A report from the American Association of University Women argued that the opposite is true: Early schooling consists of activities in which girls have more profi ciency than boys, giving boys more training in the skills they lack, such as reading, while ignoring skills that girls lack, such as science investigation. Girls need practice with gross motor activities, investigatory activities, and experimental activities, but these activities tend to be considered part of “play” rather than part of their education, and thus girls have been slighted by curriculum omissions and fail to develop these skills through girls’ typical play activities. Thus, the tasks of the early elementary classroom may be diffi cult for boys because these activities concentrate on the skills boys lack. Girls do not have the same challenges, but they also fail to receive the benefi ts.

To benefi t from the lessons that school presents, boys must be quiet, pay attention, and concentrate, which confl icts with their need for stimulation (Else-Quest, Hyde, Goldsmith, & Van Hulle, 2006). For some boys, the behaviors demanded of them are out of line with the gender role they are developing; that is, school requires that they act like “sissies.” Either rebellion or diffi culties in meeting the school requirements may contribute to the situation of boys being much more likely than girls to present behavior problems. Indeed, a great deal of the extra attention that boys receive revolves around controlling boys’ misbehavior.

Few gender differences exist in school achievement during the early years of school, but the differences favor girls; girls outscore boys on reading and writing, and this difference persists throughout schooling (Klecker, 2006). In addition, girls make better grades. During elemen- tary school, socioeconomic status is a more important predictor of school achievement than gender; children from lower socioeconomic levels produce consistently poorer school records than children from wealthier families. The intersection of poverty and gender may produce a particular handicap for boys during early schooling (Entwisle, Alexander, & Olson, 2007). But even controlling for socioeconomic status, girls tend to make better grades in school.

Several factors combine to predict academic success and to explain gender differences dur- ing elementary school (and beyond). Childhood gender differences in temperament (Else- Quest et al., 2006) may contribute to differences in skills that boys and girls bring to early schooling. Girls’ higher abilities in focused attention and self-control lead them to greater success in early schooling, whereas boys’ greater need for stimulation leads to problems. Girls are also more responsive to social cues and to adults’ requests (Ready, LoGerfo, Burkam, & Lee, 2005) and better able to delay gratifi cation (Silverman, 2003). All of these factors contribute

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to being a good student. Girls’ greater responsiveness to adults helps them comply with teach- ers’ requests, and self-control leads to being more conscientious. The opposite also occurs; failing to comply with adults’ rules and requests creates problems, and boys are more likely to behave in these ways. Therefore, conformity to gender-typical behaviors relates to both girls’ success and boys’ problems.

Self-discipline is the ability to choose between confl icting impulses, and girls show higher self-discipline than boys (Duckworth & Seligman, 2006), an ability that is related to mak- ing better grades. Likewise, girls’ higher ability to delay gratifi cation allows them to make choices to attend to classroom instruction and to study rather than engage in other activities (Silverman, 2003). Thus, girls have several abilities that allow them to be better students than boys, and these differences appear in elementary school and persist throughout schooling.

Boys are more likely than girls to receive referrals for special education services, and this gender difference has led to the suspicion that gender discrimination may be operating. In a study of such referrals (Wehmeyer, 2001), results indicated that gender bias was a factor. However, the bias prevented girls from receiving special education services from which they might benefi t rather than producing inappropriate referrals for boys.

Academic success is complex; both intellectual and social factors relate to success in school. Figure 11.1 shows a model of factors related to academic success. A variety of factors relate to academic success, including individual cognitive abilities; the single cognitive factor most strongly related to academic success is visual–spatial ability. However, teacher and parental expectations as well as the individual’s expectations for her or his success also play a role. These factors fi lter through gendered expectations for all involved. Indeed, children’s conformity to gender-typical behaviors plays a role in girls’ academic success and in boys’ poor performance (Serbin, Zelkowitz, Doyle, Gold, & Wheaton, 1990). Thus, a complex picture emerges to

Photo 11.1 Boys receive more teacher attention than girls, but much of that attention is oriented toward boys’ misbehavior.

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describe academic success during elementary school, with cognitive abilities, parental and peer interactions, gender role socialization, motivation, and effort all contributing.

Changes during Middle School The gender differences that begin to appear during middle and junior high school relate more strongly to attitudes than to achievement and more to interests and preferences than to abilities. Girls show interest in participating in science activities, but boys are more likely to participate in and perform science activities, such as using microscopes, computers, and electricity meters (Kahle & Lakes, 2003). These different experiences with science activities both in and outside of the classroom relate to girls’ lower achievement and decreasing interest in physical science.

These inequalities are the focus of equity education efforts, which have taken two forms: efforts aimed at equitable treatment for girls and boys in the classroom and single-sex class- rooms to allow girls access to science and technology and to encourage boys to develop read- ing and writing skills. Attaining gender equity in the classroom has not been easy. Gender equity is not a major focus of teacher training or for most school systems, but some schools have made gender equity a focus. Unfortunately, even when administrators and teachers believe that they are offering girls and boys equal treatment, observations of classrooms and interviews with students tell a different story (Spencer et al., 2003). Proponents for single-sex classes argue that this approach is the answer, but research has not been so defi nitive. Reviews of studies (Billger, 2009; Halpern et al., 2011) revealed no pattern of advantages and some possibilities of perpetuating gender stereotyping.

A great deal of attention and publicity has focused on the decline in academic confi dence that girls experience during middle and junior high school. Despite this focus, the evidence for such a decline is not strong. Although some research (Bush & Simmons, 1987) indicated a decrease for girls and an increase for boys in confi dence, a longitudinal study (Jacobs, Lanza, Osgood, Eccles, & Wigfi eld, 2002) failed to support such a decrease. This longitudinal study

Figure 11.1 Model of Social and Cognitive Abilities Predicting Academic Performance

Individual Cognitive Abilities

Personal Expectations of Success

Teacher Expectations

S t e r e o t y p e s

G e n d e r

gender differentiated goals

Academic Effort

gender differentiated performance

E x p e c t a t i o n s

M o t i v a t i o n

A c a d e m i c

G e n d e r e d

Parental Expectations

Peer Interactions

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examined children’s beliefs in their competence for language arts (a stereotypically female domain), sports (a stereotypically male domain), and mathematics (another stereotypically male domain), fi nding that children’s confi dence was higher when they entered school than at any other point in their education. That is, beliefs about self-competence decreased over the 12 years of schooling. Boys’ self-ratings were initially higher than girls’ ratings, but boys’ beliefs fell faster than girls’, especially in the academic domains of language arts and mathematics.

By junior high school, however, girls show less interest in mathematics than boys. This interest does not have a large impact on their grades or their math performance. Girls con- tinue to make comparable or better grades in math class, and their performance is compa- rable (Hargreaves, Homer, & Swinnerton, 2008). However, their confi dence is not as great as boys’, and girls come to fi nd mathematics less interesting as a fi eld of study (Jacobs, Davis- Kean, Bleeker, Eccles, & Malanchuk, 2005). The declining interest in math starts soon after children enter kindergarten (Lubienski, Robinson, Crane, & Ganley, 2013). One factor in their declining interest may be the perception that math is a male domain. That perception

Photo 11.2 Are single-sex classrooms the answer to equal access to education or a continuation of gender discrimination?

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is widely shared by boys, girls, parents, and teachers (Nosek, Banaji, & Greenwald, 2002; Tiedemann, 2000). This association appears to be stronger for people who more intensely associate themselves with stereotypes of men or women. In addition, the association of men with math is not a completely conscious process, resulting in a pervasive but subtle version of stereotyping.

Athletic performance is another gendered behavior, and it becomes more gender segre- gated during late childhood and early adolescence. “That’s a game for girls” is an insult to boys, and few girls are so competent at boys’ sports as to break the gender barrier. The intensifi cation of gender roles during junior high school pushes girls away from, and boys toward, athletics. In a longitudinal study, boys’ beliefs in their athletic competence remained higher than beliefs about their academic abilities between 1st and 12th grade, and their beliefs about athletic abilities were higher than girls’ opinions of their abilities (Jacobs et al., 2002). Table 11.1 summarizes some of the changes that occur during elementary and middle school that result in differences in interest and confi dence for boys and girls.

Therefore, the middle school years show a continuation of better grades and academic accomplishment for girls but a decline in girls’ interest in mathematics, technology, and physical sciences. Their decreased participation may be one reason for their decreased inter- est in science, but the continued lack of encouragement by their teachers and parents may also contribute to girls’ declining interest in science and math during middle school. Both boys and girls experience a decline in confi dence in their academic abilities during this time, which may affect boys more strongly than girls.

High School

High school represents a signifi cant transition for adolescents, both in educational and social terms. Students become more focused on careers, and high school students may make choices about coursework that younger students are not allowed. The social envi- ronment revolves around school activities and heterosexuality, which may also infl uence the academic choices that students make. Adolescent girls believe that they will combine a family with paid employment, refl ecting the current reality of contemporary family life, but they also understand that having children when they are young will affect their edu- cational attainment (Mahaffy & Ward, 2002). Boys do not see how children might affect their educational plans.

Table 11.1 Gender and Academic Attitudes and Performance during Elementary and Middle School

Boys Girls Result

Enter school with high self- confi dence for academic and athletic tasks

Enter school with high self- confi dence for academic and athletic tasks

Self-confi dence decreases for both over the 12 years of schooling

Tend to be more active and less attentive

Tend to be conscientious and show more self-control

Girls make better grades

Show interest in and participate in science activities

Show interest but are less likely to participate in science activities

Girls’ confi dence in science declines more than boys’

Experience a decline in confi dence for ability in language arts and math

Show decreased confi dence and interest in math

Boys are drawn to sports; math classes become male dominated

Experience an increase in confi dence about athletic ability

Experience a decrease in confi dence about athletic ability

Boys are drawn to athletics more than academics

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Physical appearance and athletic ability are important to students in both public and pri- vate schools because both are ways to gain prestige in the high school social structure (Suitor & Carter, 1999; Suitor, Powers, & Brown, 2004; Suitor & Reavis, 1995). Both are avenues to status, but appearance is more important for girls and athletic ability more of an asset for boys (Weinberg, 2000). Between the 1970s and 1990s, sports became more and cheerleading less important for girls; having a fast car became less prestigious for boys (Suitor & Reavis, 1995). Appearance remained important, especially for girls. Sociability and popularity with the other sex seem to be better ways to gain status than having sex, especially for students at private, religious high schools (Suitor et al., 2004). For both girls and boys in private and public schools, being considered intelligent and getting good grades, participating in sports, and being good looking conferred prestige.

The increased emphasis on sports for young women has resulted in the current accep- tance and increased participation in sports. In 1971, girls constituted only 7.5% of athletic participants in high schools, but in 2014, the percentage had grown to 48.9% (National Federation of State High School Associations, 2015). Not only has the number of female athletes grown, but the variety of sports in which they participate has also increased. High schools have added women’s teams in cross country, gymnastics, soccer, fi eld hockey, soft- ball, swimming, track, volleyball, and other sports. The success of U.S. women’s teams in Olympic and world competitions for soccer, basketball, and softball has provided exciting role models. Expanded opportunities for high school girls have allowed them to develop their physical abilities and talents in ways that previously were reserved for boys.

From middle to high school, girls experience more of a decrease than boys in interest and confi dence concerning math, science, and computer skills. Stereotypical attitudes of par- ents (Bleeker & Jacobs, 2004) and teachers (Klein, 2004) push boys toward and girls away from these fi elds. A meta-analysis (Weinburgh, 1995) indicated that boys had more positive attitudes toward science than girls did, and the relationship between attitudes and achieve- ment was positive. A similar relationship appeared in an analysis of Australian girls’ attitudes toward advanced computing courses—girls tended to see these courses as uninteresting and not valuable to their futures (Anderson, Lankshear, Timms, & Courtney, 2008). With the greater choice that high school students have about their coursework, these differences have the potential for great impact. For example, students who choose not to take advanced math and science courses will limit their access to certain college majors and careers; the choice to play sports, date, or get a job can detract from study time and affect grades, which can limit career options.

Despite their lack of enthusiasm for math during high school, overall gender differences in mathematics course enrollment have disappeared. Now, girls and boys are equally likely to take high school advanced math classes (U.S. Department of Education, 2012). Unfortu- nately, girls may be subject to bias and even harassment from their teachers and male students who believe that girls are not really capable of succeeding at advanced math (Abu El-Haj, 2003). Such treatment may discourage girls, leading to the situation that mathematically talented girls are less likely than comparably talented boys to pursue math or science careers (Morganson, Jones, & Major, 2010).

The gender difference that remains for high school course enrollment appears in science courses. Female students are more likely to enroll in advanced biology and social sciences classes, whereas boys are more likely to take physics, physical sciences, and computer courses (U.S. Department of Education, 2012). Even when enrolled in the same courses, students may have different views of how the course fi ts into their career plans. For example, young men who enroll in calculus and advanced science in high school are very likely to take these courses in preparation for careers in science or engineering, whereas fewer young women enrolled in the same courses pursue those careers.

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A study completed in Israel explored this puzzling situation (Ayalon, 2003). Israeli stu- dents receive bonuses from universities for taking advanced courses in high school, which boosts enrollment. Thus, many women complete advanced math and science courses and have the background to pursue science, mathematics, and engineering in college. However, they tend not to do so; women were more likely to choose psychology or humanities as majors or to pursue a career in medicine rather than mathematics or engineering. A simi- lar pattern appeared among groups of mathematically talented youth in the United States (Benbow, Lubinski, Shea, & Eftekhari-Sanjani, 2000). Among these math-talented students, men were more likely to go on to earn doctorates in math, engineering, or physical sciences, whereas women were more likely to earn doctorates in biology, medicine, or law. Part of the reason for the difference in choices comes from different interests but may also be attributed to a different pattern of abilities in women and men with high math ability (Ceci, Williams, & Barnett, 2009). Women with high math ability tend to be high in verbal abilities as well. This combination of abilities gives them wider choices of career options, which splits the pool of math-talented women.

These different choices have been considered a problem for women because these careers are high in prestige and income. When education experts judge the enrollment of women as low, they are using men and their enrollment statistics as the standard. The implication is that women’s enrollment is defi cient and something to be remedied. Nel Noddings (1991/1992) suggested that educators have given too little consideration both to what women are doing and to the reasons behind their choices. She pointed out that stereotypical thinking has imposed limitations on both young women and young men, restricting both from a full range of choices in coursework and careers. Most of the criticisms and research have cen- tered on girls and how they are diverted from math and science. Fewer considerations have been directed toward boys and how they might be steered toward math and science when those subjects and careers might not be the ones for which they have the highest interest or

Gendered Voices: He Said/She Said: AP Calculus Class

The male and female students in a high school advanced placement calculus class were experiencing confl ict, and part of that confl ict revolved around differing preferences for classroom atmosphere (Abu El-Haj, 2003, pp. 411, 417).

He said: There’s a guy’s group that has an edge because of whatever—whether it’s because

they’re trained to be that way or because they’re really good in math, they spend more time studying it or because they’re such a tight knit group that they have an edge. They really, I think, enjoy the edge. Nobody’s trying to sabotage anyone. We’re not ripping off people’s homework or destroying people’s calculators. I don’t think it’s competitive in that anyone’s trying to defeat anyone else. It’s just that they like being one up. They like that energy. I like being better than people at something. (p. 411)

She said: I remember one class we had a test that I think people answered one out of four prob-

lems. That was sort of the average . . . no one got any of it. We decided to just do it in class. . . . And I remember coming away from that thinking, “God, why can’t I take every test as a collaborative effort because it just—when I came away I just really understood the problems because I had contributed what I knew and this person next to me contributed what they knew and we had our combined learning.” (p. 417)

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aptitude. That is, the current situation may refl ect both an underrepresentation of women and an overrepresentation of men in math and science.

Both girls and boys require information, support, and encouragement to consider non- traditional careers, including those students who do not plan to attend college. The area of career and technical education (CTE) was formerly called vocational education, which developed as a way to give boys work skills (AAUW, 1992). These careers remain more strongly gender stereotyped than others, with girls constituting over 85% of those pursu- ing cosmetology, health care, and child-care training and boys populating the construc- tion, technology, and auto repair classes (Programs and Practices That Work, 2005). The salaries differ signifi cantly for the two groups, with an hourly wage of $17.35 per hour for the male-dominated occupations and $13.85 per hour for the female-dominated jobs. Again, encouraging students to break out of these traditional jobs requires specifi c effort, and a number of programs have taken innovative approaches to doing so (Lufkin et al., 2007).

One factor that affects women who choose to pursue nontraditional career and techni- cal education is sexual harassment. Sexual harassment , unwanted sexual attention from students and teachers, happens to both girls and boys at school. Although young men expe- rience sexual harassment, fewer mention being troubled by unwanted sexual attention by their female peers or teachers (AAUW, 1993, 2001, 2006). Harassment involving gender may be sexually oriented or not; it consists of unwanted sexual remarks, statements about the unsuitability of women (or men) for various types of jobs, or derogatory remarks about women or men and their abilities. Same-gender sexual harassment by peers is a common experience, especially for boys. Indeed, bullying of both boys and girls tends to be sexualized (Shute, Owens, & Slee, 2008). As the AAUW reports (1993, 2001, 2006; Hill & Kearl, 2011) pointed out, harassment is a very common experience in school, is about power and authority, and usually involves boys harassing girls.

Although sexual and other harassment that affect the educational process are prohibited by Title IX of the Education Amendments of 1972, those who harass have been allowed to continue. The attitude was often “boys will be boys,” with harassment not considered a serious offense. When legal changes allowed school systems to be sued for monetary damages, school systems began to take sexual harassment more seriously (Fineran, 2002). Teachers now report negative attitudes toward harassment (Stone & Couch, 2004) but also felt reluctant to intervene in peer harassment when instructors perceived a lack of support for intervention from administrators, colleagues, and the community (Meyer, 2008). Fear of harassment may exert negative effects on girls, making them reluctant to enroll in courses with a majority of boys or to enroll in nontraditional vocational or technical courses.

Surveys of junior high and high school students (AAUW, 1993, 2001; Asbaugh & Cornell, 2008; Hill & Kearl, 2011) have revealed that at least half and as many as three- fourths of students said they had been the target of unwelcome sexual behavior while at school, at a school function, or by other students through social or electronic media. Adult school employees were the perpetrators in about one-fourth of cases, but the major- ity of harassment incidents are perpetrated by other students. Girls were more common targets than boys, but both girls and boys admitted perpetrating as well as being targets of sexual harassment. Student perpetrators tended to consider harassment part of school life and “no big deal” (Bryant, 1995, p. 41). The targets often feel differently. Especially when targets interpreted the harassment as intentional, they were upset (Hill & Kearl, 2011; Lacasse & Mendelson, 2006). Those who are victimized may experience more than distress; the consequences may be serious (see According to the Media and According to the Research).

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According to the Media . . . High School Is Near the Mouth of Hell

During its seven years of broadcasting (1997–2003), Buffy the Vampire Slayer sent unorthodox messages about high school and college life, family relationships, friends, and gender. The series featured Buffy Summers, who moved to a small town in south- ern California and enrolled in Sunnydale High School. Buffy was not part of the “in crowd” and felt like an outcast, which is not an unusual experience for the new girl in school. In Buffy the Vampire Slayer , Sunnydale High was located on top of one of the mouths of hell, and Buffy had superhuman powers. She was the Chosen One, a once- in-a-generation slayer who had the power to save humanity and kill the monsters that escaped from the Hellmouth. She befriended other outcast students, forming a “fam- ily” who helped in her mission to protect humanity (Burr & Jarvis, 2007).

The series used monsters as metaphors for the high school world of cliques, cool- ness, anti-intellectualism, and unreasoning adult authority (Early, 2001). In Buffy’s high school, the bullies were literally demons. The vampires and demons were both male and female, but as the Slayer, Buffy occupied a role that is unusual for a woman: She was not only a hero but also a warrior. Female characters have occupied this role in comic books more often than on television or in movies; action heroes are usually men. Through her strength as the Chosen One and her martial arts training, this small, thin, pretty blonde was able to “kick some serious demon ass” (in Early, 2001). Buffy struggled with her mission, as heroes do, trying to do what was right. She and her “family” of outcasts patrolled Sunnydale, attempting to keep the demons from destroying humanity.

According to the Research . . . High School May Be Close to Hell for Some Adolescents

Although the situation may not be true in a literal sense, some adolescents may think of other students at their high schools as demons and fi nd it easy to imagine that a Mouth of Hell is in the library. That is, high school is a diffi cult experience for many adolescents who are outcast, marginalized, bullied, and harassed. However, the diffi culties experi- enced by those harassed about their sexual orientation are especially severe and even dangerous. Harassment and accusations of homosexuality are frequent occurrences for students who fail to conform to gender-stereotypical behaviors, even though the targets may not be gay, lesbian, or bisexual and the perpetrators know that these accusations are untrue (Hill & Kearl, 2011). Indeed, the word faggot has become a generic insult that may not be related to sexual orientation; the term is part of the tactics of intimidation and bullying (Ireland, 1999). The harassment of nonheterosexual adolescents some- times goes beyond name-calling and extends to intimidation, having property stolen, fi ghts, and physical attacks (Russell, Everett, Rosario, & Birkett, 2014). Young gay men are in particular peril, especially white and Hispanic adolescents.

These incidents of harassment and violence take their toll, making school unpleas- ant and dangerous, a situation that leads nonheterosexual adolescents to skip school to avoid the dangers (Russell et al., 2014). Gay and lesbian students are also more likely to experience depression, think about, and attempt suicide than other students (Almeida, Johnson, Corliss, Molnar, & Azrael, 2009). Some schools approach the problem by beginning counseling programs and by appointing personnel to coordi- nate services for gay, lesbian, and bisexual students. Some schools do not restrain the homophobia, making high school close to hell for gay and lesbian adolescents.

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In summary, both overt and subtle forces affect adolescents during high school, with both girls and boys tending toward more traditional, stereotypical choices. Enrollment in math and science classes is now comparable for boys and girls, but attitudes about those sub- jects differ. Those girls who complete advanced math and science courses tend not to view these courses as part of their career preparation as boys do. Gender stereotypes exert such a powerful force that by high school, overt bias is not required to push girls and boys toward traditional courses and careers. Parents, teachers, and counselors can counteract this stereo- typing by active efforts to encourage students to explore nontraditional choices. This effort is important for academic and career and technical education, which tends to guide boys toward higher-paying skilled craft jobs and girls into lower-paying business and service jobs. Girls who enroll in nontraditional courses face the possibility of bullying or sexual harass- ment, and, although illegal, this behavior is a common experience. Peers are more common harassers than teachers or other school personnel.

College and Professional School

The effects of stereotyping and gender bias infl uence young women and men before they enter college, creating differences in expectations and choices. Young men receive messages from society, the media, and specifi c people in their lives urging them to prepare for careers that will support a family. Young women get a different message: They need to be able to support themselves until they marry and contribute to the family income, but their careers will be less important than their husbands’ employment.

The expectation that women will attend college and enter paid employment arose during the 20th century. Before that time, women rarely obtained a college education or prepared for careers (Owens, Smothers, & Love, 2003). Throughout most of the 20th century, men attended college in greater numbers than women, but the number of female college students in the United States and Canada has grown to the point that women now receive more undergraduate degrees than men do (U.S. Census Bureau, 2015). This pattern applies to a number of other industrialized countries where the percent of male and female college students is close to equal. In some developing countries, especially those in sub-Saharan Africa and in Asia, women attend college (and other schools) much less often than men. Table 11.2 presents the percentage of college degrees earned by women in various countries, but it does not reveal the number of students who are eligible to attend college yet do not. In the United States, a higher percentage of high school graduates enroll in college than in most other countries, even compared to other industrialized countries. That high percent- age, combined with the proportion of female U.S. college students, results in U.S. women being better educated than their counterparts in many other countries (U.S. Department of Education, 2015).

Men have historically received the overwhelming majority of advanced degrees (mas- ter’s and doctoral) and professional degrees (such as medical, dental, law, veterinary), but that pattern also has changed. In the 1960s, women earned only about 3% of profes- sional degrees, but by the 1980s, the percentage had grown to 33%, and in 2014, women received 56% of all master’s and 38% of all doctoral degrees granted in the United States (U.S. Census Bureau, 2015). Women have made comparable gains in earning professional degrees, such as medicine and law degrees, as Figure 11.2 shows. This growing number of women in professional fi elds has changed the composition of most professions, but past differences will take many years to equalize. Like undergraduate and professional degrees, doctoral degrees also show patterns of gender segregation. A greater proportion of doctoral degrees in physical sciences and engineering still go to men, whereas a greater proportion of doctoral degrees in education, humanities, and psychology go to women.

Figure 11.2 Percentage of Women Earning Professional Degrees, 1970–2013

Source: Statistical Abstract of the United States , 2012 (131st ed., Table 304), by U.S. Census Bureau, 2011, Washington, DC: U.S. Government Printing Offi ce and Digest of Education Statistics 2014, Table 318.30, Retrieved January 4, 2016 from http://nces.ed.gov/programs/digest/d14/tables/dt14_318.30.asp?current=yes

50

40

30

20

10

Medicine

Dentistry

Law

Theology

8. 4

1. 0

5. 3

2. 3

P er

ce nt

o f d

eg re

es to

w om

en

30 .2

23 .4

13 .3

15 .8

34 .2

13 .3

15 .8

42 .2

1970 1980 1990

42 .6

40 .0

29 .2

45 .9

2000

48 .0

48 .1

46 .4

34 .5

2013

Year

Table 11.2 Percentage of Degrees Earned by Women in Various Countries

Country Percentage Who Are Women

Australia 57 Brazil 63

Canada 60

Denmark 59 China 48 France 54 Germany 54 Indonesia 49 Israel 58 Japan 42 Korea, Republic of 47 Mexico 55 Poland 69 Slovenia 64 Switzerland 51 Turkey 47 United Kingdom 56

United States 58

Source: From U.S. Department of Education, National Center for Education Statistics, 2015, Digest of Education Statistics , 2013, Table 603.60. Retrieved October 29, 2015 from http://

nces.ed.gov/pubs2015/2015011.pdf

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Table 11.3 Percentage of Degrees Awarded to Women in Various Fields, 1971 versus 2011–2012

Field Bachelor’s Degree Master’s Degree Doctoral Degree

1971 2011–2012 1971 2011–2012 1971 2011–2012

Agriculture 4.2 50.0 5.9 52.6 2.9 46.3

Architecture 11.9 42.7 13.8 42.7 8.3 49.3

Ethnic studies 52.4 70.1 38.3 62.2 16.7 53.6

Biology 29.1 58.7 33.6 56.9 16.3 52.5

Business & management 9.1 48.1 3.9 53.9 2.8 42.3

Communications 35.3 64.3 34.6 69.3 13.1 57.5

Computer and information science 13.6 18.1 10.3 27.6 2.3 19.2

Education 74.5 79.4 56.2 76.8 21.0 68.1

Engineering 0.8 19.1 1.1 22.6 0.6 22.4

English/literature 65.6 68.3 60.6 67.2 28.8 61.5

Family and consumer science 97.3 88.5 93.9 86.9 61.0 81.8

Foreign language 74.0 69.5 64.2 69.3 34.6 59.6

Health science 77.1 84.7 55.3 81.4 16.5 57.8

Law enforcement/ Protective services 9.2 48.4 10.3 54.3 — 46.2

Legal profession 5.0 69.7 4.8 51.1 — 47.1

Liberal studies 33.6 63.8 44.6 60.7 31.3 65.6

Library science 92.0 92.6 81.3 80.8 28.2 60.0

Math 37.9 43.1 27.1 40.8 7.6 27.8

Philosophy/religion 25.5 37.1 27.1 37.4 5.8 30.6

Physical science 13.8 40.0 13.3 37.8 5.6 32.8

Psychology 44.4 76.6 40.6 79.7 24.0 74.4

Public administration 68.4 81.8 50.0 74.9 24.1 61.7

Social sciences 36.8 51.3 28.5 50.7 13.9 46.7

Visual/performing arts 59.7 61.2 47.4 57.7 22.2 54.3

Source: U.S. Department of Education, National Center for Education Statistics, 2015, Digest of Education Statistics , 2013, Tables 322.40, 322.50, 323.40, 323.50, 324.30, and 324.35. Retrieved October 11, 2015 from http://nces.ed.gov/ pubs2015/2015011.pdf.

Table 11.3 shows the percentage of degrees awarded to women in 1971 compared to 2009–2010 for different majors. Most professions now have a larger proportion of women as a result of the changes in degrees awarded during the past 35 years. Some areas have expe- rienced less change, some areas remain dominated by women, and some areas have become dominated by women. Whites are overrepresented and other ethnic groups underrepre- sented among those who receive master’s and doctoral degrees. For example, in the year 2014 about 5.6% of doctoral degrees went to African Americans, another 12.9% to Asian Americans, and 5.6% to Hispanic Americans. In addition, African American and Hispanic American women are more likely to receive degrees than men in these ethnic groups (U.S. Census Bureau, 2015).

Gender disparities continue to exist on college athletic fi elds, and the attempts to remedy these inequities have become the center of continuing, heated controversy. Title IX of the Educational Amendments of 1972 prohibited discrimination in educational programs that

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receive federal funding, including college athletic programs. Funding has been far from equal in athletics; men’s sports receive far more scholarships, equipment, facilities, staff, and publicity than women’s sports do. Colleges have struggled (and sometimes mounted legal challenges) against increased funding for women’s athletics (Hall, 2008). Despite legal chal- lenges to Title IX, the law has remained intact, and athletic departments have struggled to provide funding for women’s athletics in times of dwindling budgets. Indeed, much of the controversy over women’s athletics concerns money rather than a desire to prohibit women from participating in sport.

Increased opportunities for women to participate in competitive athletics have increased the number of women who compete. In the 1970s, only 7% of college women participated in organized athletics, but that percentage has grown to about 35%, producing more than a 400% increase (Hall, 2008). The increase has not resulted in equal participation, equal fund- ing, or equal acceptance for women in athletics. Enforcement of Title IX has not yet resulted in equal opportunities for training, use of locker rooms, medical services, or scholarships, or even athletics funding that is proportional to the number of women who attend the school (Anderson, Cheslock, & Ehrenberg, 2006).

The growing numbers of women who compete in college athletics receive support in the form of scholarships from their colleges and universities, but they have also received encouragement to develop their athletic abilities before they reach college. Mothers, older siblings, friends, and coaches in high school and junior high were all forms of social support to women who were college athletes (Hall, 2008; Tamminen & Holt, 2012). Furthermore, these sources of support have improved over the past 20 years. Therefore, today’s female athletes have benefi ted not only from the laws that mandate access to sports but also from the changes in attitudes that have made athletic competition more acceptable and admired for women.

In many ways, college amplifi es the gender issues that exist in high school, making the college experience different for women and men in the classroom as well as in the locker room. Women experience more feelings of gender bias than men, and these feelings relate to the number of male instructors and classmates (Fischer & Good, 1994). Men also reported some negative feelings, including indifference and lack of recognition from their instructors. Faculty members tend to interact in different ways with male and female students (Sax, Bry- ant, & Harper, 2005). In addition, male students expressed a higher degree of entitlement than female students; they felt entitled to good grades, even without working for them (Ciani, Summers, & Easter, 2008). These gender differences may create a different college experience for men and women but do not keep women from doing well in college; women continue to be better students than men, for many of the same reasons that appeared during earlier schooling (Gibb, Fergusson, & Horwood, 2008).

Although men are in the minority in many college classrooms, they may still dominate. College instructors are more likely to be men, and this factor infl uences classroom interac- tion styles. Women and men tend to have different preferences for classroom interactions with teachers and peers (Abu El-Haj, 2003). Women feel more comfortable in discussions in which teachers and students collaborate than in situations in which teachers try to impose their views on students. Men feel more comfortable in classrooms with a clear hierarchy and an emphasis on specifi ed goals. That is, women and men carry their preferences for personal interaction styles (see Chapter 9 ) into the classroom, and the preferences of each gender may make the other uncomfortable.

Another situation that may lead to discomfort with the campus climate is the “romance culture,” which emphasizes women’s looks and sexuality (Association for the Study of Higher Education, 2011). This emphasis detracts from academics and friendships. Women’s majority

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status on most campuses may also be a factor in creating this aspect of the campus climate; with more women on campus, men may be in a position to exert control over women’s sexuality through their selectivity (Baumeister & Vohs, 2012; Regnerus & Uecker, 2011).

Women’s uneasiness with the campus climate extends to professional and doctoral train- ing, at which point women feel less encouraged and supported than their male colleagues (Bickel, 2001; Herzig, 2004). The majority of professors are men, and the lower percentage of female faculty presents fewer role models for female students and possibly less encourage- ment (Park, Minor, Taylor, Vikis, & Poenaru, 2005). Women in male-dominated doctoral programs reported lower career commitment and feeling less supported than male students in the same programs and also less supported than female students in more gender-balanced programs (Ülkü-Steiner, Kurtz-Costes, & Kinlaw, 2000).

Role models and mentoring relationships can be very important to career advancement; young professionals benefi t from the guidance and aid of older, more experienced profes- sionals. Mentors tend to choose protégés who refl ect themselves, so there is a tendency for men to choose men and women to choose women. With fewer women in high positions in academia, young women are at a disadvantage in fi nding mentors. In addition, male profes- sors tend to be more helpful in supporting and encouraging their male students than their female students (Schroeder & Mynatt, 1999). Women have more female than male mentors, but male mentors may still be very infl uential and important, especially for women in science (Downing, Crosby, & Blake-Beard, 2005).

Gendered Voices: My Professor Said. . .

One of my students reported to me: “My engineering professor announced to the class that women should not be engineers. Women just didn’t have what it takes; they weren’t tough enough.”

I told her that such remarks were unacceptable and probably illegal. I urged her to report this incident, but she refused even to name the professor. I reported the incident to the Dean of Engineering, who also agreed that this faculty member’s behavior was unacceptable. Our concern did not solve this student’s problem. By the end of the semester, she had changed her major to math education.

The close working relationships of mentoring also provide situations that can lead to sexual attraction and action. With the imbalance of power between students and faculty, sexual relationships are almost inevitably exploitative and often meet the defi nition of sexual harassment. A wide-scale study of sexual harassment in college (AAUW, 2006) reported that 62% of college students reported that they had experienced some type of sexual harass- ment while in college. Although sexual comments and jokes were the most common type of harassment, about one-third of students reported some type of physical harassment. Faculty and staff commit harassment, but the most common source was other students. The most common comment from harassers was that they thought it was funny. Targets don’t think it’s so funny. Female students are more distressed by the experience than male students; some female students felt embarrassed, others were angry, but a third were frightened by the harassment. These reactions make education more diffi cult and may lead to dropping classes, changing majors, or even leaving school.

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Therefore, like high school, college is another school situation in which women and men have different experiences, which relate to choices of majors and careers. The range of majors and careers is similar, but the proportion of men and women in the range of majors is not. Women more often choose majors in education and social science; men choose engineering and physical science majors more often than women do. Women now receive more undergraduate degrees than men, and their numbers of professional and doctoral degrees are approaching (and sometimes exceeding) the numbers earned by men. Women in doctoral and professional programs receive less academic attention and support (but more sexual attention) than their male peers receive. Despite legal prohibi- tion, sexual harassment is common on campus, and women are more likely than men to be distressed by harassment from those in positions of authority, their male peers, and even their students.

Achievement

Achievement can have many meanings, including success in school. As the previous section showed, girls and women are successful in school, as measured by grades, but men are more successful when the criteria include prominence in prestigious careers and high salaries. The defi nition of success determines the extent to which women and men are high or low achievers.

Achievement Motivation

Traditionally, researchers have defi ned job success and recognition as achievement, but per- sonal or family relationships have not been considered comparable achievements. Therefore, neither women nor men’s roles in homemaking and family care have gained the same type of recognition as business, scientifi c, and political accomplishments. Indeed, women did not play a prominent part in psychology’s early studies on achievement.

David McClelland and his colleagues (McClelland, Atkinson, Clark, & Lowell, 1953) studied the motivation to achieve, formulating the concept of need for achievement . Results of their studies confi rmed that the need for achievement not only varied among people but also was stronger in people who had chosen achievement-oriented careers and in college students who had chosen careers with high risk and high responsibility. This defi nition of achievement ignores forms of achievement other than business careers, which is clearly too restrictive (Hyde & Kling, 2001). In addition, the need-for-achievement construct was for- mulated by examining only men, even though McClelland et al. (1953) found some overlap in the achievement needs of some men and women. In researching women’s achievement motivation, another concept appeared—the fear of success.

Gendered Voices : Their Children Were Their Accomplishments

I was a member of a board of directors for a civic organization with many other women (and few men). During one early meeting, we were asked to introduce ourselves and say a few words. As the introductions proceeded, one woman after another stood up and said her name and then told about her children. Most of these women were employed, and some had professional careers, but almost no one described her job. I fi nally realized that for these women, their jobs were not that important—their children were their accomplishments.

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Fear of Success

When Martina Horner (1969) presented women and men with a description of a successful medical student, the women sometimes imagined negative consequences for the successful female medical student, but the men usually described the successful male medical student in positive terms.

Horner interpreted the women’s descriptions of negative consequences accompanying success as a fear of success , or a motive to avoid success. She reasoned that women equate success with loss of femininity and feel anxious about success, especially when it involves competing with men. Her investigations showed that women often do better when working alone or when in competition with other women than when they must compete against men. On the other hand, men often perform better when they are in competition than when they work alone. Horner concluded that competition is a negative factor in women’s achievement and that women see achievement situations differently than men do.

Horner’s terms— fear of success and motive to avoid success— are somewhat misleading because they imply that women do not wish to succeed. Women engage in self-handicapping behaviors that block their achievement, but research has revealed that such behaviors are more common among men (McCrea, Hirt, Hendrix, Milner, & Steele, 2008). What Horner called fear of success may have been women’s acknowledgment that success in male-dominated professions is not socially well accepted for women, that success will have negative as well as positive consequences for women, and that competition may pose problems for women. Rather than fi nding that women fear success, Horner may have demonstrated that women understand the social consequences of competing with men in school and careers.

The social consequences of success in nontraditional careers may be negative for both men and women. An early study (Cherry & Deaux, 1978) found that men showed fear of success when describing a man in nursing school compared to a man in medical school, and women indicated awareness of negative consequences of success for a woman in medical school but not for a woman in nursing school. A review during the 1980s (Paludi, 1984) showed that both men and women recognized the negative aspects of success at similar rates. In 64 studies on the topic, a median of 49% of women and 45% of men exhibited the “fear of success.” Later research (Heilman, Wallen, Fuchs, & Tamkins, 2004) showed that women do not receive the same approval for being successful that men do. In particular, women who succeed in male-dominated fi elds are derogated rather than praised.

What Horner labeled fear of success, which supposedly was the reason women were not entering law, medicine, and other professions, seemed at the time to be a realistic appraisal of the consequences of success for women in some occupations. However, as Carol Tavris (2005) explained, “In the 1970s psychologists worried that women suffered from an internal ‘fear of success’ that was keeping them out of law and medical schools and other traditionally male careers. When discrimination was made illegal, ‘fear of success’ was trampled under the crush of women entering professional schools and occupations formerly closed to them, including bartending and boxing” (p. 11). Women now earn a majority of college degrees and are entering once-nontraditional fi elds in greater numbers, which seems to be confi rma- tion of Tavris’s observation.

Self-Esteem and Self-Confi dence

Self-esteem is conceptualized as a global evaluation of self (Kling, Hyde, Showers, & Buswell, 1999) or as an evaluation of a specifi c domain (Gentile et al., 2009) that can range from positive to negative. Although men and women have comparable concerns about success in nontraditional fi elds, their self-esteem and confi dence in their own abilities show both differences and similarities.

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The AAUW (1992) contended that girls experience a sharp drop in self-esteem during junior high school, which negatively infl uences their education and careers. Two meta- analyses (Kling et al., 1999; O’Brien et al., 1996) failed to fi nd evidence of a dramatic decrease in self-esteem for girls during adolescence. Instead, two meta-analyses of self-esteem throughout the lifespan (Huang, 2010; Trzesniewsk, Donnellan, & Robins, 2003) and a lon- gitudinal study (Jacobs et al., 2002) revealed similar patterns of self-esteem development for women and men. One meta-analysis (Kling et al., 1999) specifi cally addressed the changes during adolescence and found that the gender difference was greatest during late, not early, adolescence. The sharp decrease that appeared in one study (Greene & Way, 2005) occurred only for boys during early adolescence.

Ethnicity is also a factor in self-esteem. Within the United States, Asian American ado- lescents reported lower self-esteem than Hispanic or African American students (Bachman, O’Malley, Freedman-Doan, Trzesniewski, & Donnellan, 2011; Greene & Way, 2005). Euro- pean Americans showed a small advantage for men, but for African Americans, no gender dif- ferences appeared in self-esteem for adults (Kling et al., 1999). Table 11.4 summarizes fi ndings from several countries, showing that not all have the pattern that appears in the United States.

Applied to specifi c domains, self-esteem shows some gender differences (Gentile et al., 2009). Men’s self-esteem is higher in the areas of physical appearance, athletics, and self- satisfaction, but women expressed higher behavioral and moral–ethical self-esteem. Further- more, self-esteem may not be as important for school success as people have believed. Asian American children scored lowest on self-esteem of any ethnic group in the United States but had the highest grade point averages (Bankston & Zhou, 2002). African Americans scored the highest in self-esteem yet had the lowest grades. In addition, children who immigrated showed more self-esteem problems than those born in the United States, but they also made better grades than children of the same ethnicity born in the United States. Therefore, overall feelings of self-esteem may be important for self-concept but not all that important for academic success.

Confi dence in one’s ability to succeed varies with the task, and the gender typing of the activity is important in this evaluation. Men express more confi dence in their abilities than women do when they perceive a task as “masculine,” but this advantage disappears when the task is perceived as “feminine.” That is, gender stereotyping affects confi dence. Women showed lower expectancy of success on a masculine task than on a feminine or neutral task (Beyer, 1998, 2002), but this bias did not apply to men. For example, men overestimated

Table 11.4 Differences in Self-Esteem for Males and Females

Age Group Sample Population Size of Effect Higher In

Children U.S. residents Small Males

Young adolescents Norwegian Small Males

Adolescents Chinese Small Females

Adolescents Finnish None —

Young adults Japanese Small Males

Young adults Canadian Small Males

Adolescents to adults U.S. European Americans Small Males

Adolescents to adults U.S. African Americans None —

Adolescents and adults Australian Moderate Males

Adults U.S. residents Small to moderate Males

Elderly U.S. residents Moderate Males

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their driving ability, even when they acknowledged their risky behaviors; women’s estimates were more realistic (Bergdahl, 2005).

In addition, ability for specifi c tasks is an individual factor differentiating the self- confi dence of men and women. When such information is available, the ability estimates of men and women are similar, but when this information is absent, men estimate their ability more highly than women estimate theirs (Pallier, 2003). In a number of situations, women’s low predictions represent underestimates of their performance, whereas men tend to be unrealistically confi dent in their abilities (Stankov & Lee, 2008).

Girls and women are also more likely to believe other people’s evaluations of their perfor- mance and abilities than boys and men are (Roberts, 1991). This responsiveness might be due to women’s greater social responsiveness or to lower confi dence, but it may also be due to women’s tendency to accept feedback from others as more informative than men do. This tendency for women to accept and men to reject others’ evaluations occurs in a number of contexts (Roberts & Nolen-Hoeksema, 1994). For example, this gender difference appeared in a study of bank employees’ reactions to performance evaluations (Johnson & Helgeson, 2002).

Either ignoring or accepting evaluative feedback has advantages and disadvantages. Wom- en’s typical strategy of accepting feedback may make them responsive to evaluations and eager to change, but it may also make them overly sensitive to others’ opinions and allow them to rely too little on their own evaluations. Men’s typical strategy of ignoring feedback may allow them to feel higher self-esteem, but also makes them overly resistant to advice from others and reluctant to change their behavior when changes would improve their performance. Table 11.5 summarizes some of the possible outcomes of men’s ignoring and women’s accepting evaluative feedback.

The tendency to be very responsive to criticism may also relate to the higher levels of distress that girls experience during school (Lloyd, Walsh, & Yailagh, 2005; Pomerantz, Altermatt, & Saxon, 2002). Despite receiving better grades and having fewer disciplinary problems, girls reported a higher degree of distress than boys during elementary and middle school. Girls evaluated their abilities as lower than boys (including the subjects in which they were making higher grades), rated their overall self-worth as lower, and showed a higher degree of anxiety related to school performance. This responsiveness may persist throughout women’s lives and present a source of stress and anxiety.

Confi dence and ability are not the same; one may be inappropriately confi dent or inap- propriately unsure of one’s abilities. Unduly low expectancies are more characteristic of girls and women than of boys and men. For example, women predict lower college grade point averages than men do (Beyer, 1999), women estimate their IQs as lower than men judge their own IQs (Steinmayr & Spinath, 2009), and men feel that they are more capable of learning (Furnham & Chamorro-Premuzic, 2007). In some cases, the lower estimates may be underestimates, but these judgments are more accurate in some cases (Furnham, 1999).

Table 11.5 Gender Differences in Accepting or Ignoring Evaluative Feedback

Gender Reaction to Evaluations Possible Outcomes Possible Results

Women Tend to accept Responsive to feedback Eager to change Overly sensitive to others’ opinions Experience distress and anxiety Fail to rely on their own opinion Self-doubt

Men Tend to ignore Maintain self-esteem High self-confi dence Resistant to advice Reluctant to change Discount advice Lowers performance

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However, men’s predictions are overestimates that represent a tendency toward positive self- presentation (Brown, Uebelacker, & Heatherington, 1998). Therefore, men have a tendency to see themselves as more intelligent and academically capable than women see themselves. This tendency may lead men to be more confi dent in academic (and perhaps many other) situations, but it may also make them believe that they are more capable than they are.

Attributions for Success and Failure

Gender differences also exist in explanations for success and failure. People can attribute success or failure to either internal factors, such as ability and effort, or external factors, such as luck and the diffi culty of the task. Although both ability and effort are factors that come from within each person, ability is a stable factor, whereas effort can vary from situation to situation. Persons who believe that they succeeded because they worked hard may not suc- ceed again without similar effort. On the other hand, those who attribute their successes to intelligence or to a “gift” for the skill should believe that similar success will continue—that is, they will still be intelligent or still have the gift next week and next year. Likewise, the external reasons for success and failure also differ in their stability. People who believe they failed because of bad luck may believe that their luck could change, leading to success on another attempt at the same task. People who attribute their failure to the diffi culty of the task should believe that this task will always be diffi cult and that they will fail on each attempt. Therefore, people can explain their success or failure in terms of internal or external factors, and they can see each as either stable or unstable. Figure 11.3 shows the possibilities in combining these two dimensions. These explanations, or attributions, for success and fail- ure can affect the amount of effort and time a person is willing to expend in order to succeed.

These attributions apply to grades in college classes. When asked to explain their grades in college classes, female college students were less likely to attribute their success to ability than were male college students (Campbell & Henry, 1999). Although effort was the most common explanation for both women and men, women chose this explanation signifi cantly more often than men did. Effort can change, and this study suggests that women tend to believe that they need to continually put forth effort to succeed, but men feel more confi dent in their abilities. These gender differences echo differences expressed by parents, who tend to see their sons’ math performance as an expression of talent and their daughters’ math achievement as the result of effort (Räty, Vänskä, Kasanen, & Kärkkäinen, 2002).

Attributions for achievement are also relevant to the imposter phenomenon , the belief that achievements are not due to ability but to luck or errors that have created the mistaken impression of competence (Clance & Imes, 1978). Individual who experience this phe- nomenon feel like frauds, regardless of their accomplishments and fear being exposed as

Figure 11.3 Attributions for Success and Failure According to Two Dimensions

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incompetent. That is, their attributions for their successes are external—others perceive their ability and skills, but they do not. These attributions are also stable—no matter how much they accomplish, these individuals remain unconvinced that they are capable. Origi- nally observed in therapy sessions with high-achieving women (Clance & Imes, 1978), this phenomenon is not restricted to women. Several studies have reported that imposter phenomenon is more common among women (Cusack, Hughes, & Nuhu, 2013; Kumar & Jagacinski, 2006), but the feeling of being a fraud also occurs in men.

In summary, achievement has been defi ned as career success, which made women less achieve- ment oriented. The concept of fear of success arose as a popular explanation for women’s lower levels of achievement, but further studies have failed to confi rm the validity of this concept. Instead, fi ndings indicate that men as well as women exhibit misgivings about achievements in gender-inappropriate occupations. Research has also failed to confi rm the widely publicized drop in self-esteem for adolescent girls, but women show lower levels of self-esteem in some areas than men. The gender typing of the activity is an important factor in women’s and men’s confi dence. The gender typing of the task also infl uences the attributions that women and men use to explain their performance, with women tending to attribute success to effort rather than to ability, which may indicate signifi cant gender differences in explanations for achievement.

Considering Diversity

Gender equity is a major diversity issue in education, but other diversity concerns are also important. The ethnic diversity and social class composition of the United States present problems to the educational system, and these two factors often combine to produce serious barriers to quality education. During the early 21st century, 35% students in elementary and high schools were ethnic minorities, and around 18% of them lived in homes in which English was not the language spoken (U.S. Census Bureau, 2015).

Over the past 40 years, high school graduation rates have increased for all groups, but substantial differences exist among ethnic groups in the United States (U.S. Census Bureau, 2015). Asian Americans and Whites have comparable high graduation rates (above 87%), but African Americans and Hispanic Americans fi nish high school at lower rates—84% and 63%, respectively. Employment opportunities have decreased for high school dropouts but increased for those who attend college, and their salaries refl ect these differences; thus, those who fail to fi nish high school have decreasing job options. Gender differences are small in high school completion rates, but Hispanic American men are somewhat less likely than Hispanic American women and Asian American men somewhat more likely than Asian American women to graduate (U.S. Census Bureau, 2015).

The percentage of ethnic minority students entering college increased between the 1970s and the late 1990s. By 2014, 63% of White, 53% of African American, and 37% of Hispanic American high school graduates attended college (U.S. Census Bureau, 2015). The gradua- tion rate showed greater discrepancies; about 14% of Hispanic Americans and 20% of African Americans earn college degrees, but 27% of Whites and 44% of Asian Americans do. Despite their growing numbers, fewer ethnic minority than White students fi nish high school well pre- pared to enter college (McCombs, 2000). Hispanic American, African American, and Native American students are not often among the highest achieving high school students, and they lack the academic records to be competitive at selective colleges. Individuals from these ethnic groups are more likely to enter 2-year colleges than White or Asian American students (U.S. Census Bureau, 2015). The percentage of African American and Hispanic students decreases as the number of years required for college degrees increases, resulting in a very low percentage of doctoral and professional degrees granted to people from these ethnic minorities.

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Ethnic minorities are underrepresented in college for all types of higher and professional education. The exception is Asian Americans, who are more numerous in college than in the population, especially in prestigious research universities. Indeed, Asian American parents not only expect their children to attend college but also to receive graduate degrees (Kuhn, 2006). Other ethnic minority students are more likely to attend public than private schools, and fi nancing is one reason for their low college attendance and their disproportionate choice of 2-year rather than 4-year programs. The cost of college has increased rapidly (U.S. Census Bureau, 2015), and minorities disproportionately live in poverty. Thus, even academically capable minority students may not be able to afford higher education. Ethnic minority stu- dents may be restricted to less expensive college options, even when their academic abilities and preparation are adequate to make them competitive at elite universities.

The gender differences in high school graduation rates are small, but over the past 40 years, women have become more numerous on college campuses (and at graduation cer- emonies) than men (U.S. Census Bureau, 2015). These differences are even more dramatic for ethnic minority women. For Asian Americans, the percentage of women and men who attend college is similar, but more Hispanic and Native American women than men enroll, and the gender difference for African Americans is even larger (U.S. Census Bureau, 2015). Figure 11.4 shows graduations rates for various ethnic groups in the United States and the discrepancies among attainment of college degrees among these groups.

Figure 11.4 Educational Attainment for Ethnic Groups in the United States

Source: Digest of Education Statistics by National Center for Education Statistics, 2014, Table 104.20. Retrieved February 6, 2016 from http://nces.ed.gov/programs/digest/d14/tables/dt14_104.20.asp?current=yes

10

20

30

40

50

60

70

80

90

100 HS 96.6

Asian

B 60.8

M 17.9

White

HS 95.6

B 40.8

M 9.0

Black American Indian Alaska Native

Hispanic

HS 91.9

B 22.4

M 3.9

HS 74.7

B 15.1

M 2.9

HS 83.9

M – Master’s or higher

B 5.6

P er

ce nt

ag e

A tta

in in

g D

eg re

e

HS – High School B – Bachelor’s or higher

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The ethnic difference in advanced degrees affects the composition of university faculties, in which ethnic minorities are also underrepresented. Despite years of pressure to include diversity not only in curricula but also among faculty, African Americans, Hispanic Americans, and Native Americans are underrepresented among the faculty in U.S. colleges and universi- ties (Jayakumar, Howard, Allen, & Han, 2009). Furthermore, faculty members from these ethnic groups advance more slowly and leave higher education positions at a more rapid rate than other faculty members.

The overall picture of education is one of increasing diversity but not always of increased educational opportunities for diverse groups in the United States. Ethnic minority students have not enjoyed the rapid progress that women have made in gaining access to college and professional training. Asian Americans are an exception, but Hispanic American, African American, and Native American students have to face many barriers to obtaining an edu- cation. Those barriers block the academic achievement of many, as refl ected in the higher dropout rates and lower college attendance and graduation rates for these students.

Around the world, girls and women experience an educational disadvantage. Indeed, many girls never make it to school at all in some countries (Sayed, 2013). The gender gap in school enrollment is largest in sub-Saharan Africa, South Asia, East Asia, and the Pacifi c (Sayed, 2013). Between 1990 and 2011, that gap decreased in many countries (such as Nepal, China, and Mauritania) but remained and even widened in others (such as Pakistan, Afghanistan, and Nigeria).

Of the 57 million children who are not attending elementary school worldwide, girls account for 54% (Sayed, 2013). They may be kidnapped and sold as wives, household work- ers, or sex workers while they are young enough to be in elementary school. Alternatively, they may be the victims of the tradition of educating boys but not girls. Most countries have offi cial policies that include educating girls, but many of those countries are facing heavy debts and the burden of HIV infection, which drains money from educational efforts. How- ever, societal attitudes that diminish the importance of education for girls are a signifi cant underlying problem in many of these developing countries. Their education is one route to a solution.

The tradition of educating boys but not girls produced lower rates of school attendance and lower rates of literacy for women in many countries, especially low-income countries (United Nations, 2014). Industrialized countries tend to show patterns of women’s educa- tion that are similar to the United States, in which women have overtaken men in many aspects of education (see Table 11.2 ). Developing countries, on the other hand, have not; girls’ and women’s educational levels are lower at all levels of education. This situation prompted the United Nations to develop an initiative that included achieving universal primary education. A fi nal report on this initiative (United Nations, 2015) indicated suc- cess in meeting the goal of equal numbers of girls and boys in primary education. However, those equal percentages are not 50% for each; unfortunately, less than 100% of both girls and boys have access to schooling, but the initiative produced a dramatic increase in access to primary schooling for both boys and girls.

Summary

Education Amendments of 1972 prohibits discrimination based on gender in schools, girls and boys do not receive the same treatment. Beginning during the earliest school years and continuing throughout college and professional training, boys receive more attention and feedback about their performance in classroom work than girls do. Although some of this attention is negative, directed at boys’ misbehavior, teachers tend to believe that boys have more ability in certain subjects, and their attention reinforces this attitude. However,

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beginning in elementary school, girls make better grades than boys. During junior high school, both boys and girls become less confi dent of their abilities.

Until recently, girls pursued advanced courses in math and science less often than boys in high school, but that gender difference has disappeared. However, girls are still less likely to take advanced physical science and computer courses. Teachers, parents, and counselors may convey higher career expectations to boys and fail to present the full range of career options to girls. Gender stereotyping tends to steer boys who enter career and technical education programs toward lucrative skilled trades, whereas women in these programs learn low-paying clerical and child-care skills. Athletics continues to be a way for boys to gain prestige, but the increase in sports participation among girls has led to greater acceptance of female athletes. Sexual harassment, especially from peers, becomes a problem for both girls and boys during high school. Gay and lesbian adolescents become targets of sexual harassment especially often, making school an unpleasant and even dangerous place for them.

Although women did not historically attend college in numbers comparable to men, that pattern has changed. Women now receive more undergraduate degrees than men, but gender differences in choices of major persist, with a small percentage of science and engineering degrees and a large percentage of education and liberal arts degrees going to women. An increasing number of women are receiving advanced and professional degrees, however, and many majors are becoming less dominated by one gender.

The campus climate is less supportive of women’s than men’s achievement, both in the classroom and on the athletic fi eld. Title IX of the Educational Amendments of 1972 applies to athletics, which has provoked controversy and legal challenges. The law remains in force, mandating equitable funding for women’s athletics. This situation has resulted in a large increase in the number of women involved in sports, but funding is not yet equitable.

Although achievement consists of a variety of attainments, studies of achievement have focused on career success rather than success in relationships or families. This emphasis has led to the portrayal of men as having a higher motivation for achievement than women. In considering women and achievement, the fear of success or the motivation to avoid suc- cess was once popular as a way to explain women’s lower levels of achievement. Women do acknowledge that competition with men and success in nontraditional fi elds has negative as well as positive consequences. Men as well as women exhibit misgivings about achievements in nontraditional occupations.

Contrary to widely publicized reports, girls do not experience a sharp decrease in confi dence during adolescence, but self-esteem varies by domain, with men showing greater self-esteem in some areas and women in others. Women exhibit less confi dence in their ability to achieve than do men, but these gender differences in confi dence depend more on the situation than on confi dence as a general trait. Again, the gender typing of the situation plays a role in the confi dence of both men and women, with each having more confi dence in gender-typical compared to gender-atypical situations. Both men and women tend to attribute academic success to effort, but a tendency exists among teachers, parents, and others of both sexes to attribute men’s success to ability and women’s success to effort. This explanatory strategy places women at a disadvantage, which may relate to their lower confi dence in their ability. Thus, gender role stereotypes are an important factor in achievement, with both men and women being infl uenced by their perceptions of the characteristics of the achievement situation.

Ethnic minorities in the United States face barriers to education. Over the past 40 years, high school graduation rates have increased for all groups, but African Americans, Hispanic Americans, and Native Americans graduate at lower rates than Asian Americans and Whites. This same disparity carries over into college, graduate, and professional training. Women from all ethnic groups attend college at higher rates than men from the same groups. Thus, at all levels, ethnic minorities—especially men from those groups—experience educational

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disadvantages. Around the world, girls and women experience an educational disadvantage, especially in low-income countries. A disproportionate number of girls do not go to school at all, but gender equity in access to education is becoming a worldwide priority.

Glossary

fear of success negative consequences associated with success. sexual harassment unwanted sexual attention. Title IX of the Education Amendments of 1972 the federal act that prohibited educational

institutions that receive federal funds from discriminating on the basis of gender.

Suggested Readings

Hill, Catherine; & Kearl, Holly. (2011). Crossing the line: Sexual harassment at school . New York: AAUW Edu- cational Foundation. This new analysis of sexual harassment focuses on middle and high school. The report updates details on

harassment by including statistics on cyberbullying but also includes how widespread harassment is and the harm it can do.

Connell, R. W. (1996). Teaching the boys: New research on masculinity, the gender strategies for schools. Teachers College Record, 98 , 206–235. The research and publicity on girls’ treatment in schools has overlooked how schools can shortchange boys, too.

Connell describes the problems that boys experience in school and how school can be an unfriendly place for them.

Eccles, Jacquelynne S. (2007). Gender differences in participation in physical science and engineering. In S. J. Ceci & W. M. Williams (Eds.), Why aren’t more women in science: Top researchers debate the evidence (pp. 131–145). Washington, DC: American Psychological Association. Eccles has worked toward understanding academic achievement and motivation for over 30 years, and this

article summarizes her research and model for achievement, with an emphasis on what might produce the gender disparity in some academic areas.

Suggested Websites

Gender equity in education is a challenge because girls and boys encounter different barriers. A website ori- ented toward equity for girls and science and technology (http://teachertech.rice.edu/Participants/mborrow/ GenderEquity/gendsite.html) offers links to dozens of sites about education and about boys and girls. The Public Broadcasting System (PBS) maintains a website with a section on parenting, which includes an article on the problems that boys encounter during schooling and some strategies to manage problem situations (http://www. pbs.org/parents/raisingboys/school.html).

The American Association of University Women’s (AAUW) website contains an extensive collection of reports on education-related topics. One report analyzes the status of gender equity in education (http:// www.aauw.org/resource/where-the-girls-are-the-facts-about-gender-equity-in-education/); another focuses on sexual harassment in school (http://www.aauw.org/resource/crossing-the-line-sexual-harassment-at- school/); another analyzes of the status of women in STEM fi eld (http://www.aauw.org/resource/why-so- few-women-in-science-technology-engineering-mathematics/).

The Bully Project (http://iwitnessbullying.org/) is an organization devoted to combat bullying. One aspect of the project is an app to report bullying, creating witnesses and records of incidents along with messages of support for victims.

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Headline: “You’ve Come a Long Way, Baby,” Canadian Business , October 13, 2013

In 2013, Denise Balkissoon gave a new twist to the saying, “You’ve come a long way, baby,” a slogan from the 1970s feminist movement. During the 1970s, the slogan was meant to describe how far women had come in gaining rights and opportunities, but Balkissoon’s article focused on how far working men have come in becoming involved fathers, contending that “working dads are the new working moms” (p. 47). A growing number of fathers want to participate in all aspects of their children’s lives, and child development experts as well as employed mothers are expecting men to become more involved fathers.

Fathers who push for family leave experience resistance, just as employed women have faced, only more hostile. Taking maternity leave is expected for mothers but not what super- visors expect from fathers (Balkissoon, 2013). That situation may be changing; Prince Wil- liam took leave when his son George was born in the summer of 2013. With more men asking for paternity leave, employers may come to accept the request more readily. This change will help both men and women. Indeed, balancing work and family is a major challenge for modern couples. That challenge has evolved because women have entered the workforce in large numbers; more than 60% of married couples in the United States consist of an employed husband and an employed wife (Bureau of Labor Statistics, 2015a).

Careers

“Career, in its broadest sense, means ‘life path’ and thus includes all the roles a person plays throughout life” (Farmer & Sidney, 1985, p. 338). This defi nition places careers in a devel- opmental framework and emphasizes the lifelong nature of career development and the many choices and roles that contribute to this path. Ideally, all people should choose a career on the basis of their interests, abilities, and potential contributions to society, but obstacles prevent the full development of both men’s and women’s potentials. Gender stereotyping is one of the obstacles.

Despite the encompassing social defi nition of career as the role people play throughout their lives, the study of career development has focused on men’s choices and patterns, and only recently has women’s career development received attention. The framework that devel- oped to explain men’s careers does not fi t women’s careers, and those differences are likely to continue in the near future (Williams, 2000). One reason for this difference pertains to the expectations about the types of careers women and men will occupy.

Career choices are less sharply gendered than in the past, but most women and men con- tinue to choose gender traditional occupations. Another expectation is that wives’ careers will be secondary to those of their husbands. If someone must stay home with a sick child or if one person must relocate due to job demands, the husband’s career nearly always takes precedence, and the wife must accommodate her schedule and employment. These expectations tend to

Careers and Work 12

356 Careers and Work

result in interruptions in the careers of women, who may take years away from employment to care for children or to support a husband’s career before rejoining the workforce.

Women are also more likely to hold part-time employment than men are—60% of part- time workers are women (Bureau of Labor Statistics, 2015b). Part-time employment means not only lower salaries for women but also puts them at a disadvantage in career advance- ment. Men’s careers are more likely to follow a smooth line of career choices during school- ing, uninterrupted employment, and continuing career advancement throughout adulthood.

Homemaking is considered a legitimate career for women, but one that excludes them from the paid workforce. However, homemaking does not compare to paid work in a number of ways—no training requirements, no wages, no retirement benefi ts, no job security, and no opportunity for advancement (Betz, 1993). Many mothers who choose to stay at home rather than pursuing careers have agonized over this decision and are fanatically devoted to their choice; those mothers who choose to pursue full-time employment have also found their decision diffi cult and are also dedicated to their choice (Blair-Loy, 2003). These two groups of women tend not to be understanding about the other’s choice, and their arguments and accusations are part of what have been termed the “mommy wars” (Pollitt, 2006).

The traditional assumptions underlying careers included choices based on individual prefer- ences and values and an orderly progression throughout careers to higher levels of responsibility and prestige. These assumptions may not apply to women’s careers. Women may make career choices based on family as well as individual preferences and needs, and they may leave their careers to fulfi ll family obligations, thus failing to maintain a linear progression of career development. Ellen Cook, Mary Heppner, and Karen O’Brien (2002, 2005) proposed a model of career devel- opment that they called the ecological model , which situates a person within an environment and acknowledges the infl uence of environmental as well as individual factors in career development.

Photo 12.1 When women join the workforce, they may feel that they are forced to choose between their jobs and their children.

Careers and Work 357

Exploration of children’s and adolescents’ career beliefs has revealed gender similarities and differ- ences. Children between the ages of 6 and 12 perceive status differences in feminine and masculine careers (Teig & Susskind, 2008). A study of high-achieving adolescent girls (Watson, Quatman, & Edler, 2002) found that girls’ career aspirations were as high as those of boys. However, a longitudi- nal study in Great Britain (Ashby & Schoon, 2012) found lower aspirations for girls than boys at age 16, and a study of gifted adolescents in Germany and the United States (Fiebig, 2008) showed that career aspirations decreased as girls adopted more traditional gender roles. Indeed, the gender stereotyping of careers presents an important factor for career expectations.

Career Expectations and Gender Stereotyping

Career aspirations may be similar for girls and boys, but beliefs and expectations are not so equal; even preschool children have beliefs about the career differences of women and men (Levy, Sadovsky, & Troseth, 2000). They expressed a concept of female-dominated versus male-dom- inated occupations, believed that men were more competent at male-dominated and women more competent at female-dominated occupations, and said that women earn less money than men. During early adolescence, beliefs concerning competence and self-effi cacy showed tra- ditional gender differences that shaped these children’s career choices over the next few years (Bandura, Barbaranelli, Caprara, & Pastorelli, 2001). For example, girls see science careers as “not girly, not sexy, and not glamorous” and thus “not me” (Archer et al., 2013, p. 171).

Young women’s career expectations include both career and family, which represents a change over the past 60 years (Komarovsky, 1982; Konrad, 2003; Phillips & Imhoff, 1997). In the 1940s, few college women planned to continue their careers after they married, but currently, most women, regardless of their career plans, also anticipate marriage and children as part of their life goals. The requirements of combining family duties and paid work play an important role in the process of declining career aspirations and priorities for women and for more fl ex- ible careers (Ferriman, Lubinski, & Benbow, 2009; Frome, Alfeld, Eccles, & Barber, 2008).

These expectations about marriage and motherhood demonstrate what Joan Williams (2000) described as force fi elds that pull women toward domesticity and away from careers. Similar forces affect men, drawing them toward careers and away from family. Despite college students’ beliefs that few diffi culties will arise in combining career and family, research presents a differ- ent picture. Arlie Hochschild (1997) found the situation of families squeezed by a “time blind” as employed parents devoted hours to work and resented spouses and children for the time they demanded. The movement of women into nontraditional careers magnifi es this problem. Women who work as managers and engineers are as devoted to their careers as the men who hold these jobs and almost as reluctant to go home to household work and child care as men are. That is, these high-prestige careers demand time and commitment from either men or women.

Women with more traditional gender role beliefs are more strongly infl uenced by presenta- tion of feminine gender stereotypes (Oswald, 2008) and are more likely to choose traditional female occupations (Duncan, Peterson, & Ax, 2003). For example, women who value per- sonal interaction with coworkers and providing care to others expressed less interest in sci- ence and technology careers because they perceived that these fi elds offer less of these valued experiences (Morgan, Isaac, & Sansone, 2001). The identifi cation of women with caring may present a major barrier to women’s success in nontraditional careers (Catalyst, 2005).

Ethnicity also plays a role in career development, but it is not a factor in career aspirations among high school students. In a meta-analysis of studies on career beliefs among high school and college students from several ethnic groups (Fouad & Byars-Winston, 2005), aspirations did not vary signifi cantly. Students from ethnic minorities, however, perceived more limita- tions on their opportunities and saw more barriers to their career progress than students from the majority ethnic group. Their perceptions are most likely realistic: African American,

358 Careers and Work

Hispanic American, and Native American students face barriers in pursuing careers. These fi ndings are consistent with the ecological model of career development (Cook et al., 2002) and its emphasis on the environmental circumstances that constrain career development.

The percentage of women in the U.S. workforce has risen to 46.9% of the total labor force (Bureau of Labor Statistics, 2015b; see According to the Media and According to the Research), yet employed women remain concentrated in occupations that are female dominated. Table 12.1 shows the percentage of women in various occupations in 1983 and 2014. Women occupy a range of careers but remain concentrated in a narrow range of clerical, service, or professional

Table 12.1 Percentage of Women in Various Occupations, 1983 versus 2014

Occupation 1983 2014

Managerial 41 51

Accountants and auditors 38 63

Advertising and promotions managers 22 58

Professional 48 57

Architects 13 25

Engineers 6 14

Lawyers 16 33

Mathematicians and computer scientists 29 26

Chemists and material scientists 21 30

Nurses 96 90

Physicians 16 37

Teachers, college 36 50

Teachers, noncollege 71 74

Social workers 64 82

Health technicians 84 73

Administrative support 80 73

Secretaries 99 94

File clerks 84 82

Sales 48 49

Mechanics 3 4

Production and skilled crafts 21 28

Construction 2 3

Labor 19 18

Service occupations 60 57

Household service 96 87

Firefi ghters 1 6

Police and detectives 9 16

Food preparation 63 55

Hairdressers 89 95

Farming, fi shing, and forestry 25 22

Source: Labor Force Statistics from the Current Population Survey by U.S. Bureau of Labor Statistics, 2015, Table 11. Retrieved October 14, 2015, from http://www.bls.gov/cps/cpsa2014.pdf

Careers and Work 359

According to the Media . . . It’s Diffi cult to Determine Where Women Work

Television programs frequently include characters’ occupations as part of the plot, thus pre- senting a picture of occupations and the people who pursue those occupations. It’s easier to know men’s than women’s occupations. For television in the 1990s (Elasmar, Hasegawa, & Brain, 1999; Signorielli & Kahlenberg, 2001) and more recently (Dozier, Lauzen, & Reyes, 2005; Shanahan, Signorielli, & Morgan, 2008; Signorielli, 2004), female major characters were less likely to be employed than male major characters; for those who were employed, their occupations was less likely to be specifi ed. Between 30 and 40% of female characters were not employed, and the occupation of about 20% was unclear.

Women on TV with clear occupations tend to have prestigious and glamorous jobs. Although these characters are often minor characters, about 15% held jobs in the entertainment industry such as model, musician, or actress (Signorielli & Kahlenberg, 2001); less than 8% were portrayed as homemakers (Shanahan et al., 2008). How- ever, women’s jobs on television are not the ones traditionally associated with women. Female characters were more likely to have a gender-neutral job (such as artist) or a traditionally male job (such as physician, attorney, or law enforcement offi cer) rather than a traditionally female job (such as nurse or teacher).

This picture of high-prestige, powerful careers is more typical of White characters than of other ethnic groups. African American and Hispanic characters are less likely to be cast as holding prestigious jobs but more likely to be portrayed in law enforce- ment (or as criminals) (Signorielli, 2004, 2009). Overall, White men were portrayed as having jobs with the most prestige and the highest leadership.

As women have moved into the workforce in large numbers, the picture of their occupations has become less gender-stereotypical and more prestigious compared to the television portrayals of the 1970s and 1980s (Shanahan et al., 2008). However, women’s work is more often absent from television. Indeed, women appear less frequently as characters on television than their numbers in the real world. Although the percentage of women on television increased between the 1970s and the early 21st century, the per- centage of employed women on television did not match those gains (Shanahan et al., 2008). Television characters and TV employment remain largely a man’s world.

positions, such as clerical workers, secretaries, child-care workers, teachers, nurses, and social workers. An examination of that table reveals that women are moving into male-dominated occupations at a higher rate than men are moving into female-dominated jobs. These changes allow a gender-segregated workforce to persist, with the majority of employed women and men working in jobs occupied by others of the same sex. This segregation promotes gender stereotyp- ing and hinders the career development of both women and men.

Career Opportunities

Women and men do not have equal career opportunities on several counts. Different encour- agement, education, and training create unequal preparation for careers, which is the begin- ning point for gender inequity at work (see Chapter 11 for a review of these issues). The gender stereotyping that affects decisions related to education and training also infl uences hiring decisions. Discrimination in hiring represents a second point at which women and men may be disadvantaged in careers. Again, gender stereotypes appear as a factor in this unequal treatment.

360 Careers and Work

Discrimination in Hiring

Discrimination in hiring may be the primary factor in the gender gap in wages, but the prob- lems with research on the hiring process make it the most diffi cult to document (Petersen, Saporta, & Seidel, 2000). Table 12.2 shows the gender gap in wages, and the differences are dramatic. For every occupational category, women earned less than men.

Studies of the wage differential between men and women who worked in large companies (Gerhart, 1990; Petersen & Saporta, 2004) showed that the women’s salaries were lower than men’s salaries, and hiring was the point at which the difference arose and was the most prominent. The salary advancements were comparable, and women received promotions at least as rapidly as men. However, hiring allows the possibility of discrimination (1) through recruitment, (2) through who receives offers, and (3) through assignment of women and men to different jobs or with different salaries. Research has explored all of these possi- bilities. One study found that the gender composition of the applicant pool made it more

According to the Research . . . Most Women are Employed

The demographic picture of women and employment varies substantially from the television portrayal. On television, many women are not employed, whereas in the United States, employment rates for women are about 67% (Bureau of Labor Statis- tics, 2015b). In reality, women work more than they do on TV.

In some respects, women’s jobs are better in real life than on television. About 30% of female characters on television hold professional or managerial jobs; employment statis- tics reveal that women hold about 51% of such jobs (Bureau of Labor Statistics, 2015b). In other respects, the television versions of professional women’s working lives are better than reality; television portrays the professional woman as a high-level executive with a prestigious jobs. In reality, only about 4% of high-level corporate executives (Catalyst, 2015) and about 4% of managing partners in law fi rms are women (Flom, 2012).

For both women and men, television overrepresents some occupations and under- represents others. The jobs of lawyers, physicians, and law enforcement offi cers have good potential for interesting plots, so television overrepresents these occupations. On television, 13% of characters are law enforcement offi cers, but only about 2% of working people actually pursue this occupation. In addition, female law enforcement offi cers are six times more common on television than in real life.

On television, women appear as often as men in white-collar jobs and blue-collar jobs (Signorielli & Kahlenberg, 2001). Both the proportions and the gender distribu- tion are inaccurate. About 11% of employed characters appeared in white-collar jobs such as managers, clerks, and salespeople. In reality, over 40% of employed people have these types of jobs. About 6% of male and female characters on TV had blue- collar jobs, but the fi gure is really about 36%, and men are more than twice as likely as women to have these jobs.

The portrayals of women’s jobs on television are all too accurate when it comes to salary disadvantages. Female characters are less likely than male characters to hold presti- gious jobs with high salaries (Signorielli, 2004), which is also true for employed women (Bureau of Labor Statistics, 2015b). However, women’s jobs and work settings differ from the television version. Their income disadvantage is more likely to result from holding a job with a “sticky fl oor” than from being a desperate or a “real” housewife.

Careers and Work 361

diffi cult for a person to be hired when most of the possible hires were of the other gender (van Ommeren, de Vries, Russo, & van Ommeren, 2005). The processes that people use to formulate criteria for hiring are also biased (Uhlmann & Cohen, 2005): People adjust their criteria for merit in a way that gives advantages to the group they favor. Employment equity directives can increase women’s chance of being hired, but only if their qualifi cations are higher than other applicants; when qualifi cations are similar, underqualifi ed men’s chances increase (Ng & Wiesner, 2007). Thus gender stereotypes work against women (and possibly additionally in favor of men) in being hired into nontraditional jobs.

Research on initial salary offers and initial job positions has indicated bias against women. Several studies (Penner, 2008; Petersen & Saporta, 2004) found that women were sorted into lower-level jobs and received lower salaries than men hired by the same large compa- nies. A study of hiring in an academic setting (Moss-Racusin, Dovidio, Brescoll, Graham, & Handelsman, 2012) showed that both male and female supervisors discriminated against a female applicant. An examination of hiring in a technology organization over a 10-year period (Petersen et al., 2000) revealed no gender discrimination in hiring decisions but an 11% difference in initial salary offers. The initial salary defi cit makes it diffi cult for women’s salaries to ever catch up.

Research on the gender difference in initial salaries has revealed that women expect lower initial salaries than men do (Heckert et al., 2002; Hogue, DuBois, & Fox-Cardamone, 2010). This body of research indicated that this expectation held for college students in a variety of majors. In addition, women also expected to earn less at the peak of their earnings. Other research focused on negotiation skills and found that men were more effective than

Table 12.2 Weekly Earnings of Men and Women in Various Occupations, 2014, in USD

Occupation Women’s Earnings Men’s Earnings

Managers 981 1,346

Lawyers and judges 1,590 1,915

Mathematics and computer science 1,165 1,435

Registered nurses 1,076 1,190

Architecture and engineering 1,158 1,413

Physician 1,246 2,002

Teacher, secondary school 984 1,108

Offi ce and administrative support 637 701

Secretary 685 811

Sales 491 698

Production occupations 502 711

Construction occupations 691 757

Installation, maintenance, and repair occupations 725 824

Food service 419 463

Protective service (fi refi ghters, police, guards) 617 886

Personal care and service 455 607

Bus drivers 582 616

Farming, forestry, and fi shing 375 457

Source: Labor Force Statistics from the Current Population Survey by U.S. Bureau of Labor Statistics, 2015, Table 39. Retrieved October 14, 2015, from http://www.bls.gov/cps/cpsa2014.pdf

362 Careers and Work

women in negotiating for money (Solnick, 2001). Indeed, gender was a signifi cant factor in negotiations. Women fared more poorly when they negotiated with men; men had bet- ter outcomes when they negotiated with women than with other men. However, men got more money in all pairings. These fi ndings suggest that women may be at a disadvantage in negotiations for initial salaries and may expect to earn less than men, which constitute two situations that may contribute to women’s lower salaries.

Gender stereotypes are an important source of discrimination in hiring, with both men and women subject to positive and negative discrimination on the basis of gender stereo- types (Luzadis, Wesolowski, & Snavely, 2008; Pratto & Espinoza, 2001). The gender role of the job position is a major factor in discrimination; men have the advantage in applying for “masculine” jobs, and women have a disadvantage. The situation can be reversed for “feminine” jobs—a disadvantage for men and an advantage for women. This pattern of bias infl uences hiring decisions in both obvious and subtle ways. An example of a subtle bias appeared in a study of hiring bias based on applicants’ facial features (von Stockhausen, Koeser, & Sczesny, 2013); applicants whose facial features matched the gender typing of the job had an advantage. More obvious stereotyping also plays a role in careers: Female engineering students (Powell, Dainty, & Bagilhole, 2012) and male nurses (Rajacich, Kane, Williston, & Cameron, 2013) reported experiences of gender stereotyping in pursuing their nontraditional career choices. Gender is an ever-present factor in evaluating work perfor- mance (Lyons & McArthur, 2007).

Stereotyping also occurs on the basis of ethnicity and sexual orientation, which may affect hiring decisions and salary offers. One study (Pratto & Espinoza, 2001) found complex effects for gender and ethnicity in ratings of job applicants. In most cases, White applicants received higher ratings than African American or Hispanic American candidates with the same qualifi cations. Studies of hiring discrimination (Horvath & Ryan, 2003) and wage dis- crepancies (Schmitt, 2008) for gay men and lesbians showed that heterosexual men received the highest and heterosexual women the lowest ratings and salaries. Gay men receive lower ratings than lesbians in the United States (Pichler, Varma, & Bruce, 2010) and in Australia (Smith, Oades, & McCarthy, 2013). Thus men continue to have advantages in judgments about their suitability for jobs, even when their qualifi cations are no better than women’s, and both ethnicity and sexual orientation are factors that form complex patterns of prefer- ence and bias. Table 12.3 summarizes the factors that contribute to the wage gap.

Therefore, discrimination based on gender occurs in hiring decisions, especially in terms of lower-status jobs and lower salaries for women. This situation puts women at a disadvan- tage that is diffi cult to overcome as their careers progress. In addition, gender stereotyping

Table 12.3 Factors Contributing to the Wage Gap between Women and Men

Biasing Factor Affects Women through

Encouragement Gender stereotyping pushes women toward traditional careers; choosing a nontraditional career leads to discrimination Parents and teachers encourage traditional careers

Education Receiving degrees/certifi cations in lower-paying areas

Hiring Receiving lower salary offers, even with equal background/preparation Offers for less prestigious positions

Advancement Biased selection for assignments makes advancement diffi cult

Sexual orientation Possibility of pregnancy leads to fewer job offers and lower salary offers for heterosexual women

Careers and Work 363

persists and makes fair hiring decisions diffi cult. Such discrimination is an important factor in the wage gap between men and women, but other factors also present barriers to career advancement.

Barriers to Career Advancement

The most publicized barrier to women’s career advancement is the glass ceiling , the invisible barrier that prevents women and ethnic minorities from advancing in organiza- tions. To study the situation of the glass ceiling and its effect on women’s advancement in business, the U.S. government established the Glass Ceiling Commission in 1991. The results of studies of women and ethnic minorities in the corporate and business world paint a discouraging picture; despite entering the workforce in large numbers, women tend to be hired into positions traditionally associated with women, such as human rela- tions or communications, rather than positions that put them into situations to make critical decisions and develop their management expertise (Dingell & Maloney, 2002; Petersen & Saporta, 2004). This situation puts fewer women “in the pipeline” to advance to the CEO level.

Women’s failure to advance to the highest levels of corporate success remains puzzling but not unique; women and ethnic minorities also advance more slowly in academic and scientifi c careers (Graham & Smith, 2005; Valian, 2007). At one time, few women were qualifi ed and experienced, and holding on to stereotypes, many male executives believe that situation still exists (Catalyst, 2005). The evidence indicates otherwise; throughout the 1990s and into the 21st century, the job performance of Fortune 500 female CEOs was comparable to male CEOs (Jones, 2009). Companies with a mixture of female and male executives, however, performed better than companies with few women. The mixture of women and men may be the best choice, but that balance is not on the horizon for business in the United States.

The barriers to career advancement can come from situational and organizational as well as individual sources. Alice Eagly and Linda Carli (2007) characterized women’s challenge in advancing in business as negotiating a labyrinth with towering sides that obscure the route to success as well as many turns that lead to dead ends.

Ironically, women have no advantages in attaining higher positions in traditionally female- dominated fi elds—men have advantages for those jobs too. The advantages that men have in female-dominated fi elds have been referred to as the glass escalator (Williams, 1992). This term conveys the image that some invisible force produces an easy ascent to higher posi- tions, in contrast with the glass ceiling, which blocks progress toward the highest levels of career achievement. Although men who choose careers traditionally dominated by women face some discrimination from society in general, these men’s careers show a history of rapid promotion. These advantages may come as a result of the perception that men should be in charge and through the support that men receive from female coworkers (that women do not receive from male coworkers; Taylor, 2010).

Gender role discrimination and occupational stereotypes also create the sticky fl oor , a con- cept that contrasts with the glass ceiling as a means to describe low-status occupations with little opportunity for advancement. Large numbers of women enter occupations in which employees get stuck at the lowest levels, including clerks, secretaries, beauticians, garment workers, and household service workers. This concept also applies to women with profes- sional careers; women are much more likely than men to get stuck at the associate level in legal fi rms (Reichman & Sterling, 2004).

Greater numbers of ethnic minority women tend to be concentrated in low-level jobs with a sticky fl oor, and both African American and Hispanic American women are more likely

364 Careers and Work

Gendered Voices: I Never Felt Discriminated against

A man who had gone to nursing school 40 years ago told me, “I decided to be a nurse when I was in the 10th grade, after I’d had surgery. The woman who lived across the street told me about the salaries of nurse-anesthetists, and the work interested me and the money sounded good. I don’t remember my parents saying anything, my school counselor got information about nursing, and I didn’t discuss it with my friends, so I don’t recall any negative comments. There were only two men in our nursing class. Now many men go into nursing, but then it was uncommon. There had been another guy about 10 years earlier and the two of us. That’s it.

“I never felt discriminated against by either the teachers or the female students. Every- body was supportive and more than fair. My fraternity brothers were another story—they gave me a lot of static about majoring in nursing. The jokes were pretty good-natured, but there were a lot of jokes. It was something that came up a lot.

“The women I have worked with were great. If anything, I think that being a man has been an advantage to me in my career. Rather than being discriminated against, I think that I was at some advantage. Maybe I got promotions and advancement faster than women, but those who chose me and recommended me were almost always women. I think I was competent and deserved the promotions, so I would have a hard time saying that I advanced in my career because I was a man, but I certainly never felt that it held me back.”

I told him about the frequency of sexual harassment in jobs in which the gender ratio is far from equal and asked him if his female-dominated work situation had led to harass- ment. He replied, “Did I ever feel sexually harassed? That’s hard to say. I never was put in the position of ‘You do this or it’s your job.’ Never. But I’ve had my butt grabbed, and I’ve gotten a lot of offers. If that’s harassment, then I guess I’ve been harassed, but I can’t say that it really bothered me.”

to occupy blue-collar jobs than White women (Bureau of Labor Statistics, 2015b). Ethnic differences exist within blue-collar occupations; African American women are more likely to work in health service jobs, and Hispanic American women are more likely to be employed in manufacturing. All of these jobs have lower wages than jobs typically occupied by White women or by men.

Factors other than gender stereotyping and discrimination contribute to the gender gap in wages—different educational credentials, career choices, career schedules, and workplace climate. Women occupy jobs and pursue careers that are less prestigious and not as well paid as those that men occupy. For example, only 33% of attorneys are women compared to 87% of legal assistants; 32% of general managers in businesses are women, but 94% of secretaries and administrative assistants (Bureau of Labor Statistics, 2015). In addition, women in sci- ence, engineering, and management tend to choose public institutions rather than private industry. These situations tend to have more egalitarian attitudes and better working climates for women, but they also pay lower salaries.

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The differences in women’s and men’s career development schedules also affect promotions and wages. Women are more likely than men to take time off from their careers to attend to family needs, such as staying home with young children or caring for elderly parents. These employment gaps take women out of the workforce, pull them off the track to advancement, and slow their career progress (Barnett, 2004; Fuegen, Biernat, Haines, & Deaux, 2004). Indeed, the concept of the “mommy track” assumes that women who have children will be less committed to their careers and will not achieve as much as men with comparable cre- dentials. The image of “working mothers” operates as a bias against women in the workplace (Güngör & Biernat, 2009; Heilman & Okimoto, 2008; King, 2008). Even women without children experience discrimination because they might have children. Indeed, the employ- ment advantage that lesbians experience seems to be attributable to their low likelihood of having children (Baumle, 2009).

Fathers are not penalized for having children unless they interrupt their careers to care for them. As this chapter’s headline article highlighted, discussion has arisen over a “daddy track”; men are beginning to ask for parental leave to care for children and even taking time off from the workforce to be stay-at-home dads. Employers often discour- age men who apply for family leave to devote time to their families (Balkissoon, 2013), and when they take family leave, they are penalized more severely than women (Smith, Tabak, Showail, Parks, & Kleist, 2005; Williams, 2010). This penalty forms the basis for employed men’s dissatisfaction with current attitudes and policies concerning their family and work roles.

Another situation that affects career advancement is the work climate and the informal social structure at work, which can help or hinder the advancement of employees. Women perceive their work environments as more hostile in terms of the informal social structure, standards they must meet for advancement, sexist attitudes, and the possibility for solving problems that arise at work (Levine, 2009; Murrell & James, 2001). For example, people working in business settings demonstrated their tendency to discriminate against women by choosing a man rather than a woman as the company representative for an important assign- ment and a woman for a less important assignment (Catalyst, 2005; Reichman & Sterling, 2004). This behavior may be beyond the level of conscious decision; people draw on gender stereotypes without thinking about discrimination and may even voice egalitarian beliefs yet continue to behave in biased ways. A meta-analysis of harmful workplace experiences (Sojo, Wood, & Genat, 2016) confi rmed the harm that these small acts of discrimination can create; women report that many such incidents occur, contribute to their stress, and pose threats to their occupations.

Achievement-oriented women who pursue careers in male-dominated fi elds are in the minority, which can put them into the category of a token (Kanter, 1977). The token stands out, becoming more visible than other employees, and feels pressure to succeed and to refl ect well on the ability of everyone in his or her minority group. Female engineers and female CEOs of Fortune 500 companies meet the defi nition of tokens. As tokens try to fi t into the existing corporate and social structure, the dominant group may work toward keeping them on the periphery in subtle rather than overt ways, such as excluding the token from social interactions. Tokens do not become one of the “good ol’ boys” or part of the network that offers support and allows connections that may be important to career advancement. Women from ethnic minorities are at a special disadvantage because they are tokens in two ways (Murrell & James, 2001).

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Gendered Voices: I Was Good at Math and Science

A female chemical engineer said, “I was good at math and science, so my high school counselor suggested engineering. I looked into the various kinds of engineering. I didn’t really like physics all that much, so I decided that electrical engineering would not be a good choice. I didn’t consider myself very mechanical, so I ruled out mechanical engineering. I liked chemistry, so I thought chemical engineering would be a good choice, but I didn’t really know what chemical engineers did. My high school had a cooperative arrangement so I could work for an engineer, but that experience didn’t really let me know what the work of a chemical engineer was like. In fact, I didn’t really understand the work of chemi- cal engineers until I was a junior in college, and I learned that I didn’t fi nd the work all that interesting.

“I went to a technical college that specialized in engineering, and it was defi nitely male dominated; only about 25% of the students were women. But I never felt any favoritism either for or against the women. Everybody was treated fairly. The courses during the fi rst two years were designed to weed out students, so everybody felt that the curriculum was diffi cult, but the women did as well as the men, and I never felt that the professors or stu- dents showed any bias.

“What was missing on campus were ethnic minorities. The campus was very White. There just weren’t any Black students, and there was one Hispanic girl. The geographic area had lots of minorities, but they didn’t go into engineering at this school. I noticed the absence of minority students more than the small number of women.

“I didn’t feel that being a woman was a factor in school, but it sure was on the job. I didn’t necessarily feel discriminated against, but the women were very visible. There were few women, and whatever a woman did stood out. If I did a great job, I got noticed more than a man who did a great job. If I screwed up, I got noticed more than a man who made a mistake. Whatever a woman did—good or bad—came to the attention of everyone.”

Tokens are also handicapped in forming mentoring relationships, the relationships between (usually) younger and less experienced and more experienced workers that offer valuable support in the form of friendship, advice, or even direct intervention in the organization. Mentor–protégé relationships tend to form within gender and ethnic lines. Neither women nor ethnic minorities are common in the upper echelons of organizations, handicapping these individual in fi nding mentors (Murrell & James, 2001). Women may be at greater disadvantage than minorities in some workplaces, but depending on the characteristics that are desirable for employees in a workplace, the advantage may be with minority men (Turco, 2010). Therefore, women and minority employees may be at a disadvantage, but White men at an advantage in fi nding mentors who can further their careers.

Despite a growing number of women entering management, the perception continues that management is a position associated with the stereotypical view that “men take charge” whereas “women take care,” making men more suited to be managers (Catalyst, 2005). Stud- ies ranging from the 1980s (Heilman, Black, Martell, & Simon, 1989) to the 21st century (Catalyst, 2005) have indicated an association between men and management and negative stereotypes of women as managers.

The gender wage gap decreased from the 1970s to the present, with rapid decreases dur- ing the 1980s that slowed during the 1990s (Kongar, 2008). For the workforce in general, the wage gap begins with teenaged workers (Besen-Cassino, 2008) and persists. For young,

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college-educated women and men, the gender gap in wages is not large (Joshi, Makepeace, & Dolton, 2007), but even one year after college graduation, women’s earnings are only 82% of men’s (Corbett & Hill, 2012). Controlling for factors such as college major, occupation, and hours worked decreases the wage gap but does not erase it. In addition, the discrepancies in the earnings of women and men linger (Kongar, 2008). Indeed, an experimental study (Alk- snis, Desmarais, & Curtis, 2008) determined that people evaluated work done by women as being worth less than work done by men—even when the work was exactly the same.

Therefore, women and ethnic minorities encounter several barriers to their career advance- ment. Many of those barriers relate to negative stereotypes of women and minorities, involving questions of their abilities, competence, and dedication to work. Even with similar qualifi ca- tions and performance, few women and ethnic minorities attain the highest levels of career advancement, which suggests that discrimination is a continuing factor in the difference.

Balancing Career and Family

Family demands infl uence career paths for both men and women. The historic association of women with household work and child care has made family concerns more of an issue for women’s than men’s careers. This association has created a “force fi eld” that pulls women toward household work and child care, often decreasing the amount of time they spend on their careers (Williams, 2000, 2010; Williams & Cooper, 2004). This pull toward domes- ticity prevents women from fulfi lling the “ideal worker” role, a worker able and willing to devote full-time and overtime to work. Men who want to be involved with their families also fail as ideal workers and also may suffer penalties in their career advancement.

The large majority of people who marry and have children are faced with the task of bal- ancing work and family demands. Figure 12.1 shows the increase in employment for married

Figure 12.1 Employment Trends of Married Women, Including Women with Children, 1960–2014

Sources: Statistical Abstract of the United States, 1999 (119th ed., p. 417), by U.S. Bureau of the Census, 1999, Washington, DC: U.S. Government Printing Offi ce; and Bureau of Labor Statistics, 2015, Employment Characteristics of Families—2014, Tables 4 and 5. Retrieved January 4, 2016 from http://www.bls.gov/news.release/pdf/famee.pdf

368 Careers and Work

women, including women with young children. Society, employers, and many husbands assume that women will be the ones who perform most household chores and become the primary caregivers for children. Even when “family friendly” policies were in place, both cor- porate (Hochschild, 1997) and academic (Minerick, Wasburn, & Young, 2009) employment failed to support women’s careers. Instead, the workplace climate tends to push women toward domesticity and men toward career advancement. Thus, women who chose to concentrate on their careers were perceived as neglecting their families, yet these women still do not meet the criteria for being a good employee (Ridgeway & Correll, 2004). Mothers cannot “win” as workers; they are devalued for devoting time to work and for devoting time to family.

On the other hand, assumptions about men place them under suspicion when they do not concentrate on their careers (Heyn, 2003). Men’s traditional role in families is breadwinner, which puts men into careers as a way of showing devotion to their families. Ironically, family demands take men away from their families while they devote time to careers. Thus, the choice to spend time away from family has been (and remains) socially approved for men but less so for women.

The growing number of men who want to participate more fully in their children’s lives challenge these attitudes and push for workplaces to offer options to allow a balance between work and family. These changes have been slow in developing. Even companies that have “family friendly” policies typically expect women and not men to take advantage of these provisions. As R. W. Connell (2005) noted, the issue of work–family balance and family

Photo 12.2 Employed women continue to perform the majority of household work and child-care chores, which may create confl ict and stress.

Careers and Work 369

friendly policies are really ways of allowing women to keep their family commitments rather than ways to allow fathers time with their families.

An increasing number of people fulfi ll the multiple roles of partner, parent, and worker. Some theories predict problems for the individuals who do, but research has not confi rmed the harmful effects (Barnett & Hyde, 2001). To the contrary, people who have both employ- ment and family tend to be psychologically and physically healthier and happier than people who do not occupy multiple roles, but “having it all” carries a price. Career, marriage, and children are a balancing act, and overload and distress may occur; this distress affects both work and family (van Steenbergen & Ellemers, 2009). However, when people are employed, they have the opportunity to experience success, social support from others at work, and income. “Adding the worker role is benefi cial to women, and adding or participating in family roles is benefi cial for men” (Barnett & Hyde, 2001, p. 784).

What does it take to achieve a healthy balance? Flexible work schedules can help, but workers must not only know that fl exible scheduling is available but also that they are free to use this option (Hayman, 2009). This situation may be diffi cult to achieve, especially in prestigious, high-commitment careers; either a man or a woman must be an ideal worker to succeed in such corporate, scientifi c, or academic careers. Indeed, these careers require some- one at home serving as support for the ideal worker. The force fi elds that draw women away from careers may lead women to growing pressure and stress, to “opting out” of such careers to pursue domesticity (Halrynjo & Lyng, 2009), or to a decision by couples to form an equal partnership without either one pursuing a high-power career (Schwartz, 1994). Thus, most of the workplaces in the United States and many other countries make the achievement of work and family balance very diffi cult (Williams, 2010).

Gender Issues at Work

The gender gap in wages refl ects the barriers that women face when entering and advancing in careers, but the types of jobs occupied by women and men also contribute to the wage gap. Although women have entered male-dominated professions in greater numbers in the past decades than at any previous time, women remain underrepresented in the highest levels of their professions, and women’s employment remains concentrated in a narrow range of jobs. Both the unbalanced representation of women in jobs and the concentration of women in a limited number of jobs can be described as gender segregation . This situation is an important gender issue at work, but communication, power, and sexual harassment are additional fac- tors that affect women’s careers.

Gender Segregation on the Job

Gender segregation describes most job situations—the large majority of jobs are held by either men or women but not by an equal (or nearly equal) mix of both. These associations have created the perception that jobs are gendered. Regardless of the job demands, some jobs have become so associated with either men or women as to be considered male occupa- tions or female occupations. This process contributes to the differential value of occupations because both women and men value the type of work that men do more highly than the type work that women do (Alksnis et al., 2008; Cohen & Huffman, 2003).

Changes over the past 20 years have not made as large an impact on gender segregation on the job as most people imagine; women occupy a less diversifi ed range of occupations than men. Consequently, most employed women are concentrated in a few occupations, whereas men occupy a wider variety of jobs. Over two-thirds of women have jobs in cleri- cal or professional fi elds, but the professional fi elds are those traditionally dominated by

370 Careers and Work

women—nursing and teaching (Bureau of Labor Statistics, 2015b). Women are most under- represented in skilled blue-collar jobs, such as electricians, mechanics, and plumbers. (Refer to Table 12.1 for the percentages in the “construction,” “mechanics,” and “production and skilled crafts” categories.)

The reasons for women moving into traditionally male-dominated jobs are largely eco- nomic: Male-dominated occupations pay better than female-dominated ones (Bureau of Labor Statistics, 2015b), giving women an incentive to pursue such occupations. Men have not moved into female-dominated work at a similar rate, perpetuating the unequal gender ratio in most occupations. Even when the educational and skills levels are controlled, jobs in female-dominated fi elds pay less than the equivalent jobs in male-dominated areas. Thus, women have an incentive to move into male-dominated jobs, and men have less incentive to seek jobs in female-dominated occupations.

The process of integrating either women or men into a gender-dominated workplace poses problems, especially during the early stages of the process. When women enter a predomi- nantly male workplace, the organizational culture is masculine (Jandeska & Kraimer, 2005), and women may feel (and actually be) unwelcome. Contributing to the diffi cult transition are women’s perception of the male organizational culture and men’s perception of women intruding into the workplace.

The experience of integrating the military of the United States (Snyder, 2003; Yoder & Naidoo, 2006) and South Africa (van Wijk & Finchilescu, 2008) illustrates the problems of integrating a workforce. A study of changing sex ratios of symphony orchestras produced similar fi ndings (Allmendinger & Hackman, 1995). During the early years, when women were tokens, that process was plagued by diffi culties. When women held between 10 and 40% of positions within an organization, both genders were dissatisfi ed, and the organization did not function as effectively as it had previously. As the proportion of women increased toward 50%, many of the problems and confl icts diminished. When the workplace was integrated, no gender differences appeared in the perception of work-related demands (Hochwarter, Perrewe, & Dawkins, 1995). A study of workplace distress in Sweden (Elwér, Harryson, Bolin, & Hammarström, 2013) confi rmed this pattern. Although the integration process may create problems, those problems tend to diminish as gender integration progresses.

Beginning in the 1980s, many workplaces experienced some gender integration, but that progress has slowed in the 21st century (Blau, Brummund, & Liu, 2013). This situation exists not only in the United States but also in many countries throughout Europe (Valen- tová, Šmídová, & Katrňák, 2007). Gender segregation is especially prevalent in jobs that are traditionally female dominated and may exist even in jobs that appear to be integrated. For example, men who pursue nursing—a female-dominated fi eld—tend to gravitate toward the specialties within nursing that they perceive as more “masculine,” creating gender segregation within the fi eld of nursing (Snyder & Green, 2008). Even people who choose occupations that are not dominated by one gender may work in companies or offi ces in which that occu- pation is. Between 1970 and 1980 gender segregation declined (Fields & Wolff, 1991), but the pattern of decrease was not consistent during the 1990s (Dolado, Felgueroso, & Jimeno, 2001). For younger, well-educated women, gender segregation diminished substantially. For others, especially for those with less education, gender segregation remains prominent in their work experience.

Jobs may be gender segregated, but the workplace is likely to include both men and women, who, though they hold different jobs, must work together in the same setting. For example, most assistants are women, most managers are men, and most managers have assis- tants. Thus, men and women often work together but not at the same job. Indeed, the work situations often involve a power differential, with men having the more powerful positions and women the more subordinate.

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Gender, Communication, and Power in the Workplace

Communication is a very important aspect of the workplace, and the notion that women’s style of communication places them at a disadvantage originated in the 1970s. Robin Lakoff (1975) contended that “women’s language” was more tentative and deferential, whereas men’s style of communication conveys the assertive, commanding qualities necessary for leadership. The notion of gendered styles of communication received popular attention from the publications of Deborah Tannen, whose Talking from 9 to 5 (1994) contended that men’s workplace communications are oriented toward negotiations and power, whereas women’s communications emphasize connection and fi nding commonality. Both Lakoff and Tannen argued that women’s communication style may be a disadvantage in the workplace.

Would women be more successful at work if they talked like men? Although some researchers have agreed that women’s communication style presents disadvantages (Basow, 2008), Elizabeth Aries’s (1996, 2006) reviews on gender and communication concluded that no distinctive patterns of communication are uniquely associated with success or even with women or men. That is, the hesitant speech style that Lakoff characterized as “women’s language” and the assertive style characterized as “men’s language” are not specifi c to either but are infl uenced by power and situational factors. Although women and men may have different goals in speaking, research fails to support the notion of a male versus a female way of talking. Even the tendency for men to interrupt more than women may occur more often in recently formed groups and not in more permanent groups, such as workplace groups (Mast, 2002). Furthermore, the emphasis on group differences obscures more important individual differences. Gender-related differences in communication are complex, and both the setting and situation in which communication takes place are critical factors in men’s and women’s speech patterns.

Conversational style also refl ects power, and power is one of the situational differences that affect speech. Speakers with more power speak differently from those with less power by using more assertive language (Aries, 1996, 2006). Work roles mirror social roles, giving women less power. Thus, aspects of the female role carry over into the workplace to produce sex role spillover (Nieva & Gutek, 1981), gender role characteristics that spill over into the workplace, creating stereotyping and a sexualized atmosphere. Barbara Gutek (1985) expanded the concept, emphasizing that sex role spillover focuses on gender role behavior that is irrelevant (or even an impediment) to the work role. Sex role spillover can take several different forms, including the expectations that (1) women will be more nurturant or loyal than men, (2) women will occupy less powerful and subordinate positions, and (3) women will be sexual at work.

Power in the workplace is typically associated with leadership, and leaders simultaneously occupy both the leadership role and a gender role (Eagly & Johannesen-Schmidt, 2001). For men, the leadership role is consistent with the male gender role, but the dissimilarity between these two roles for women may create confl icts, both in female leaders and in their subordinates. For example, men’s experiences with women are more likely to have been women as mothers, girlfriends, wives, daughters, and secretaries, rather than as professional colleagues or as supervisors. Thus, men may rely on their prior interactions and stereotypes in their workplace interactions with women, which create problems for female managers. Women who occupy jobs most commonly fi lled by men may adopt a male style of work- related behavior; this behavioral adaptation demonstrates how powerful situational demands can be. Meta-analytic reviews of the research on gender and leadership roles have shown that leadership is associated with men (Koenig, Mitchell, Eagly, & Ristikari, 2011) and that both women and men who have attained managerial status in organizations tend to share similari- ties in leadership styles (Eagly, Johannesen-Schmidt, & van Engen, 2003; Eagly & Johnson,

372 Careers and Work

1990). Especially in male-dominated workplaces, male and female leaders exhibit similar, typically masculine leadership styles, but women may be better at some behaviors related to success, such as rewarding, team building, and consulting (Catalyst, 2005). In a comparison of leadership styles, women were more likely than men to adopt leadership behaviors that included motivating subordinates by example, showing optimism and excitement, attending to individual needs, and using rewards to change behavior (Eagly & Johannesen-Schmidt, 2001). The gender differences were small, but women’s leadership behaviors were associated with positive outcomes, whereas some of the behaviors associated with male leadership were associated with less effective leadership, such as concentrating on negative behaviors and problems and waiting until problems were serious before taking action.

Despite their potential as good leaders, women do not receive the opportunity to develop this potential as often as men do, and when they do, they are subject to more careful scrutiny and criticism than men in comparable positions (Eagly & Carli, 2007). Indeed, a type of double standard seems to operate in the workplace in which women are held to different standards of competence and success than men are (Catalyst, 2005).

The story of Ann Hopkins provides a dramatic example of the application of a dou- ble standard (Fiske, Bersoff, Borgida, Deaux, & Heilman, 1991). Ann Hopkins was an employee of Price Waterhouse, and she was so successful that she was nominated for partner in that company, the only woman nominated that year. She was not chosen as a partner, and she became the object of criticism for being too aggressive and “macho” as well as for not being suffi ciently feminine in her behavior and appearance. Hopkins sued the company for applying different criteria to its male and female employees, contending that gender stereotyping was a factor in their decision. Eventually, the U.S. Supreme Court agreed with these arguments and condemned the double bind that women face—they are penalized for using an aggressive, powerful style when only this style can lead to success. “The offi cial position suggests a level playing fi eld; the personal conversation reveals that gender-based assessment of leadership creates a tilt that works against women” (Lyons & McArthur, 2007, p. 24).

If women are penalized for using the same methods to gain power that men use, how do women succeed at work? When people have the opportunity to interact and know each other on a personal basis, this information can override the stereotypes that infl uence judgments in the workplace (Eagly & Johannesen-Schmidt, 2001). People in organizations are often mutually dependent on each other for positive outcomes related to work, and this inter- dependence can build respect and recognition of competence (Goodwin & Fiske, 2001). In addition, when workers are accountable to some third party, such as an organizational hierarchy that supports female leaders, and when the organization has a good representation of female managers (Philip Cohen, 2007), bias decreases—and so does the wage gap. Thus, women can become and function as effective leaders, but many barriers exist to block their progress. Table 12.4 summarizes some of the myths associated with female leaders and the research fi ndings that demonstrate that these myths are incorrect.

In summary, although research has failed to support the notion of different communica- tion styles that are unique to women or men; rather, communication styles relate to the power of the speaker and the communication situation. The issues of gender, communication, and power also relate to adherence to stereotypical gender roles in the workplace, which gives power to men and places obstacles in the way of women’s career advancement. Using habitual patterns of interaction between men and women in the workplace produces a power differ- ential, with men having the advantage. When women use the same behaviors as men to exert power, they are often perceived as behaving inappropriately and are penalized. Women have the potential to be excellent leaders, but they face many barriers in achieving their potential.

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The power difference between men’s and women’s positions offers not only the oppor- tunity for men to be more successful at work but also the opportunity for men to sexually exploit the women who work for them. Women in positions of power sometimes experience harassment aimed at these powerful women as a tactic to decrease their power (McLaughlin, Uggen, & Blackstone, 2011). Sexuality at work can also be interpreted as a power issue, but the term sexual harassment is used as the label for sexual exploitation in the workplace.

Sexual Harassment at Work

According to Barbara Gutek (1985, p. 18), “sex role spillover facilitates the expression of sexuality at work to the extent that the sex object aspect of the female sex role and the sexual aggressor aspect of the male sex role carry over into the work setting.” Thus, sexual harass- ment can be seen as a function of sex role spillover. Men and women also choose to enter sexual relationships in the workplace, making it diffi cult to distinguish between this type of sexuality and sexual harassment.

Sexual harassment became illegal as a form of gender discrimination in the United States through a court interpretation of Title VII of the 1964 Civil Rights Acts (Fitzgerald, Swan, & Magley, 1997). In 1980, the U.S. Equal Employment Opportunity Commission established guidelines on sexual harassment. The fi rst form of sexual harassment to be recognized was quid pro quo sexual harassment , in which employers or supervisors demand sexual favors as a condition of employment or as a condition for promotion. This form of harassment involves a supervisor using threats or pressure toward a subordinate, making it a clear abuse of power.

In 1986, another form of sexual harassment was legally recognized in the United States— hostile environment sexual harassment . This concept of harassment is based on the notion that psychological harm or reduced effectiveness at work can result from unwanted sexual attention as well as from offensive or hostile behavior (Fitzgerald et al., 1997). A third classi- fi cation of sexual harassment is gender harassment , which occurs when people are subjected to offensive or hostile behavior because of their gender. This type of harassment is distinctive because it does not necessarily involve sexuality; rather, it involves hostile or disparaging remarks directed toward a person because of that person’s gender. Table 12.5 gives examples of each type of sexual harassment.

The U.S. Supreme Court made a series of decisions that strengthened sexual harassment law, making lawsuits easier to win (Gould, 2000). During the 1990s, the number of cases

Table 12.4 Myths and Realities Concerning Women’s Leadership

Myth Research Findings

Women are more committed to family than work Women and men in similar positions have similar levels of commitment

Women use a weak, ineffective communication style Communication style depends on power, not gender

Women are more nurturant and have diffi culties adopting a strong leadership style

Position infl uences women’s behavior, and they often adopt a leadership style similar to men who occupy similar positions

Women should adopt a male style of leadership Women who adopt a male style of leadership receive negative evaluations

Women are unsuccessful leaders Women use leadership behaviors that can produce greater success than male leaders

374 Careers and Work

fi led with the Equal Employment Opportunity Commission (EEOC) more than doubled, and the monetary awards increased by more than fourfold (U.S. EEOC, 2015). Since the late 1990s, the number of complaints fi led with the Equal Employment Opportunity Com- mission and number of awards have remained fairly stable. The court decisions extended protection against sexual harassment to men as well as women, and the percentage of com- plaints fi led by men increased to about 16%. Sexual harassment often receives comic treat- ment on television (Montemurro, 2003); such behavior is either portrayed as the subject of jokes or completely ignored. Increases in monetary awards and settlements have prompted real businesses to adopt attitudes different from those of TV sitcoms, and most companies in the United States have policies and training to prevent harassment.

Many countries also have laws and regulations that have been used to prohibit sexual harassment, and some countries have laws that specifi cally apply to sexual harassment (Fink & Yeung, 2009; Sigal, 2006). The United Kingdom, Canada, Australia, Israel, Austria, Ireland, and New Zealand have laws that prohibit sex discrimination or sexual harassment, and the establishment of the European Community led to additional laws. In 2002, the European Union enacted a directive that expanded and clarifi ed protections for employed women in the countries of the EU, which includes most of Europe (Mas- selot, 2004). Protections against sexual harassment were among the issues addressed by this directive. Throughout the world, some countries have passed and now enforce laws against sexual harassment, such as Israel (Kamir, 2005) and South Africa (Govender, 2005). For other countries, sexual harassment has been controversial or not a prior- ity, but even these countries passed laws that cover sexual harassment, including Japan, China, and countries in Latin America (Sigal, 2006). In Japan, sexual harassment is much more unacceptable among younger than older workers (Uggen & Shinohara, 2009). The worldwide trend is to enact or strengthen laws against discrimination in the work- place, including sexual harassment, yet sexual harassment remains a common experience throughout the world. For countries in which surveys have been done, the prevalence falls between 30 and 50% (Barak, 1997).

Table 12.5 Examples of the Three Types of Sexual Harassment

Quid Pro Quo Type

Demands for sex in exchange for hiring Demands for sex in exchange for promotion or favorable job evaluation Demands for sex to keep a job Demands for sex to avoid being placed in an undesirable job

Hostile Environment Type

Sexual touching Sexual comments and jokes Displays of sexual material, such as drawings or photographs Nonverbal sexual posturing, including sexual gestures Personal remarks about sexuality Sexually oriented comments about appearance Discussions about a person in sexual terms in the person’s presence, including comments phrased as though

the person were not present

Gender Harassment Type

Degrading comments about the ability of women (or men) Hostile comments about women’s (or men’s) behavior as a group; not confi ned to sexual comments Insults directed toward women or men because of their gender, rather than because of any action or

characteristic of the individual

Careers and Work 375

Gendered Voices: Hardly a Day Went By

In two stories I heard about sexual harassment, the behaviors of the two harassers were amazingly similar. Both harassers, a woman and a man, harassed a coworker. The behaviors of the targets were also very similar to each other.

A man told me, “I worked in a car dealership selling cars after I graduated, and one of the other salespeople was a woman—the only woman who was in sales. She sexually harassed the fi nance manager. It was blatant. She propositioned him in front of everybody, saying things like ‘Let’s go in the back room now,’ and things much more vulgar.

“He seemed embarrassed and usually didn’t reply; he tried to ignore her. He was married, and he never gave her any encouragement at all. She would go over and stand very close to him, never touching him, but standing close and making him uncomfortable. And she would proposition him; rarely a day went by when she didn’t. The guy was clearly uncom- fortable, but nobody ever did anything.”

A young woman said, “I worked as a cashier in a discount store, and one of the depart- ment managers sexually harassed me. He would come over to the cash register where I was working, and he would proposition me. He made reasons to be close to me, and he kept saying what a good idea it would be for us to have sex. I didn’t think it was such a good idea. I always said no, and I asked him to stop asking. His offers embarrassed me. Hardly a day went by without some sexual offer from him or some remark with sexual connotations. He never touched me or fondled me, but he made my job harder, and he embarrassed me.

“I complained to my supervisor, but she told me to just ignore him. He wasn’t my boss, and he never made any threats or attacked me or anything. But I think that he shouldn’t have been allowed to harass me the way he did. Nobody did one thing to stop him. I don’t think that the store manager ever said a word.”

The forms of sexual harassment are not equal in frequency or in perceived severity; the hostile environment form is more common, but the quid pro quo form is perceived as more serious (Rotundo, Nguyen, & Sackett, 2001). Over time, workers have begun to identify both types of behaviors as sexual harassment (Pickerill, Jackson, & Newman, 2006). How- ever, the two types are not independent; workplaces that spawn the hostile environment type of harassment tend to also have the quid pro quo type (Fitzgerald, 1994). As Figure 12.2 shows, all types of sexual harassment are related. Environments that allow insulting remarks and unwanted sexual attention also tend to be permissive of sexual coercion. Despite sepa- rate legal defi nitions for the types of sexual harassment and the differences in frequency and perceived severity, they often coexist.

Women are more frequently the targets of all sexual harassment, when defi ned in terms of unwanted sexual attention. However, both men and women are targets for sexual attention in the workplace (Gutek, 1985, 2001). Men and women receive a comparable number of sexual overtures, but women are more likely than men to judge this behavior as sexual harass- ment (Rotundo et al., 2001). These different standards are a factor in sexual harassment. For example, men and women disagree over whether repeated offers for dates constitute sexual harassment; men fi nd this behavior less harassing than women do. Gutek (1985) found that the biggest gender difference concerning sexuality at work had to do with attitudes about sexual propositions. She found that two-thirds of the men in her study said that they felt fl attered by such propositions, but only 17% of women felt the same way. Indeed, over 60% of the women said that they would feel insulted by a sexual proposition at work. The main

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problem, however, comes from the lack of understanding of each other’s perceptions; neither the men nor the women in Gutek’s study were aware of the perceptions of the other gender. The men believed that the women felt fl attered by sexual attention when in actuality a major- ity of the women felt insulted or angered. During the years since Gutek’s study, publicity, personal experience, and sexual harassment training have brought attitudes of women and men closer, and both have become more likely to identify unwanted sexual attention of all types as sexual harassment (Weiner, Voss, Winter, & Arnot, 2005).

Although men are the most frequent perpetrators of sexual harassment, they can also be the targets. The legal defi nition did not specify the gender of the target, but a 1998 U.S. Supreme Court decision ( Oncale v. Sundowner Offshore Services, Inc. ) declared that men could be victims of sexual harassment. Reports of complaints to the EEOC (2013), surveys of employed men and women (Rospenda, Richman, & Shannon, 2009), and research with military personnel (Gradus, Street, Kelly, & Stafford, 2008) revealed that sexual harassment with male targets was much less common than with female targets. About 16% of the com- plaints fi led with the EEOC (2013) come from men.

Although women often feel insulted and angered by sexual comments and propositions from supervisors and coworkers, they may have problems in labeling these behaviors as harassment (Gutek & Done, 2001; Tinkler, 2008). In addition, feeling harassed is not the same as experiencing a situation that meets the legal defi nition of sexual harassment. Therefore, the estimates about rates for harassment may be low if the fi gures are based on personal reports with a question about experiencing a specifi c type of sexual harassment or high if the fi gures are based on personal judgments of feeling harassed. When using a per- sonal defi nition (Gutek & Done, 2001), between 35 and 50% of women have experienced sexual harassment at work. For men, at least 9%, and up to 37%, have experienced sexual harassment. However, most fail to report the harassment; some do not tell anyone, and only a small minority makes use of companies’ policies to fi le a complaint.

Men who sexually harass women do not differ from employed men in general (Gutek, 1985, 2001), but an analysis of the situational as well as personal factors has been more useful

Figure 12.2 A Model of Sexually Harassing Behaviors

Source: From “But Was It Really Sexual Harassment? Legal, Behavioral, and Psychological Defi nitions of the Workplace Victimiza- tion of Women,” by Louise F. Fitzgerald, Suzanne Swan, and Vicki J. Magley, 1997, in William T. O’Donohue, Sexual Harassment: Theory, Research, and Treatment, 1st ed., ©1997. Reprinted by permission of Pearson Education, Inc., New York, New York.

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in understanding those who harass. Men who are likely to sexually harass tend to view sex and power as linked, making them more likely to use their power at work to sexually exploit women who are their subordinates (Gutek & Done, 2001). Some men use their power to initiate sexual relationships at work, whereas other men enact their hostility toward women by harassing their female coworkers (Diehl, Rees, & Bohner, 2012). In addition, some evi- dence (Done, 2000, in Gutek & Done, 2001) suggests that harassers of both genders have impulse control problems: They tend to act on rather than control their impulses to make sexual comments or overtures.

Women who are targets of harassment differ in some ways from typical women in the workforce; they are more likely to be unmarried, younger than the average employed woman, and attractive. Women who initiate sexual relationships at work are much less likely to be perceived as harassing men than vice versa, and, like the women who are the targets of harassment, they are younger and more likely to be unmarried than the average employed woman. In cases of men who reported that they were sexually harassed, their harassers were similar both to the women who initiated sex at work and to the women who were targets of harassment—young, unmarried, and attractive. These cases are consistent with Gutek’s (1985) analysis of sex role spillover, when sexuality becomes part of the workplace.

Sexual harassment has both personal and professional effects. A meta-analysis of effects of workplace sexual harassment (Willness, Steel, & Lee, 2007) found that this experience has negative career and mental health consequences. Targets of sexual harassment also experience decreased job satisfaction, increased intentions to quit, and higher job turnover; the health effects include physical health problems and mental health effects such as depression and symptoms of posttraumatic stress disorder. Even a few inappropriate questions of a sexual nature during a job interview negatively affected women’s interview behavior, which dem- onstrates how easily sexual harassment can affect careers (Woodzicka & LaFrance, 2005). The effects on men’s careers are not clear because so little research has concentrated on men’s reactions to sexual harassment. However, men’s experience of sexuality at work meets their defi nition of harassment less often than women’s defi nition (Rotundo et al., 2001).

Perhaps the differences in consequences of sexuality at work explain the differences in perceptions of harassment; why should men feel harassed by sex at work when they are very unlikely to experience negative consequences? Why should women welcome sexual atten- tion at work when their esteem and careers are so much more likely to be harmed? Given an equal interest in sexual relationships with people at work, the unequal consequences of sexual behavior on careers suggests that men and women should have different views of sexuality at work—and they do.

Considering Diversity

Diversity issues—more specifi cally, a lack of diversity—are evident in most workplaces. That lack of diversity may be traced to the concept of the “ideal worker” (Williams, 2000). The model for the ideal worker is male, which presents problems for women who pursue careers. The ideal is also White, so workers who are not White have disadvantages in hiring and career advancement. The image of the ideal worker is also able-bodied, which creates bar- riers for people with disabilities. Thus, many people in the workforce fail to meet this ideal in various ways. Despite the enormous changes that have made the current U.S. workforce more diverse than it has ever been, the assumption of White, male, able-bodied breadwinners continues to infl uence the cultural perception of workers, to the disadvantage of members of all the groups who fail to meet this description.

As a result, not only women but also people from various ethnic groups are less com- mon among the upper ranks of corporate management, science, law, and technology.

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Figure 12.3 shows the underrepresentation and overrepresentation in various occupa- tions held by women, African Americans, and Hispanic Americans. (The categories of African American and Hispanic American represent both men and women from these ethnic groups, not just women, so the percentages in the women category overlap with the other two categories.) The under- and overrepresentations appear in terms of devia- tions from the center line, which ties representation to the percentage of employed people in these groups: 46.4% women, 12.8% African American, and 13.0% Hispanic

Figure 12.3 Representation of Women, African Americans, and Hispanic Americans in Various Occupations

Source: Statistical Abstract of the United States, 2002 (122nd ed., pp. 381–383), by U.S. Bureau of the Census, 2002, Washington, DC: U.S. Government Printing Offi ce.

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American. Thus, categories for which the bars deviate little from the center line indicate that individuals hold such jobs in about the same proportion as they participate in the workforce. Deviations indicate disproportionate numbers of women, African Americans, or Hispanic Americans in that occupation. For example, all three groups are underrep- resented for most of the managerial and professional categories, meaning that women, African Americans, and Hispanic Americans do not occupy these prestigious, lucrative jobs as often as White men do. In contrast, women are overrepresented in the category of secretaries, and both African Americans and Hispanic Americans are overrepresented in the category of laborers. All three categories are overrepresented in household service. These jobs are premier examples of the “sticky fl oor,” positions in which people get stuck at the bottom of the job hierarchy.

Some African Americans succeed in attaining the highest levels of career success (Cobbs & Turnock, 2003; Narcisse, 2013). But Stephen Carter (1991) contended that African Ameri- cans have to work harder than Whites to achieve, and they receive less credit when they do. The stereotyping for African Americans (just as stereotyping for women) casts African Americans as less capable and less motivated. Additional suspicion of successful African Americans comes from affi rmative action, which gives ethnic minorities and women advan- tages in education and hiring to compensate for past (and, in many cases, continuing) discrimination. Many people believe that the only reason ethnic minorities are able to attend prestigious schools or get lucrative jobs is because of affi rmative action. This policy has allowed African Americans to enter elite schools and prestigious jobs by making the entrance criteria lower than for Whites. The chances for advancement, however, have been slimmer: “Once hired, people who are not white face diffi culties in fi nding mentors, power- ful institutional fi gures to smooth their paths; then they will naturally advance more slowly” (Carter, 1991, p. 64).

Later research (Gilbert, Carr-Ruffi no, Ivancevich, & Lownes-Jackson, 2003) confi rmed Carter’s beliefs: Stereotypes infl uence judgments and evaluations of ability and perfor- mance in much the same way that Carter himself had experienced. African American men were judged as less competent, less polite, and less committed to work than Asian Americans or African American women. Thus, this type of bias may put African Ameri- can men in the position that Carter described—having to work twice as hard to be considered half as good.

Asian Americans are also subject to stereotyping (Trytten, Lowe, & Walden, 2012), but this process can help them in certain careers. The stereotype holds that Asian Americans are hardworking, intelligent, and oriented toward science and technology, which pushes them toward careers in these areas but hinders choices for other careers. For example, one study (King, Madera, Hebl, Knight, & Mendoza, 2006) showed that Asian Americans did not even have to submit a good resume to be considered for a high-status position, whereas even with a good resume, African Americans did not receive high evaluations. Their success has ruled Asian Americans out of the category of “real” minorities (Saka- moto, Goyette, & Kim, 2009), and workplace initiatives to diversify may thus exclude Asian Americans (Ragaza, 1999).

Women and ethnic minorities are not the only groups at a disadvantage in the world of work. Older people face prejudice and discrimination, which has a negative impact on employment and careers. The U.S. federal and state laws against age discrimination are a testament to the severity of this problem. A national survey of older workers (Chou & Choi, 2011) found that 81% of workers over age 50 perceived that they had been discriminated against within the year prior to the survey, but this fi gure represents racial/ethnic and sexual as well as age discrimination.

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Examining both age and gender in workplace discrimination “highlights the importance of conceptualizing ageism as potentially gendered, and gender discrimination as inherently shaped by age” (Harnois, 2015, p. 87). This interaction of the factors of age and gender resulted in fi ndings that both women and men were the targets of age discrimination but at different ages. Workers in their 30s and 40s reported fewer incidents of age-based discrimina- tion; both younger and older workers felt more age discrimination. However, women in their 30s and 40s experienced higher levels of gender discrimination. Overall, women’s working lives include more discrimination than men’s, but older men received more negative hiring evaluations than older women or younger men (Ruggs, Hebl, Walker, & Fa-Kaji, 2014). Thus, older men may be at a disadvantage in hiring decisions and women may be the targets of age and gender discrimination throughout their careers.

Disability presents another type of workplace discrimination that affects both men and women. Again, disabled women in the workforce encounter barriers on the basis of both their gender and their handicapping condition (McLain & Perkins, 1990; Olkin, 2008; Randolph & Andresen, 2004), but handicapped men also encounter prejudice and dis- crimination (Kaye, 2009). These biases result in unemployment and underemployment. The unemployment rate among women with disabilities is about 55% for those who reported some limitation due to their disability; about 45% of men in this category were unemployed (Randolph & Andresen, 2004). When their conditions pose no limitations on employment, 25% of women were unemployed, but only 11% of men. In addition, disabled women who are employed earn less money than nondisabled women (who earned less than nondisabled men) (Olkin, 2008). Disabled workers of both sexes are more often stuck in entry-level positions, which leaves them on the bottom rung of the employment ladder (Kaye, 2009). Women with disabilities have disadvantages compared not only to able-bodied women but also to men who have disabilities. Such women are “at the bottom of the work heap” (McLain & Perkins, 1990, p. 54).

Summary

Career development has been associated with men, but women in high-income countries now expect to pursue careers as well as have a family. Although career motivation is similar for men and women, social forces still pull women toward domesticity rather than toward careers. The limitations on women’s careers come from their career choices and training, interruptions in their employment, and discrimination in hiring and promotion.

Career choices and preparation lead men into more prestigious and lucrative occupations. Women with high ability in math and science do not to pursue engineering, science, and technology careers at the same rate as talented men do. Different pay for female-dominated occupations is a big factor in the gender wage gap, but discrimination in hiring is a signifi - cant, continuing factor in the wage gap between men and women, even when they choose the same careers. Stereotyping biases perceptions of women’s commitment and qualifi ca- tions, and women receive lower salary offers than comparably qualifi ed men. In addition, interruptions in employment affect careers negatively. This experience is more common to women, who more often interrupt their careers to devote time to families. Men who inter- rupt their careers experience even more severe penalties.

Women occupy a very small percentage of executive positions, often being blocked in their career progress by an invisible barrier called the glass ceiling, which limits women’s careers throughout the world. Many factors have contributed to the formation of barriers to the advancement of women and people from ethnic minorities, but a male-dominated corpo- rate culture is an important factor. Thus, tokens such as women or people form minority groups are excluded and have diffi culty forming important mentoring relationships. Gender

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stereotypes infl uence perceptions of female managers’ performance by making their gender so prominent that their competence becomes diffi cult to acknowledge. Gender stereotypes of competence can boost men in gender-typical careers, giving them a ride on the glass escalator that takes them to the top. Even women who have comparable training, personal backgrounds, and performance do not advance in their careers as rapidly as men do, which shows evidence of discrimination in career advancement.

Gender-based interactions at work obstruct women from gaining power and from dem- onstrating their competence, as these characteristics are not part of the feminine stereotype. Women who fail to adhere to traditional standards of femininity can be penalized, but by fol- lowing these “feminine” standards, women cannot succeed in the corporate world. Women can gain power at work, but they have to overcome many barriers to do so.

Balancing work and family is a task for both men and women, but the gender role for women holds that they, rather than men, should devote themselves to family concerns. These social expectations lead men toward and women away from career success by placing the burdens of household chores and child care on women. Ironically, taking care of their families by being the primary breadwinner takes men away from their families. Work and family both require time and effort, but research indicates that both employment and family are positive factors in health and well-being.

The workforce is gender segregated, and few occupations have an equal proportion of men and women. Even in occupations that are not gender segregated, job situations may be. However, women have moved into traditionally male-dominated fi elds more rapidly than men have moved into female-dominated fi elds. Gender segregation on the job has resulted in certain jobs being associated with one gender, and this situation has resulted in spillover of male and female characteristics into the work environment. This gender role spillover tends to produce stereotypical patterns of interaction between men and women, rather than interaction between equal coworkers, bringing gender role stereotyping into the workplace.

Another consequence of gender stereotyping at work is sexuality and sexual harassment. Although illegal, both women and men are pressured for sexual favors from employees and supervisors and are subjected to unwanted sexual attention or hostile comments concerning characteristics and behaviors of their gender. Women are more likely than men to fi nd sexual attention unwanted, possibly because they are more likely to be harmed by sexual relation- ships with coworkers. Women are more likely to label their experiences as sexual harassment than are men, especially for behaviors that fall into the hostile environment form of sexual harassment. Both men and women tend to agree that sexual coercion constitutes harassment.

Individuals from ethnic minorities also experience barriers to career success, and African Americans and Hispanic Americans are harmed by stereotyping, discrimination in hiring and promotions, and gender segregation. Asian Americans tend to be advantaged by their stereotypes. All ethnic minorities and women suffer from their discrepancy from the ideal worker model, which also poses a disadvantage for people with disabilities.

Glossary

gender harassment a type of sexual harassment that occurs when people are subjected to offensive or hostile behavior because of their gender.

glass ceiling the invisible barrier that seems to prevent women and ethnic minorities from reaching the highest levels of their professions.

hostile environment sexual harassment the type of sexual harassment that occurs when employers allow offensive elements to exist in the work environment.

quid pro quo sexual harassment sexual harassment in the form of demands for sexual favors in exchange for employment or promotion.

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sex role spillover the hypothesis that gender role characteristics spill over into the workplace, creating stereotyping and a sexualized atmosphere.

sexual harassment unwanted sexual attention. token a symbol or an example, in this case of a minority group.

Suggested Readings

Corbett, Christianne; & Hill, Catherine. (2012). Graduating to a pay gap: The earnings of women and men one year after college graduation . Washington, DC: American Association of University Women. This report from the American Association of University Women focuses on the host of factors that result in

women’s lower wages, which exist even a year after college graduation.

Eagly, Alice H.; & Carli, Linda L. (2007). Through the labyrinth: The truth about how women become leaders . Boston: Harvard Business School Press. Eagly and Carli compare the progress of women’s careers to negotiating a labyrinth rather than breaking

through a glass ceiling. In this readable book, these prominent researchers review the theories and research on women’s careers.

Gutek, Barbara. (2001). Women and paid work. Psychology of Women Quarterly, 25 , 379–393. Gutek compares the fi eld of working women in 1981 with that in 2001, noting the changes that have occurred

not only for women but also for research into careers, stereotyping, leadership, and sexual harassment.

Williams, Joan C. (2010). Reshaping the work-family debate: Why men and class matter . Cambridge, MA: Harvard University Press. Williams is an attorney who explores the complexities of gender and work by placing the current situation in

historical context. She analyzes the current situation of employment in the United States and proposes what must happen before women and men can achieve the work–family balance that most couples want.

Suggested Websites

The U.S. Department of Labor has a website that includes a Women’s Bureau (http://www.dol.gov/wb/). This site includes statistics, policies, and laws that apply to employed women, plus the site has many links.

Diversity Central (http://www.diversitycentral.com) is a commercial website devoted to information and services to integrate diversity into workplaces. This site includes many links to international sources that allow comparisons of diversity issues in the United States to other countries.

Catalyst (www.catalyst.org/) is an organization devoted to working with businesses to advance women. This organization sponsors research about women’s role and progress in the business community. The press releases offer recent information about women in business, and the Knowledge Center tab offers access to a large number of Catalyst reports.

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Health and Fitness 13

Headline: “Ladies Last,” National Geographic , April, 2013

The headline that proclaimed “ladies last” was not referring to the gender wage gap or any of the other situations in which women are disadvantaged but rather to life expectancy (Fiegl, 2013). For longevity, women have the advantage. However, that situation is not news: Women’s survival advantage has existed for as long as life expectancy statistics have been available. Instead, the article pointed out that, in the United States, women have fallen behind men in terms of increases in life expectancy. That is, women’s life expec- tancy advantage is declining; between 1989 and 2009, men’s life expectancies increased by almost 5 years, whereas the increase for women was less than 3 years. This trend has chiseled away (but not eroded) women’s longevity advantage—women’s life expectancy is 81 years versus 77 years for men.

The gender difference in life expectancy is not the only variation that stands out; geography also plays a role. The life expectancy varies by more than 10 years in some U.S. locations compared to others. For example, in Marin County, California, men live an average of almost 82 years but only 62 years in Washington, DC. Women in Collier, Florida, can expect to live over 85 years but only 74 years in McDowell, West Virginia. This variation makes some locations in the United States comparable to countries with the longest life expectancies in the world, such as Japan and France, whereas other loca- tions in the United States are similar to poor countries with shorter life expectancies, such as Egypt and Columbia (with a life expectancies of 74 and 75, respectively; CIA, 2015). However, the female advantage in life expectancy appears in almost every country around the world.

Mortality: No Equal Opportunity

One of the puzzles in the area of health research can be summarized by the phrase “Women are sicker; men die quicker” (in Altman, 1997, p. 18). That is, women have higher morbidity —higher rates of illness—but as the headline story highlighted, they also have a lower death rate—lower mortality . Longer life expectancy for women is not a recent development, nor is it restricted to any ethnic group. Figure 13.1 highlights the longer life expectancy for women in the United States over the past 100 years and projected into the future. Notice the difference between life expectancy for Whites and African Americans, including the small discrepancies between men and women in the early 1900s, the advantage for Whites, and the increasing discrepancy in life expectancies for African American women and men after 1910.

The combination of women’s longer life and poorer health is puzzling. The female gender role permits women to acknowledge sickness more readily than the male gender role, thus

Health and Fitness 391

providing one possibility for women’s higher morbidity rates. Women also tend to monitor their own health more vigilantly than men do and to seek health care when they perceive a problem. Thus, women seek and receive more health care than men, which may relate to their lower mortality rates—women are better at prevention. Also, women practice better health behaviors, which lower the risks for the leading causes of death. Three causes of death account for about 58% of all deaths in the United States, and all three show gender differ- ences (Heron, 2015). For cardiovascular disease, cancer, and accidents, men tend to die at younger ages than women, resulting in higher overall death rates and death at younger ages for men.

Cardiovascular Disease

Cardiovascular disease (CVD) includes a group of diseases involving the heart and circula- tory system, some—but not all—of which are life threatening. For example, angina pectoris is a cardiovascular disease that causes shortness of breath, diffi culty in performing physical activities, and chest pain, but it poses no immediate threat to life. On the other hand, myo- cardial infarction (heart attack) and stroke can be immediately fatal. Cardiovascular disease is the leading cause of death, accounting for 29% of deaths in the United States in 2012 (Heron, 2015). Deaths from cardiovascular disease have decreased substantially over the past 40 years, with deaths from stroke decreasing more rapidly than from heart disease.

Figure 13.1 Life Expectancy Increases for U.S. Women and Men from 1900 to 2060

Sources: From Historical Statistics of the United States, Colonial Times to 1970 (p. 55), by U.S. Bureau of the Census, 1975, Washington, DC: U.S. Government Printing Offi ce; and Statistical Abstract of the United States, 2009 (128th ed., Table 100), by U.S. Bureau of the Census, 2009, Washington, DC: U.S. Government Printing Offi ce; and U.S. Census Bureau. (2014). 2014 National Population Projections, Table 17. Retrieved January 10, 2016 from http://www.census.gov/population/projections/ data/national/2014/summarytables.html

10

20

30

40

50

60

70

80

90

100

Y ea

rs

White women

African-American women

White men

African-American men

1900 1920 1940 1960 1980 2000 2020 2040 2060

Projected

392 Health and Fitness

As Table 13.1 shows, heart disease mortality for women and men does not differ greatly over the lifespan—women have more fatal strokes than men do, but men die from CVD at younger ages than women. The discrepancy in heart disease deaths for men and women between ages 35 and 74 is especially dramatic, showing how much men are affected by premature death from CVD.

The underlying causes of cardiovascular disease are not well understood, but several physical conditions and behaviors are risk factors in the development of CVD. A risk factor refers to a condition associated with an increased probability that a disorder will develop. Sex is a risk factor for developing CVD before age 65, with men at elevated risk. The source of this difference is unclear, but the assumption that estrogen is protective came into question with fi ndings that indicated hormone replacement therapy carries more risks than benefi ts for older women (Writing Group for the Women’s Health Initia- tive Investigators, 2002). This fi nding produced controversy and research; reviews of the ensuing research have reported confl icting fi ndings. Two reviews have found evidence of increased risk for stroke (Hodis & Mack, 2013; Yang, Li, Yuan, & Liu, 2013), but one (Hodis & Mack, 2013) also showed benefi ts for preventing heart disease. A systematic review (Main et al., 2013) indicated no benefi t for hormone replacement therapy. Thus, the picture remains unclear about the benefi ts of hormone replacement therapy. However, if hormones were the main source of heart disease, then the gender differences in CVD would apply to all times and all societies, which they do not. Indeed, the gender gap was much smaller during the 1800s, began to widen during the 1920s, and has now begun to decrease. These changes suggest that social and behavioral factors are involved in this gender difference (Weidner & Cain, 2003).

Some authorities have suggested that behaviors associated with the male gender role may be dangerous (Courtenay, 2000; Nicholas, 2000). Lifestyle factors such as smoking and eating a high-fat diet are risk factors for cardiovascular disease, and more men than women smoke and eat diets high in fat. However, lifestyle factors alone do not account for gender differences in CVD. In a study that statistically adjusted for lifestyle factors (Fried et al., 1998), men were still about twice as likely to experience CVD as women. Therefore, gender differences in CVD risk remain poorly understood.

Table 13.1 U.S. Death Rates for Cardiovascular Disease in Men and Women, 2013 (Rates Per 100,000 Population)

Age Range Women Men

Stroke Heart Disease Stroke Heart Disease

15–24 0.3 1.5 0.4 2.8

25–34 1.1 4.9 1.3 10.2

35–44 3.7 15.7 4.7 35.5

45–54 10.6 46.6 14.2 115.1

55–64 23.1 107.5 35.1 267.3

65–74 64.8 266.8 85.0 530.9

75–84 262.1 879.8 277.9 1,382.4

85+ 955.8 3,732.9 808.4 4,564.2

All ages 46.9 180.6 34.5 208.6

Source: From Health, United States, 2014 by National Center for Health Statistics, Tables 24 and 25. Hyattsville, MD: U.S. Government Printing Offi ce.

Health and Fitness 393

Women who develop CVD have several disadvantages, some of which relate to the dis- ease itself, and some of which relate to women’s treatment in the medical system. Women and men die of cardiovascular disease at similar rates, but the stereotype that connects men and heart disease prevents physicians from diagnosing women (Chiaramonte & Friend, 2006; Travis, 2005). Women and men with the same symptoms of heart disease do not receive the same diagnosis or recommendations for care (Bönte et al., 2008). Physicians refer men who have symptoms of CVD for further testing, preventive interventions, and treatment more often than they refer women with similar symptoms (Kent, Patel, & Varela, 2012). Ethnicity is also a factor in diagnosis; African Americans’ symptoms are undertreated compared to symptoms of Whites, and African American women’s symp- toms are overlooked more than those of any other group. Thus, the bias against women intersects with biases of ethnicity.

In summary, cardiovascular disease, including heart disease and stroke, is the leading cause of death in the United States and other industrialized nations, accounting for about 30% of all deaths. Men die of heart disease at younger ages than women do, but overall, more women than men die of CVD. These gender differences in risk are not clearly understood, but both physiological and lifestyle differences between the two genders contribute to dif- ferences in risk.

Cancer

Cancer is the term applied to a variety of malignant neoplasms—tissues that undergo uncon- trolled growth that may form a tumor, as well as spread to other areas of the body. Such uncontrolled tissue growth can become life threatening; cancer is the second leading cause of death in the United States, accounting for about 23% of all deaths (Heron, 2015).

Men have higher overall death rates from cancer than women do for most types of cancer and at most ages. Table 13.2 presents the incidence and mortality rates for women and men for various types of cancers among several ethnic groups in the United States. Incidence represents how often people develop these cancers, whereas the mortality rate refl ects how deadly each type of cancer is. For example, the incidence for lung cancer is not as high as some other cancers, but its mortality rate is the highest for any cancer for both women and men. As Table 13.2 shows, differences exist for both gender and ethnicity.

Cigarette smoking is a major factor in cancer death rates, especially lung cancer. In addi- tion, cigarette smoking is important in the gender gap in longevity (McCartney, Mahmood, Leyland, Batty, & Hunt, 2011). Until recently, men smoked at much higher rates than women in many countries, but in North America and Europe, women have increased their use of tobacco, which is a factor in the narrowing of the gender gap in longevity. Women have begun to develop lung cancer at increased rates, whereas men’s rates have leveled off. In 1986 in the United States, lung cancer surpassed breast cancer as the leading cause of cancer deaths among women.

Use of tobacco products accounts for about 29% of cancers in the United States, and the combination of diet, physical inactivity, and obesity for another 25–33% (American Cancer Society, 2015). In addition to foods that contain known or suspected carcinogens, dietary components have been implicated in the development of cancer, especially a high-fat diet. A substantial amount of evidence indicates that people who eat a high-fat diet are at increased risk for cancers of the digestive tract, plus an elevated risk for breast cancer (Brannon, Feist, & Updegraff, 2014). On the average, women eat lower-fat diets and more fruits and vegetables than men, so this behavioral difference in diet may explain part of the discrepancy in cancer death rates.

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Table 13.2 U.S. Incidence and Death Rates for Cancers in Women and Men by Ethnicity (rates per 100,000 population, 2008–2012)

Ethnic Group Women

Lung Breast Colon and Rectum Cervix

Incidence Death Rate Incidence Death Rate Incidence Death Rate Incidence Death Rate

White 57.2 37.8 127.8 21.3 36.3 12.7 7.7 2.1

African

American 50.8 35.8 124.4 30.2 46.0 17.8 9.2 4.0

Asian

American 28.5 18.2 96.3 11.4 31.3 9.4 6.3 1.8

American

Indian 34.5 32.1 82.0 15.0 35.7 15.6 7.5 3.5

Hispanic

American 25.1 13.7 92.1 14.5 30.0 9.6 9.9 2.7

Ethnic Group Men

Lung Prostate Colon and Rectum Bladder

Incidence Death Rate Incidence Death Rate Incidence Death Rate Incidence Death Rate

White 70.3 59.7 130.4 19.8 47.8 19.1 30.0 8.1

African

American 90.9 73.1 214.5 46.3 61.2 28.7 21.4 5.3

Asian

American 49.0 34.0 74.0 19.4 42.2 13.1 15.8 3.0

American

Indian 47.6 49.1 67.1 20.2 46.3 18.7 15.6 4.2

Hispanic

American 37.9 25.5 114.7 17.8 43.3 16.1 19.6 3.9

Source: SEER Stat Fact Sheets, 2008–2012. Retrieved October 18, 2015, from http://seer.cancer.gov/statfacts/

Gendered Voices: I have Breast Cancer

An announcement of breast cancer is shocking but not unusual—unless the person is a man. That unusual situation happened to Robert Riter (1997), who noticed a lump in his breast. Like many other people, Riter thought it was a cyst and that it would go away. When he started bleeding from his nipple, he sought medical advice and treatment. His treatment included a biopsy, which revealed a malignancy. Although breast cancer is rare among men, the disease affects more than 1,000 men per year in the United States.

Riter’s experience was both similar to and different from women’s experience of breast cancer. Like many women, he had a mastectomy and chemotherapy. Unlike many women, losing the breast was not as traumatic an event for him. His greatest distress came from examining the sur- vival statistics, which are virtually identical for men and women. Riter learned that his chances of surviving for 5 years were about 80%, but his likelihood of living 10 years was only about 60%.

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Occupational exposure accounts for about 4% of cancer deaths. Men are at increased risk for cancer due to their exposure to workplace hazards (American Cancer Society, 2015). Men are more likely than women to hold jobs that bring them into contact with carcinogens such as asbestos, benzene, and various petroleum products. Exposure to such substances may also be a factor in the difference in cancer deaths between women and men.

Sexual behavior and reproduction also contribute to the development of cancer. Women who have sexual intercourse at an early age and have many sexual partners are at elevated risk for infection with the human papillomavirus, which causes cervical cancer (American Cancer Society, 2015). However, women who complete pregnancies before age 20 are at decreased risk for breast cancer compared to women with later pregnancies and women who do not bear children (Adami & Trichopoulos, 2002). Thus, early intercourse presents a risk for cancer, whereas early pregnancy is a protection against cancer.

Men’s sexual behavior can place them at risk for cancer; twice as many men as women engage in risky sexual behaviors. Their behavior can also be a risk for their female sex partners (Courtenay, 2000). Men who are the receptive partner in unprotected anal intercourse are at increased risk for anal cancer as well as for infection with the human immunodefi ciency virus (HIV). One of the diseases associated with HIV/AIDS is a form of cancer called Kaposi’s sarcoma. Men who have many sexual partners, especially men who purchase sex, endanger their female partners by elevating the women’s risk for cervical cancer by infecting them with the human papillomavirus. In addition, poor genital hygiene in men is associated with increased risk of cervical cancer in their female sexual partners.

Cancer of the genitals and reproductive tract, plus breast cancer deaths, accounts for a large proportion of women’s cancer deaths during their early and middle-adult years. Indeed, before age 65, cancer is responsible for a greater proportion of women’s deaths than is cardio- vascular disease. The opposite pattern occurs for men, who are more vulnerable to premature death from CVD than from cancer.

Violent Deaths

Unintentional injuries (accidents) are the 5th and suicide the 10th leading cause of death in the United States (Heron, 2015). Since 2010, homicide has not been among the top 15 leading causes of death. Added together, these acts of violence account for less than 7% of deaths in the United States. This number refl ects a relatively high rate of violence compared to other industrialized, economically developed countries. Violent death rates are lower in Australia, Canada, the countries in Western Europe, Scandinavia, and other countries

Riter was the fi rst man to join his area’s support group for breast cancer survivors, although he suspected that other men also got breast cancer. He also related how diffi cult it was for him: “[M]en fi nd it hard to discuss their prostate cancer, let alone a ‘female’ disease,” (Riter, 1997, p. 14). He also encountered some surprised reactions, like the lab technician who questioned the referral slip with the diagnosis of breast cancer. He felt odd going to get a mammogram at a women’s center and said, “My follow-up letter from the center was addressed to Ms. Robert Riter. The radiology tech did note that I had the hairiest chest she’s ever seen in a mammogram room” (p. 14).

Riter noted that his experience with breast cancer had taught him more about women’s health issues than he would otherwise have known, but having a life-threatening “female disease” was a diffi cult way for him to gain knowledge and empathy.

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scattered throughout the world (World Life Expectancy, 2014). Moreover, violent death is the leading cause of death for adolescents and young adults in the United States (Heron, 2015). Men are about three times more likely than women to die from violent deaths. This discrepancy holds for all ages, from birth until old age, but the differences are most pro- nounced early in life.

Ethnicity plays a major role in risk of violence. As Table 13.3 shows, African Americans in the United States are much more likely than European Americans or Hispanic Ameri- cans to die from accidents and homicides, but European Americans are more likely to die from motor vehicle crashes and suicide. African American men are disproportionately vulnerable to deaths from homicide, but gender differences are more prominent than ethnic differences.

The gender differences in risky behaviors account for the differences in violent deaths. Men tend to behave in ways that increase their risks, such as heavy alcohol use, low seat belt use, occupational risks, and illegal activities. Alcohol use increases the chances of accidents, suicide, and homicide (Rehm et al., 2003). By slowing responses and altering judgment, alcohol contributes to traffi c crashes. People who have been drinking (even those who are not legally intoxicated) are more likely to be involved in fatal traffi c accidents; about half of all traffi c fatalities are related to alcohol. Seat belt use is an important factor in reducing traffi c fatalities, and women are more likely than men to use seat belts (Kann et al., 2014). For the same reasons that alcohol use increases the chances of traffi c accidents, alcohol use is also related to deaths from falls, fi res, and drownings as well as from boating, airplane, and industrial accidents. Intoxication also increases the chances of becoming a pedestrian victim of an auto accident (Courtenay, 2000).

The gender differences in the percentage of drinkers has decreased, but men are more often drinkers and are more than twice as likely to binge drink than women (National Center for Health Statistics [NCHS], 2015). Younger adults tend to be heavier drinkers. These gender and age differences in drinking patterns correspond to the differential risks of violent death. With increases in women’s drinking have come increases in drinking problems among women. These changes have the potential to decrease the current female advantage in avoiding violent death in alcohol-related accidents.

Men are also more likely to hold dangerous jobs than women are (Bureau of Labor Sta- tistics, 2015). In addition to exposure to hazardous materials, which increases the chances of cancer, men are more likely than women to have jobs that involve working around or operating dangerous machinery. More than 90% of workplace fatalities involve men. There- fore, occupational hazards and violence are substantial factors contributing to the gender difference in accidental deaths.

Table 13.3 U.S. Death Rates from Accidents and Violence, 2013 (Rates Per 100,000 Population)

Cause European American African American Hispanic American

Women Men Women Men Women Men

Motor vehicle accidents 6.7 16.7 5.7 16.4 4.8 13.3

Firearms-related injuries 3.1 17.1 3.4 33.5 1.3 18.8

Suicide 6.5 23.4 2.0 9.0 2.2 8.3

Homicide 1.8 4.4 4.9 33.1 1.6 7.8

Source: Health, United States, 2014, by National Center for Health Statistics, Tables 31, 32, 33, & 34. Hyattsville, MD: U.S. Government Printing Offi ce.

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Women are more likely to attempt but men are more likely to commit suicide (NCHS, 2015). The ratio of attempted to completed suicides is about 10 to 1. The difference in suicide rates for men and women appeared during the 1950s, increased during the 1960s, and began to decrease during the 1970s. The main reason for men’s higher rates of com- pleted suicides is the tendency to choose more lethal methods, such as guns and jump- ing from high places, whereas women more often attempt suicide by taking drugs. (No method is certain to be nonlethal, so any suicide attempt is serious.) The lethality of the chosen method produces higher suicide rates among men, despite women’s more frequent attempts. Figure 13.2 illustrates leading causes of death for men and women, which shows only small overall differences.

Chapter 8 described gender differences in the crime rate, explaining that men are more likely than women to commit crimes. This discrepancy is even greater for crimes involv- ing violence, in which men are more likely to both perpetrate crimes and be victims (FBI, 2014). The increase in lawbreaking among women in the past decades has not changed these fi gures; women’s increase refl ects primarily nonviolent crimes. Thus, homicide affects

Figure 13.2 Leading Causes of Death for Men and Women

Sources: From Historical Statistics of the United States, Colonial Times to 1970 (p. 55), by U.S. Bureau of the Census, 1975, Washington, DC: U.S. Government Printing Offi ce; and Statistical Abstract of the United States, 2009 (128th ed., Table 100), by U.S. Bureau of the Census, 2009, Washington, DC: U.S. Government Printing Offi ce; and U.S. Census Bureau. (2014). 2014 National Population Projections, Table 17. Retrieved January 10, 2016 from http://www.census.gov/population/ projections/data/national/2014/summarytables.html

25

20

15

10

5

P er

ce nt

o f D

ea th

s

Heart

Disease Cancer Stroke Unintentional

Injury

Chronic Lower Respiratory Disease

Alzheimer's Disease

Diabetes Suicide

24 .5

22 .6

24 .0

21 .8

4. 1

6. 0

6. 0

3. 8 5

.3

6. 0

2. 0

4. 6

3. 0

2. 8

2. 5

< 1

Men Women

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men to a larger degree than women and has an especially disproportionate impact on young African American men.

In summary, men are more often the victims of unintentional and intentional violence than are women. Men’s increased risk comes from several sources, including their heavier use of alcohol, heightened risk of workplace accidents, greater frequency of completed suicides, and greater involvement in illegal activities. In addition, men are less likely to take protective measures, such as using seat belts. All of these causes of violent deaths put men at a survival disadvantage and account for some of women’s survival advantage. Women, however, do not experience the same advantage when seeking health care; women experience greater morbidity than men and have more diffi culty receiving treatment for serious conditions than men do.

The Health Care System

Women may live longer than men, but they are sick more often. Defi ning what constitutes “being sick” is not simple. Should the assessment be doctor visits, hospital admissions, restriction of activities, or reports of distress? Women meet any of these defi nitions of illness more often than men do (Chrisler, 2001). The combination of greater morbidity with lower mortality seems a contradiction, but sex and gender roles as well as physiology contribute to this outcome. First, women’s reproduction and its medicalized treatment account for increased use of medical services among women: Pregnancy and childbirth are functions that now receive medical attention, require medical appointments, and prompt hospitalization. Second, the possibility exists that women are not as healthy as men, but that their health problems are less often life threatening, producing the combination of poorer health but longer lives. Third, the difference in gender roles related to seeking and receiving health care produce different rates of seeking care.

Gender Roles and Health Care

People seek and receive health care from a variety of formal and informal sources, and gender roles affect each source. Traditional male and female gender roles differ in the vulnerability each is allowed and the permissibility of seeking help. One facet of the masculine role, the Sturdy Oak, holds that men are strong and invulnerable; this aspect of the role causes men to refrain from showing signs of physical illness or seeking medical care (Brannon, 1976). The traditional female role, on the other hand, allows and even encourages weakness and vulnerability for emotional and physical problems (Lorber, 1975). Adherence to traditional gender roles may, therefore, hinder men from seeking help for their symptoms, but elements of the traditional feminine gender role relate to greater distress for women as well as to their increased readiness to seek medical care. After women and men enter the health care system, gender is also a factor in the care they receive.

Gender and Seeking Health Care

The decision to seek medical care is infl uenced by many factors, including the perception of symptoms and beliefs about the consequences of seeking or failing to seek treatment. People who feel healthy may enter the medical care system to receive routine exams—or not. They may fi nd it easy to ignore checkups and screenings as long as they feel well. Men are more likely to avoid regular health care; men are less likely than women to have regular physicians (Galdas, Cheater, & Marshall, 2005). When men avoid having checkups for years, they explain these omissions in terms consistent with the masculine gender role, saying that they

Health and Fitness 399

feel fi ne and thus do not need to consult physicians. This belief can be fatal: The fi rst sign of heart disease can be a fatal heart attack, and many cancers do not produce symptoms in the early stages. Nonetheless, the belief that a lack of symptoms equals good health can lead men to avoid regular contacts with the health care system.

Women, on the other hand, fi nd it more diffi cult to avoid the health care system, regardless of how well they may feel. Young women must consult medical providers to obtain many forms of contraception, especially birth control pills (Chrisler, 2001). These young women count in the statistics as having consulted physicians, although their medical visits involve no illness. Such medical consultations often include physi- cal examinations that may reveal health problems that require additional treatment. For example, blood tests may reveal anemia, and blood pressure readings may show hyperten- sion. Each of these conditions merits further treatment, which leads these women into additional physician visits and medication. Young men receive no comparable medical attention during young adulthood that might reveal physical problems; these differences in treatment for young men and women contribute to the statistics concerning gender differences in receiving health care.

The personal perception of symptoms is an important factor in seeking medical care. People who sense that their bodies are not working correctly are more likely to seek medical advice than those who sense no problems, and women are more likely than men report symp- toms and physical distress (Koopmans & Lamers, 2007). Perceiving symptoms, however, is not suffi cient to prompt a health care visit—most people experience some reluctance to become part of the health care system (Brannon et al., 2014). This reluctance may spring from costs or accessibility of medical care and anxiety over a threatening diagnosis. Schedul- ing of appointments and changing daily routines to keep these medical appointments are additional barriers.

Men and women also seek health care from different types of providers (Kane, 1991; Nichol, Thompson, & Shaw, 2011). Both women and men are more likely to consult pharmacists than any other category of health care professional, and women make more inquiries than men, but those women may be fulfi lling their role as family caregiver and making inquiries for others. Men experience more injuries due to accidents and sports participation, so they are more likely to seek the services of physiotherapists than are women. On the other hand, women are more likely to seek the services of chiropractors or nutritionists. Women are also more likely to use alternative health care services, such as herbal medicine and acupuncture (Nichol et al., 2011). None of these differences is large; thus, the types of health care professionals that men and women seek vary only to a small extent.

The different preferences in seeking medical care may be partly attributable to access to medical care, with women at a disadvantage due to their more limited fi nancial resources and poorer insurance coverage (Travis, Howerton, & Szymanski, 2012). Another difference may lie in women’s greater sensitivity to symptoms, but a difference also exists in the willingness to report symptoms. These differences are consistent with gender roles, with men denying and women accepting help.

Gender and Receiving Health Care

When a person contacts a medical professional and enters the medical care system, gender becomes a factor in treatment. Gender stereotypes infl uence the behavior of both patient and practitioner. Although some patients and practitioners are coming to view their relationship as a collaboration, the traditional conceptualization of the patient–practitioner relationship has included the subordinate patient and the controlling practitioner. The patient role is

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thus more compatible with the female than the male gender role, whereas the practitioner role is more consistent with stereotypical masculinity. The combination of gender roles and patient–provider roles puts women at a disadvantage in both giving and receiving medi- cal care. For female patients, women’s descriptions of symptoms are ignored; for female physicians, patients have trouble recognizing their expertise (Chrisler, 2001; Hall, Blanch- Hartigan, & Roter, 2011; Shrier et al., 2007).

Men seem to have more trouble adopting the patient role than women do (Galdas et al., 2005). Being a patient requires a person to relinquish control and follow the advice or orders of the practitioner. Gender is not a reliable predictor of patient compliance (Brannon et al., 2014), but the combination of the demographic factors of gender, age, ethnic background, cultural norms, religion, and educational level relates to patients’ compliance with physicians’ treatment advice. Therefore, gender is only one factor from a confi guration of variables that relates to following medical advice. Indeed, the interaction between patient and practitioner is more important to the patient’s willingness to adhere to health advice than a patient’s personal characteristics, and gender often plays a role in that interaction.

The medical profession has been criticized for its treatment of female patients, and this criticism has taken several forms. The most radical form of criticism holds that women were healers throughout history, but they have been replaced by technological, male-dominated forms of healing, with dominant male physicians but subordinate female nurses (Ehren- reich & English, 1973). Other criticisms (Chrisler, 2001) have claimed that negative stereo- types of female patients have led to poorer levels of medical care for women than for men. Yet other criticisms (Dijkstra, Verdonk, & Lagro-Janssen, 2008; Zoller, 2005) have cited failures to include the most current research on gender differences in disease and responses to treatment, an overemphasis on individual responsibility, and an underemphasis on social circumstances that infl uence health-related behaviors and treatment seeking.

Physicians often have stereotypical views of women, and these views have an impact on their treatment of female patients (Chrisler, 2001). Medical school educational standards have promoted the view that women are emotional and incapable of providing accurate information about their bodies. Indeed, gender stereotypes provide a backdrop against which physicians communicate with, diagnose, and treat patients (Andersson, Salander, Brandstetter-Hiltunen, Knutsson, & Hamberg, 2008; Flanagan & Blashfi eld, 2005). An increasing percentage of physicians are women, and research with female physicians (Bertakis, 2009) revealed that female physicians spent more time with their patients, recommended more preventive services, and paid more attention to emotional issues. These patient-oriented behaviors do not increase patient satisfaction proportionally (Hall et al., 2011).

The view of “emotional females” may lead physicians to discount the information pro- vided by female patients and to believe that women cannot participate in decisions con- cerning their own health and treatment (Munch, 2004). Physicians may explain patients’ symptoms in biased ways. For example, an experimental study demonstrated this bias by manipulating the information supplied to participants in a systematic way so that any dif- ferences that appeared in the participants’ attributions for the illness would be due to the use of gender stereotypes in making judgments (Benrud & Reddy, 1998). People saw women’s health problems as the result of relatively uncontrollable biological and emotional factors, but judged men’s problems as the result of controllable behavioral and situational factors. These attributions have the potential to make big differences in medical treatment. Women’s health problems may be viewed as “emotional problems,” but men may receive blame for causing their own poor health through misbehavior.

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Another criticism is aimed at a more subtle type of discrimination in medicine: The view that medical training presents men as the standard by which to measure all health concerns (Munch, 2004; Tavris, 1992). Physicians receive training in how to dissect and prescribe drugs for the standard patient—a 154-pound man. Directives for medical training in the United States addressed this defi cit, but a survey of directors of medical training (Spencer & Kern, 2008) indicated that students who train in internal medicine may not receive adequate training to treat women.

In addition to holding men as the standard in medicine, medical research once routinely omitted women entirely as research participants. The rationale for omitting women was that women bias the research because of their low rates of certain diseases, and their hormonal variations affect the action of drugs. For example, longitudinal studies of cardiovascular disease (CVD) once excluded women because they develop CVD at older ages than men, making studies more diffi cult to complete. Using only male participants results in studies that are easier to complete, but these studies reveal nothing about CVD in women. Assum- ing that women are similar to men in their development of CVD is unwarranted, because women are excluded from these studies precisely because of their physical differences. A similar rationale applied to developing and testing new drugs, and a similar problem arose as a result; omitting women from drug trials fails to establish the safety and effectiveness of drugs for women.

During the 1980s, the practice of excluding women from medical research received increasing criticism, and pressure mounted to give women’s health additional emphasis. That pressure resulted in the creation of the Offi ce of Research on Women’s Health, a part of the National Institutes of Health (Kirschstein, 1991). This offi ce’s mission is to improve the prevention and treatment of diseases in women, and one of its fi rst steps was to attempt to end the exclusion of women from medical research studies with the help of U.S. government sponsorship. That mandate has shown some success in including more women in clinical trials (Foulkes, 2011). However, not all of the clinical trials with female participants also included information about gender in the reports of fi ndings, which decreases the usefulness of women’s inclusion.

Although medicine remains male dominated, men are not the focus of health initiatives comparable to the Women’s Health Initiative (Meryn, 2009). Indeed, men may not receive optimum or even adequate care. During childhood, parents are somewhat more likely to take their sons to the doctor than their daughters, but once men are responsible for seek- ing their own medical care, they tend to avoid regular medical care. Men seek care for their injuries, but not for regular exams and screening tests. Men were 70% of those in a survey who had not been to a physician in 5 years (Courtenay, 2000). Men were less likely to have regular physicians than women, so getting an appointment to see a physician is a greater inconvenience for a man because he must fi rst fi nd a physician.

Prostate cancer and breast cancer kill an almost equal number of people, yet funding for breast cancer research is many times greater than for prostate cancer (McBride, 2007). Men have not mobilized to exert the type of political pressure that spurs funding in the same way that women have, leaving men’s health issues with fewer vocal advocates.

Men’s advocacy infl uenced the development of gender-specifi c medicine (Legato, 2006), but women’s health researchers are also enthusiastic about this approach (Hobson, 2006). Gender-specifi c medicine investigates gender differences in the development and progression of disease and in responses to treatment. This specialty does not center on reproductive issues but rather focuses on research and practice that addresses leading causes of death that show gender differences, such as heart disease, cancer, liver disease, osteoporosis, and response and side effects of drugs (Baggio, Corsini, Floreani, Giannini, & Zagonel, 2013). Proponents

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hope to use the research to tailor more effective treatments to men’s and women’s specifi c biology.

In summary, the Sturdy Oak component of the male gender role may be a factor in men’s avoiding health care; feelings of invulnerability and the belief that illness represents weak- ness lead men to ignore their health. Such avoidance can result in serious health problems that might be prevented or detected through routine physical exams. Men can avoid regular physical exams more easily than women can; men typically do not seek the repro- ductive or contraceptive medical care that women do. Thus, men seldom use the health care system until they become ill, perhaps to the detriment of their health. Not only do reproduction and contraception concerns prompt women (but not men) to seek medical care during the reproductive years, but the differences in their reproductive systems also account for a large proportion of the gender difference in seeking and receiving health care.

Reproductive Health

Many encounters with the health care system for women do not involve illness but occur as a result of contraception, pregnancy, childbirth, and menopause. In addition, sex and reproductive issues have an impact that extends to other aspects of functioning, affecting emotion, beliefs, and identity throughout the lifespan (Murphy, 2003). Although these functions were completed throughout history with little medical assistance, they became increasingly “medicalized” during the 19th and 20th centuries (Ehrenreich & English, 1973; Ratcliff, 2002). During this time, college education was largely restricted to men, who came to dominate the growing profession of medicine.

This expansion of medicine included attending women during childbirth, a role previ- ously performed by midwives. Childbirth was not the only function to gain medical atten- tion; pregnancy came to be considered an appropriate area for regular medical care. The increasing number of contraceptive technologies during the 20th century depended almost exclusively on controlling women’s (rather than men’s) fertility, and physicians assumed con- trol over access to contraception techniques such as birth control pills. During the middle of the 20th century, even menopause became a “disease” that could be “cured” by hormone replacement (Wilson, 1966). Thus, medical technologies came to be involved in all facets of women’s reproductive health, from contraception during adolescence to hormone replace- ment during and after menopause.

Some critics have argued that women are burdened by giving birth in sterile, imper- sonal surroundings and being subjected to increasingly large hospital bills for these services. According to this argument, birth is a natural process requiring no medical intervention. However, comparing statistics from undeveloped countries and from the United States in the years before routine medical care during pregnancy and delivery, death could also be seen as a natural process. There is no question that technological medicine has dramatically cut both maternal and infant mortality (Walker, Yenokyan, Friberg, & Bryce, 2013). Nonethe- less, women may receive too much treatment in some areas (as in too many hysterectomies or cesarean section deliveries) and too little in other respects (as in too little testing for heart disease).

Women’s more numerous consultations with health care professionals are due largely to their complex reproductive systems (Chrisler, 2001). Not only do women get pregnant and bear children, but also their reproductive organs are subject to a greater variety of problems than are male organs. Figures 13.3 and 13.4 show the female and male reproductive systems. Except for children under age 15 years, girls and women receive more treatment for problems related to their reproductive systems than boys and men do.

Figure 13.3 Female Reproductive System

Source: iStock, kocakayaali

Figure 13.4 Male Reproductive System

Source: iStock, pixologicstudio

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Both systems can develop problems during prenatal development, producing congenital conditions that are more common in boys than in girls. During infancy and early child- hood, boys have more problems with their genitourinary system than girls do, requiring more hospital stays and physician consultations for these problems (Kane, 1991). Begin- ning at age 15 years, girls make more visits to health care professionals, and require more hospitalizations regarding their reproductive systems. The majority of physician visits and hospitalizations for women during their reproductive years involve contraception, preg- nancy, and childbirth; most of these contacts with the health care system are not due to illness or health problems, but because women’s reproductive functions have come under medical supervision (Ratcliff, 2002).

Many of the methods of contraception for women—birth control pills, implants, intra- uterine devices (IUDs), diaphragms, sterilization, abortion—not only require medical super- vision but also increase health risks. For example, birth control pills provide very effective contraception, but women over age 35 years who take contraceptive pills have signifi cantly increased risks of stroke, and smoking multiplies this risk. Therefore, contraception is not only more often a woman’s responsibility, but also more of a health threat to women.

Both men and women are subject to sexually transmitted diseases (STDs) , infectious diseases that are spread through sexual contact. The infectious agents can be bacterial, viral, fungal, or parasitic, and many can be transmitted by vaginal, oral, or anal sexual activ- ity. These bacterial infections include gonorrhea, syphilis, and chlamydia, and they do not always produce symptoms that physicians fi nd easy to diagnose in women (Zoller, 2005). Although antibiotics can cure bacterial infections, people without symptoms may not receive treatment until their diseases are serious. Furthermore, delays in treatment allow infected persons to transmit the disease to others.

Delays in treatment are also likely to escalate the growth of fungal and parasitic STDs. Candidiasis albicans , a yeast-like fungus, produces itching and swelling of the genitals. It can be transmitted through sexual intercourse, but this infection is not always an STD; it is more common in women who take contraceptive pills or who are pregnant or diabetic. These conditions alter the chemistry of the vagina, allowing this fungus to grow at a rapid rate, producing annoying and painful symptoms. Chemical treatments exist to control this type of infection. Trichomonia is a one-celled parasite that can infect the vagina in women and the urethra in men. It is almost always sexually transmitted; an effective drug treat- ment exists.

No drugs exist to cure viral diseases. Thus, the viral STDs pose an even more serious problem than other types of STDs. Human immunodefi ciency virus (HIV) is the virus that produces acquired immune defi ciency syndrome (AIDS), a virus that can be sexually transmitted. The virus damages the immune system, leaving the body open to a variety of opportunistic diseases that eventually lead to death. Years may pass between time of infection and the development of symptoms, allowing infected persons to be unaware of the presence of the condition and able to unknowingly transmit the infection to others. HIV infection is a major worldwide health problem for both women and men (UNAIDS/ WHO, 2013).

Genital herpes, viral hepatitis, and genital warts are also viral STDs. The human papil- lomavirus that causes genital warts is also the cause of cervical cancer, and a vaccine has been developed to prevent the transmission of this virus to those who are not infected (Pichichero, 2006). Recommendations include vaccinating girls who have not yet become sexually active to prevent infection with this virus, decreasing the incidence of cervical cancer. Men are also infected with this virus and contribute to its spread, but the immunization campaign has focused almost exclusively on girls and women, positing this infection as their problem, which is both inaccurate and biased (Malkowski, 2014).

Health and Fitness 405

For those who are infected and who develop genital warts, treatments include surgical removal. Several medications exist to manage the symptoms of herpes infections. Like other viral infections, these STDs are diffi cult to manage and are presently without a cure. In addition, infection with any STD makes a person more vulnerable to HIV infection because genital lesions allow HIV an easy route for infection.

Not all medical problems of the reproductive organs are related to reproduction; that is, these organs can be the site of disease and cancer. Women are more likely than men to seek health care concerning problems with their reproductive organs. Although women are at greater risk for cancer of organs in the reproductive system than men are throughout young and middle adulthood, men are most likely to develop testicular cancer between ages 15 and 34 years (Brown, 2004), which means that men are most likely to develop this form of cancer during the years when they tend to avoid regular physical checkups. A man may have no regular physician to tell about the lump he has detected on a testicle, and the tendency to hope that the problem will go away often results in a tumor that goes untreated for a dangerously long period (Galdas et al., 2005). This form of cancer is rarely fatal if treated early, but fatality rates rise sharply with delays in treatment, going from a 90% survival rate to only a 25% survival rate. Thus, this rare form of cancer that affects men in their 20s and 30s may be fatal more often than it would be if men gave more attention to their health.

Prostate cancer is much more common than testicular cancer, and it tends to develop in older men. This form of cancer is not common until after age 75 years, when it increases sharply. Even without malignancy, prostate enlargement, which begins during puberty, can cause problems such as diffi culty during urination that can require surgery. Malignant tumors of the prostate may be small and grow slowly, and many elderly men die with rather than from prostate cancer (Lowry, 2006). Other prostate tumors grow more rapidly, and early detection and treatment can extend life. The development and use of a diagnostic test, the prostate specifi c antigen test, has allowed earlier diagnosis, and men are beginning to mobilize as advocates for improved treatment.

Endometrial cancer affects the uterine lining, but women can also develop cancer of the cervix, ovaries, vulva, vagina, and Fallopian tubes. None of these sites is the most common site for cancer—the breast is. About 28% of the cancer diagnoses in women are breast cancer (American Cancer Society, 2015). (Even so, lung cancer is the leading cause of cancer death for both men and women due to its high fatality rate.) From ages 15 to 45, cancers of the reproductive system are a major cause of mortality for women but not for men. Thus, treatment for malignancies of the reproductive system accounts for only a small portion of the reproductive health care received by women, but a larger portion of that received by men. Women not only get pregnant and bear children, but they also have most of the responsibility for contraception. In addition, menstruation is often painful, and some women experience pain suffi ciently serious to prompt them to consult health care professionals. As women and men move toward later middle age and older, they encounter decreases in hormone production that may prompt them to seek medical attention, but they also experience an increase in chronic health problems, and death rates increase. However, healthy aging is possible—but not equally likely—for both men and women.

Gender and Healthy Aging

The decrease in hormone production that occurs during middle age receives a great deal of publicity and medical attention, especially for women. During menopause, women lose their fertility; they cease ovulation and menstruation, and their production of estrogen

406 Health and Fitness

and progesterone declines. Some women experience uncomfortable symptoms associated with menopause; the most common of these is the “hot fl ash,” a sudden feeling of heat and skin fl ushing. These feelings may be uncomfortable and embarrassing but are not health threatening. Only 10% of menopausal women experience serious symptoms associ- ated with menopause (Livingston, 1999). Hormone replacement therapy can alleviate the symptoms, but fi ndings from the Women’s Health Initiative (Shumaker et al., 2003; Writ- ing Group for the Women’s Health Initiative Investigators, 2002) and afterward (Hodis & Mack, 2013; Yang et al., 2013) have indicated that hormone replacement raises the risk for breast cancer, blood clots, stroke, and memory defi cits. These fi ndings led many women to reconsider this therapy and to ask more critical questions and make more informed choices. However, these fi ndings confi rm the criticisms that women have been overtreated for menopause.

Men’s hormone production also drops with aging, but they undergo no symptoms as visible as those of women during menopause. The decrease in hormone production in men results in the decline, but not the end, of their fertility. Men who lose the ability to get erections may receive hormone replacements or take drugs for erectile problems. Some researchers have advocated the use of testosterone supplements to counter the effects of aging (Horstman, Dillon, Urban, & Sheffi eld-Moore, 2012), but others have pointed out evidence of increased heart disease deaths and other health risks for this strategy (Bas- sil, Alkaade, & Morley, 2009). Although hormone replacement for men has increased (Srinivas-Shankar & Sharma, 2009), many fewer men than women receive hormone replacement therapy. However, the process of healthy aging is much more involved than the loss of hormones.

Health-related behaviors and emotional factors are critical for healthy aging. Studies on women (Woods et al., 2012; Zaslavsky et al., 2014) and men (Bell et al., 2014) followed aging individuals to fi nd factors related to healthy aging as well as risk factors that compro- mised health and shortened life. A range of factors emerged, including social and emotional well-being (Woods et al., 2012) as well as health-related behaviors such as smoking, alcohol use, and physical activity (Bell et al., 2014). Risks for poor health outcomes or mortality for older men included low educational level, unmarried status, high blood pressure, past or continuing smoking, high alcohol consumption, and overweight or obesity. Survival to age 90 was substantially more likely for men who had no or few risk factors compared with those who had fi ve or more. Physical, social, and emotional factors also related to survival and quality of life for older women (Woods et al., 2012). Physical functioning showed a signifi cant, strong relationship to years of healthy living, but emotional well-being and social functioning showed an even stronger association. Indeed, emotional well-being showed a stronger association to self-rated quality of life than any of the measures of physical well- being. Staying socially engaged and retaining a social support network become more diffi cult with aging, but those who manage this challenge experience health benefi ts. One of those benefi ts is lower risks for depression, which appeared as a risk factor for mortality among older men (Bell et al., 2014).

Therefore, health during the aging process shows infl uences that are similar to health during younger adulthood. Measures of cardiac functioning such as high blood pressure and high blood glucose levels are well-established risk factor for health problems, which begin to increase during middle age. Behavioral factors such as smoking, high alcohol consumption, being overweight, and having a sedentary lifestyle each present risks that increase with aging. People who have cultivated these poor health habits throughout their lives are less likely to survive into late adulthood, but those who do experience increasing risk.

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Although it is possible to manage to maintain a high functioning past age 90 (Bell et al., 2014), only about 4% of men do. Over 50% of 70-year-old men with low risk factors lived past age 90. However, these men were more likely to experience some health problem that produced a loss of function, which is a typical experience associated with aging. That is, there is a difference between life expectancy and health expectancy, and aging is typically associated with increased problem in a range of activities. Table 13.4 shows how disability tends to increase with age for both men and women.

Gender, Lifestyle, and Health

Men have shorter average life spans than women in all high-income and most low-income countries. The gender gap in mortality is not static but has varied over time and place. Coex- isting with this advantage, women are more likely to use health care and to report symptoms of illness. Both men’s shorter lives and women’s poorer health may be related to their life- styles. That is, men may lose years from their lifespan by behaviors associated with the male gender role.

The female gender role may likewise endanger health. Women’s role as nurturer pres- ents both benefi ts and drawbacks (Barnett & Hyde, 2001). Offering and receiving social support is an important factor in health, but when people take care of others better than themselves, the role of nurturer becomes a drawback to health. The demands of provid- ing social support and nurturant care can be emotionally and physically draining, and there is no guarantee of receiving the same quality of care as that given. Women are more likely than men to be in such a situation, providing benefi ts to men but not as many to women.

Therefore, both traditional gender roles carry health risks. Women’s morbidity is a fac- tor that signifi cantly decreases the quality of their lives (Kaplan, Anderson, & Wingard, 1991), but their more frequent illnesses are usually not ones that threaten their lives. Men, on the other hand, tend to experience health problems that are more likely to be life threatening. In other words, “One sex is ‘sicker’ in the short run, and the other in

Table 13.4 Increase in Incidence of Disabilities with Age

Vision Limitations Hearing Limitations

Age 55–64 Age 75+ Age 55–64 Age 65+

Men 10.4% 14.7 3.1 14.1

Women 12.9 20.3 1.7 9.5

At Least One Basic Actions Diffi culty

At Least One Complex Activity Limitation

Age 18–64 Age 65+ Age 18–64 Age 65+

Men 21% 52% 12.0% 29.1%

Women 28.3 63.7 12.9 34.3

Source: Health, United States, 2014 by U.S. National Center for Health Statistics, 2015, DHHS Publication No. 2015–1232, Hyattsville, MD: U.S. Government Printing Offi ce.

408 Health and Fitness

the long run” (Verbrugge, 1985, p. 163). The causes of death, however, are similar. Two behaviors that relate to health and longevity are eating and exercising, and these behaviors show gender-related differences.

Eating

Everyone eats, but people vary in their eating patterns and in the meanings they attach to eating (Rozin, 2007; Rozin, Bauer, & Catanese, 2003). Women’s relationship with food is especially complex; women use food as comfort, but they also show more con- cern with eating to control weight and are more likely to diet than men. This concern with weight and their attempts to restrict food intake lead women to hold different attitudes toward eating than men do. Good evidence for differences came from a study (Killgore et al., 2013) that showed men’s and women’s brains do not respond to food in exactly the same ways. Although the brain activation in response to hunger and eating are far more similar than different, areas of brain activity in obese women differed from obese men.

Gender differences in eating patterns start during early adolescence (Caine-Bish & Scheule, 2009) and become greater during the teen years. Adolescent boys, on the average, eat enough food to obtain the required calories, but adolescent girls restrict their caloric intake to the point of risk for nutritional inadequacies. Adult women also eat less than adult men, but the discrepancy is not as great as during adolescence. Nonetheless, women may eat too little to receive adequate nutrition.

Not only do men eat more than women, but also the eating patterns of each conform to the expectations of their respective gender roles. Eating less and taking smaller bites may relate to efforts to appear feminine. Eating style can affect social perception, including impressions of femininity and personal concern about appearance (Chaiken & Pliner, 1987). In studies that paired female and male participants with same- and other-gender partners to snack and talk, women showed a tendency to eat less when paired with an attractive male partner but not with an unattractive male or with a female partner (Mori, Chaiken, & Pliner, 1987). Women’s eating is thus motivated by the desire to appear feminine as well as the desire to give a good social impression. Masculinity also has an impact on men’s eating, pushing men toward unhealthy food choices (Gough & Conner, 2006; Levi, Chan, & Pence, 2006). Therefore, women and men eat somewhat differently, partly due to men’s greater caloric intake and partly due to the impression that women may wish to convey through their eating style.

Difference in eating styles is more than a way to make an impression; concerns with food and eating are a pervasive concern among young women (Rozin et al., 2003), whereas men are reluctant to see the risks of being overweight (Gregory, Blanck, Gillespie, Maynard, & Serdula, 2008). Women have more body fat than men, but the ideal body image for women demands thinness. Thus, women often believe that they must diet to achieve the desired body. Extreme concerns with weight and dieting can produce abnormal eating habits and serious eating disorders. A growing consensus holds that body image and eating disorders are linked; an unattainably thin body image can prompt these unhealthy eating patterns (Markey & Markey, 2005). American culture socializes women to look at their bodies as objects, with an emphasis on appearance, and an important part of that appearance is thin- ness (Fredrickson & Roberts, 1997). Thus women are more likely than men to be concerned, even obsessed, with body shape.

Health and Fitness 409

Body Image

The image of what constitutes an attractive female or male body currently emphasizes thin- ness for women and muscularity for men (see According to the Media and According to the Research). The current ideal body image for women has changed over the past 100 years (Chernin, 1978; Wooley, 1994). Plumpness was once the ideal for women, signifying their health and wealth, but that standard has faded; overweight people are the targets of teas- ing and discrimination (Carr, Jaffe, & Friedman, 2008). The thin ideal arose during the early part of the 20th century with the upper classes but has spread (with varying severity) to all socioeconomic classes (Snapp, 2009) and diverse ethnic groups, including African Americans and Hispanic Americans (Bay-Cheng, Zucker, Stewart, & Pomerleau, 2002; White & Warren, 2013), Asian Americans (Barnett, Keel, & Conoscenti, 2001), and Native Americans (Neumark-Sztainer et al., 2002). A concern with thinness also exists among women in many countries (McArthur, Holbert, & Pena, 2005). Thus, the thin ideal has become widespread.

Photo 13.1 As girls enter adolescence, they become more concerned with appearance and body image.

410 Health and Fitness

According to the Media . . . Overweight People Are Repulsive

Media portrayals of beauty infl uence the images of how women and men want to look, and appearance is very important in all media. Examinations of magazine images refl ect the thin ideal for women and the muscular ideal for men. In addition, the examples of attractive women have gotten thinner over the past years. One example of this trend appeared in analyses of the weight of Playboy centerfolds. Between 1959 and 1978, centerfolds became thinner (Garner, Garfi nkel, Schwartz, & Thompson, 1980) but after 1979, the weight decline did not continue (Spitzer, Henderson, & Zivian, 1999). However, 99% of the centerfolds fell into the category indicating underweight close to the clinical standard for anorexia.

On television, appearance is the basis for comments from both male and female characters, and female characters are the recipients of twice as many comments about their appearance as male characters (Lauzen & Dozier, 2002). Men are also the tar- gets of comments about appearance, which tend to be negative if they are overweight (Fouts & Vaughan, 2002). Indeed, remarks to overweight male characters are the source of laughter from the audience. However, being overweight is not common on television; only 10% of female characters in entertainment programming are over- weight, but 31% are underweight; for male characters, 17% are overweight, but only 12% are underweight (Fitzgerald, 2002).

The messages about thinness and overweight in television entertainment program- ming are subtle compared to the reality TV show The Biggest Loser (Domoff et al., 2012). Similar to other “reality” shows, the format of The Biggest Loser includes a com- petition among obese people; the goal is to lose the most weight, and team members vote each week to eliminate a team member who has not furthered the team’s goals. Thus, this program draws from overweight individuals who not only have unhealthy weight but who also have unhealthy attitudes about weight, including the view that all their personal problems are the result of their weight and that losing weight will improve all facets of their lives. The Biggest Loser built an audience by humiliating overweight people and sending blatant messages about the horrors of being fat.

Overweight is a stigma for men as well as for women, and evidence indicates that men are also becoming body conscious (Burlew & Shurts, 2013). Body image discontentment appears even in preadolescent children (Lowes & Tiggemann, 2003). As young as age 6 or 7, both girls and boys choose an ideal body thinner than their own, but girls make more extreme choices. Men and boys who see themselves as overweight want to lose weight (Grogan & Richards, 2002), but even overweight men are not as dissatisfi ed with their bodies as women are (Markey & Markey, 2005).

A different ideal body image exists for men—muscularity. This ideal has become more infl uential, affecting body satisfaction for adolescent boys (Ricciardelli & McCabe, 2007), college men (Morrison, Morrison, & Hopkins, 2003), and adults (Olivardia, Pope, Borow- iecki, & Cohane, 2004). Boys and college men are more likely than girls and women to enact their attitudes about muscularity by working out with weights and eating to increase bulk, but they too strive to avoid being what they consider fat. The desire to increase muscularity may also be expressed by taking anabolic steroids, drugs that can help increase muscle mass (Goldberg & Elliot, 2007). Unfortunately, these drugs have many negative side effects that can present physical and psychological risks.

Health and Fitness 411

According to the Research . . . The Media Messages about Weight Are Clear, but Women and Men Fail to Measure Up

Media images of thin women and muscular men infl uence how people want to look. This infl uence begins early, during early adolescence (Field et al., 2001) and even late childhood (Jung & Peterson, 2007). For college students, the media infl uence extends to specifi c body parts. Students who watch a lot of television have more specifi c opin- ions about ideal measurements for hips, waists, and busts. Those individuals most infl uenced by the media were most receptive to the notion of surgical intervention with liposuction or breast implants to achieve these ideals (Harrison, 2003). Watch- ing television encourages individuals to view the body as an object, which infl uenced women’s and men’s feelings about their bodies (Aubrey, 2006). Both men and women who spend more time watching television are more focused on body shape and more concerned about attaining a muscular body (Cramblitt & Pritchard, 2013). Men who read men’s magazines became more concerned with their own bodies and more con- cerned about thinness in their female partners (Hatoum & Belle, 2004). Therefore, men as well as women absorb media messages and accept those views of ideal bodies. These attitudes have led to dissatisfaction with their own and their partners’ bodies.

Watching reality television that focuses on weight loss creates negative attitudes about those who are overweight. Watching just one episode of The Biggest Loser can prompt biased evaluations of overweight people, especially among those who are not overweight (Domoff et al., 2012). However, people who watch The Biggest Loser tend to be concerned with their weight (Yoo, 2013), leading to watching more episodes, attributions of personal responsibility for being overweight, and negative self-evaluations.

The percentage of overweight individuals has increased dramatically over the past 25 years in the United States (NCHS, 2015), a situation that places millions of people at risk for the negative evaluations of self and from others. Women are at greater risk of these negative evaluations than men (Chrisler, 2012), and women’s weight con- cerns are so prevalent that they have been described as a normative discontent (Rodin, Silberstein, & Striegel-Moore, 1984). That norm has spread, creating a dissatisfaction with weight for both men and women (Tantleff-Dunn, Barnes, & Larose, 2011).

Early research (Fallon & Rozin, 1985) indicated that women perceived the ideal female body as thinner than their own, and they believed that men found thinner female bodies attractive. However, men’s preference was not as thin as the women believed. Depictions of thinness as attractive appear in the media and infl uence the development of unrealistic body images. The perception of thinness as attractive may be dangerous. This infl uence occurs early, beginning during childhood (Jung & Peterson, 2007) and intensifi es during adoles- cence (Ata, Ludden, & Lally, 2007). Watching television featuring thin women infl uences women’s and men’s ratings of the ideal body for women (Harrison, 2003). Similarly, viewing muscular male models decreases men’s satisfaction with their own bodies (Lorenzen, Grieve, & Thomas, 2004). One study (Markey & Markey, 2005) suggested that individuals who use dangerous methods of dieting such as fasting and purging want to be unrealistically thin and are willing to use unhealthy strategies to achieve their goal.

412 Health and Fitness

Men have coped with the increasing pressures to attain the ideal muscular body by work- ing out and even by seeking surgery to shape their bodies (De Souza & Ciclitira, 2005). However, men tend to view dieting as feminine, so dieting is not a preferred strategy for men. Nonetheless, an increasing number of men diet to control their weight, including unhealthy techniques such as fasting and throwing up to lose weight (Markey & Markey, 2005).

Therefore, both women and men are subjected to pressures to have bodies that conform to the ideal, but the methods for achieving these results differ. If these messages are effective, men and women would be likely to take different strategies to achieve their ideal bodies. Women would be more likely to experience eating disorders, whereas men would be more likely to encounter exercise-related problems.

Eating Disorders

Anorexia nervosa and bulimia are two eating disorders that have received a great deal of publicity, but these two disorders lie at the extreme on a continuum of eating problems that includes dieting (Polivy & Herman, 2002). Indeed, dieting is related to the development of the more serious eating disorders of anorexia and bulimia. Anorexia nervosa is a disorder caused by self-starvation in pursuit of thinness, and bulimia consists of binge eating followed by some method of purging (induced vomiting or excessive laxative use) to avoid gaining weight.

Dieting, anorexia, and bulimia are all more common among women than men. A survey of high school students (Kann et al., 2014) and adult women and men (Kruger, Galuska, Serdula, & Jones, 2004) showed that dieting was more common among women. About 63% of the girls and 38% of the women were trying to lose weight, compared to about 33% of the boys in high school and 24% of the men. The gender distribution is even more divergent for eating disorders; around 90% of people who are treated for eating disorders are women (Menaster, 2002). However, some research (Striegel-Moore et al., 2009) suggests that this fi gure represents an underestimate for men, who fail to receive diagnosis and treatment but experience disordered eating nonetheless. Women, too, may avoid diagnosis and treatment, so eating disorders may be more common than the treatment fi gures refl ect.

The development of eating disorders is infl uenced by personal and situational fac- tors. As the rates of anorexia and bulimia suggest, both gender and age are factors, with women at a higher risk than men, and young women more subject to eating problems than older women. Social class was once a distinguishing factor, but pressures for thin- ness now occur in all social classes, among all ethnic groups (Polivy & Herman, 2002; Snapp, 2009), and in societies around the world (Keel & Klump, 2003). Occupation is also a factor, with young women who are in modeling or dance school more likely to have eating disorders than comparable young women whose careers do not demand thinness (Garner & Garfi nkel, 1980). For men, pressures from occupation or athletics exert similar effects with wrestlers, runners, bodybuilders, rowers, and jockeys at specifi c risk (Menaster, 2002).

Sexual orientation shows some relationship to disordered eating. Gay men expressed higher body objectifi cation than heterosexual men (Kozak, Frankenhauser, & Roberts, 2009); that is, they tended to see their bodies as the only representations of themselves. Sexual orienta- tion is also a factor for disordered eating in women; adolescent girls and boys who were not heterosexual were more likely to use purging and diet pills as ways to control their weight (Austin, Nelson, Birkett, Calzo, & Everett, 2013). Men with eating disorders tend to be less obsessed with losing weight but similarly concerned with body shape and muscle tone (Ousley, Cordero, & White, 2008). The trajectories also vary, with men’s symptoms

Health and Fitness 413

decreasing throughout adulthood more than women’s symptoms (Keel, Heatherton, Baxter, & Joiner, 2007).

The underlying causes of eating disorders are not understood, mainly because research capable of identifying causes is diffi cult to conduct on this topic (Polivy & Herman, 2002). Being dissatisfi ed with one’s body is a necessary component but not a suffi cient condition for developing an eating disorder. According to Janet Polivy and Peter Herman (2002), individuals must also come to see eating and weight control as solutions to their personal problems, and some women believe in a link between weight and happiness (Evans, 2003). The combination of body dissatisfaction and the belief that eating and weight control are keys to solving one’s problems lays a foundation for eating disorders.

Both anorexia and bulimia are serious disorders, but anorexia is more likely to be life threatening. Indeed, anorexia has the highest mortality rate of any psychiatric disorder. In a longitudinal study of women with eating disorders, 6.5% of anorexics died: Some starved themselves to death, and others committed suicide (Franko et al., 2013). Furthermore, treatment for anorexia is diffi cult, and relapses are common. Bulimia is more easily treated because bulimics typically feel guilty about their binge eating and purging and thus want to change their behavior, but they too may experience relapses into disordered eating.

Eating disorders, then, may be the result of concerns with body image and exaggerated attempts to achieve thinness. Because their ideal body images are thin, women are more likely than men to focus on eating and thus to develop eating disorders. Over the past several decades, both men and women have begun to feel increased pressure to attain and maintain attractive bodies, and women tend to try to achieve this goal through dieting and, to a lesser extent, through exercise; men on the other hand, use exercise as a primary means and dieting as a secondary means of shaping their bodies.

Exercise and Fitness

Physical activity is a factor in the weight maintenance equation. When dieters eat less, their basal metabolism slows, and their bodies require fewer calories, which protects against starvation but makes weight loss diffi cult (Pinel, 2014). Dieting is not only diffi cult, but it also is not as effective for weight control as dieting plus exercise. Weight control, however, is a minor factor in considering the benefi ts of exercise; physical activity is a basic part of life. However, people living in high-income societies have become more sedentary. Job and leisure-time activities show gender differences; women tend to be less physically active than men. The overall difference in the United States is small, and many countries show a similar pattern (Bauman et al., 2009).

Gender and age interact in relation to physical activity. During the preschool years, boys are more active than girls (Byun, Dowda, & Pate, 2011). Throughout childhood, boys are more likely to engage in physical activities requiring gross motor skills that use the large muscles of the body (Ridgers, Saint-Maurice, Welk, Siahpush, & Huberty, 2011). Boys’ preferences for baseball, football, soccer, and basketball put them into more active situa- tions than many girls’ games require. Girls’ exclusion from boys’ play groups decreases their opportunities to be involved in vigorous activity. However, girls who engage in vigorous activity are more likely to become college athletes than girls who engage in more traditional play activities (Giuliano, Popp, & Knight, 2000). (See Chapter 9 for a discussion of gender segregation, activities, and friendships during childhood and Chapter 11 for a consideration of athletics in schools.)

Watching television and playing computer games have become popular recreational activi- ties for children and adolescents. Initially, the computer game market was dominated by games aimed at boys, but companies later began to market games that girls liked (Terlecki

414 Health and Fitness

et al., 2011). Now, 65% of both male and female college students play video or computer games regularly, and children and adults also play regularly. Regardless of the content, televi- sion and computer games can take the place of more active games and decrease the physical activity of both boys and girls.

Gender differences in exercising increase during adolescence: Girls decrease and boys increase their participation in athletics. Athletic participation, with its emphasis on size, strength, and competition, is more compatible with the male than the female gender role. The traditional gender roles hold that women should look slender and dainty and should feel reluctant to compete. Men, on the other hand, should look muscular and strong and eager to compete. Adolescents feel the pressures to adopt these gender roles; thus, boys are urged to “try out” for sports, whereas girls may not receive similar encouragement.

Title IX of the Education Amendments of 1972 prohibited sex discrimination in educa- tion, which included support for school athletics. The subsequent development of athletic programs for high school girls and college women has changed opportunities and attitudes toward women’s athletics. Many more women now participate in athletics, but the emphasis on sports may leave the majority of children—who are not athletically talented—without adequate encouragement to be active. Young people of both sexes who do not have the ability

Gendered Voices: I’m Afraid Some of Them Are Not Going to Be around

“I’m afraid some of them are not going to be around,” a 14-year-old dancer told her mother concerning other dancers who showed symptoms of anorexia. The dancers in her classes were encouraged to be thin, and the girl believed that several were in danger; they were so thin that she had considered them in danger of dying. Her mother was angry because she believed that the instructor was encouraging unhealthy eating in students by telling her normal-weight daughter that she needed to lose weight. The girl knew that she was heavier than many of the other dancers, but she believed that they had the problem, not her.

She had begun to hear criticisms about her weight when she was 12, and she started to become self-conscious about it, but she had resisted dieting, partly because she thought the other girls were too thin and partly because she didn’t want to change her eating habits. She had also received confl icting messages about her weight, with her mother and others telling her that she wasn’t too heavy, her dance teacher telling her that she needed to be thinner, and her classmates dieting to the point of anorexia.

Another girl’s story confi rmed the prevalence of weight consciousness among early adolescents. This 12-year-old girl came home from school one day and told her mother that when they had gone swimming for gym class, most of the girls had gone into the pool with their T-shirts over their bathing suits. She didn’t understand why they had done so; a wet T-shirt made swimming more diffi cult. When she asked one why she had kept her shirt on, the other girl said, “Because I’m so fat. I don’t want anyone to see me in a bathing suit.” The 12-year-old told her mother, “But they’re not fat.” She considered her classmates’ perceptions of their bodies very odd. Judging from the number of girls who had been reluctant to be seen in their bathing suits, her classmates’ distorted perception was more common than her accurate assessment of what was normal and what consti- tuted overweight.

Health and Fitness 415

to excel may be allowed to be sedentary, resulting in poor fi tness and an increased probability of obesity (Berkey, Rockett, Gillman, & Colditz, 2003).

A growing body of research evidence indicates that exercise provides physical and psycho- logical benefi ts to both men and women (Blair, Cheng, & Holder, 2001; Warburton, Nichol, & Bredin, 2006). The benefi ts of physical activity seem particularly strong in terms of lower- ing the risk of cardiovascular disease (heart attack and stroke), but exercise also lowers the risk for several cancers, helps to prevent and to control diabetes, assists people in sleeping better, lowers depression, reduces anxiety, and buffers against stress. In addition, physical activity guards against osteoporosis , the process of bone demineralization. This disorder affects older individuals and is more common among women than men. Orthopedic problems such as fractures are especially common among older women and can lead to decreased mobility, which is a major factor in decreased quality of life for older adults (Robine & Ritchie, 1991; Skelton, 2006). Exercise slows and may reverse this process. Therefore, a regular program of physical activity offers many health benefi ts throughout the lifespan.

Patterns of physical activity are moderately stable across the lifespan (Friedman et al., 2008). Thus men’s greater sports participation during adolescence makes them more likely than women to continue this athletic activity throughout their lives. However, this background is no guarantee of an active lifestyle. Those who participate in organized sports tend to discontinue physical activity when they leave school (Walters, Barr-Anderson, Wall, & Neumark-Sztainer, 2009). Enjoyment of physical activity is a better predictor of maintaining an active life.

Pressures on women to be thin have extended to fi tness and exercise. This message has gotten through to women; a study that investigated reasons for exercising (Strelan, Mehaffey, & Tiggemann, 2003) found that young women’s exercising may be so concentrated on appear- ance that their participation signals a problem in body image rather than a positive health habit. This fi nding is consistent with the messages aimed at women to exercise as part of weight control and body shaping rather than health promotion.

A relationship exists between exercise and eating disorders, but this relationship is complex and involves gender. People who are anorexic (usually women) are often overly concerned about exercising and may work out for hours per day in attempts to lose weight. Some people who exercise excessively (usually men) also have some eating disorder (Hausenblas & Symons Downs, 2002). Not all anorexics exercise obsessively, nor do all committed exercisers have eating disorders, but there is some concordance between these two extreme behaviors (Markey & Markey, 2005).

In this framework, men’s exercise motivations may also be symptomatic of body image problems. The drive to develop muscularity can lead boys and men to exercise excessively (McCreary & Sasse, 2000; Olivardia et al., 2004), which can lead to injury and abuse of muscle-building drugs. Boys and men may be motivated to be muscular in a gender- stereotypical counterpart to girls and women, who are motivated to be thin. Exercise may allow both women and men to achieve fi tness, but exercise may also provide a format for enacting body image dissatisfaction and unrealistic weight concerns. Therefore, despite the benefi ts of exercise, overcommitment to exercise is not healthy.

Considering Diversity

Health and mortality fi gures from around the world and within the United States refl ect the infl uence of ethnicity and the economic conditions that are often related to ethnicity. One way to analyze world economies is the division into developed, high-income (or industrialized) countries, developing (middle-income) countries, and undeveloped, low-income countries. The economics of life in these countries also affects death in these countries (Lopez, Mathers, Ezzati, Jamison, & Murray, 2006). As Table 13.5 shows, life expectancy is longer in wealthy

416 Health and Fitness

countries than in middle-income or low-income countries. In addition, the causes of death vary. In high-income countries, leading causes of death are CVD and cancer, which become more common as people age—they live long enough to develop these diseases. The death rates for CVD and cancer are lower for middle-income countries because many people do not live to the ages when these diseases become common; however, these diseases are becoming more prevalent in these countries and are striking people at younger ages than in high-income countries (Yach, Hawkes, Gould, & Hofman, 2004). In low-income countries, mortality is high from infectious and parasitic diseases, which are more likely to be fatal for infants and young children than for other age groups. High mortality for infants and children lowers life expectancy and typically occurs in poor countries with inadequate nutrition and medical care.

As Table 13.5 illustrates, life expectancy and causes of death vary enormously throughout the world, but the gender gap favoring women’s life expectancy appears everywhere. That gap

Table 13.5 Average Life Expectancies, Infant Mortality, and Causes of Death for High-, Middle-, and Low- Income Countries

Country Life Expectancy Causes (per 100,000 population)

Men Women Infant Mortality (per 1,000)

Coronary Heart Diseases / Stroke

Cancer Accident/ Violence

Infectious Diseases

High-Income Countries

Australia 80 85 4.4 54.9/27.4 119.9 28.9 6.4

Canada 79 85 4.7 56.4/21.3 129.2 31.9 14.1

France 79 85 3.3 29.9/24.6 146.8 37.1 13.1

Germany 78 83 3.4 62.9/27.3 131.4 24.1 13.2

Japan 81 86 2.1 30.4/34.0 113.7 41.7 34.3

Sweden 80 83 2.6 71.3/36.2 119.9 30.9 11.9

United Kingdom

78 83 4.4 60.1/34.7 140.1 21.8 25.9

United States 77 81 5.9 77.9/25.9 130.7 41.8 18.0

Middle-Income Countries

Brazil 70 77 18.6 74.7/66.7 118.9 80.4 55.4

China 74 78 12.4 99.4/153.6 143.6 47.5 18.7

Russia 65 77 7.0 320.4/188.5 155.3 98.7 55.2

Mexico 73 79 12.2 79.1/34.4 71.8 62.8 27.7

Low-Income Countries

Bangladesh 69 73 53.5 61/53.6 83.1 89.4 77.2**

Cambodia 62 67 81.9 158/71.0 97.8 61.5 82.0**

Haiti 62 65 94.5 174/180.0 95.9 86.1 222.0

Laos 62 66 135.3 210/123.8 129.2 71.9 143.5**

Zimbabwe 57 58 41.2 142/68.6 290.9 79.1 504.3**

Sources: Data on life expectancies from The World Factbook by Central Intelligence Agency. Retrieved October 17, 2015, from https://www.cia.gov/library/publications/the-world-factbook/; data on causes of death from World Health Rankings. Retrieved January 23, 2016 from http://www.worldlifeexpectancy.com/sitemap

**HIV predominant

Health and Fitness 417

is larger in high-income countries (5 to 8 years) and much smaller in low-income countries (a few months to 4 years), often because of problems related to pregnancy and childbirth. In several countries in sub-Saharan Africa, HIV infection is the leading cause of death and affects more women than men. In these countries, women are economically dependent on men and thus cannot refuse sex, even when they know that it will endanger them. Their social status is an important part of their risk for HIV infection. Countries with high HIV infection rates are among those that have experienced decreased life expectancies over the past decade (Hosseinpoor et al., 2012).

Another practice that can decrease the survival advantage for girls and women is son preference— that is, the preference for sons over daughters. Son preference can lead to the murder of infant girls or the abortion of female fetuses, but more often it is expressed through preferential treatment for sons, including better feeding and medical attention, and the neglect of daughters (Gill & Mitra-Kahn, 2008; Shah, 2005). In countries where girls and boys receive more equal treatment during infancy and childhood, girls have a survival advantage over boys, as women do when compared to men. Thus, the female survival advantage holds across many cultures. However, life expectancy varies more than the magnitude of the gender gap, which indicates that social factors are important in life expectancy.

Worldwide, men are more vulnerable to disease and death in patterns similar to those in the United States. Men’s rate of CVD death is higher than that of women of compa- rable age, they use tobacco at a higher rate, they are more likely to drink alcohol, and they engage in risky behaviors that increase their vulnerability to violent death (Wong, Pituch, & Rochlen, 2006). In countries in which the death rate for CVD is high, the gender gap is larger than in countries with fewer deaths from this cause. For example, the countries in Eastern Europe, including those that were part of the Soviet Union, experienced a sharp increase in CVD during the 1980s, which persisted throughout the 1990s and then began a slight decline (McMichael, McKee, Shkolnikov, & Valkonen, 2004). This area of Eastern Europe has the highest CVD death rate in the world (Fonarow, 2007; Petrukhin & Lunina, 2011). The rise affected those people most vulnerable to CVD—middle-aged men. The increase in Russia was over 30%, the life expectancy in Russia declined, and the gender gap in life expectancy increased (Weidner & Cain, 2003). The CVD deaths in Russia account for almost 50% of all deaths and affect men more than women, producing a larger gender gap in life expectancy than other countries—65 years for men and 77 for women (CIA, 2015). The reasons for this dramatic increase in CVD are somewhat mys- terious, but one hypothesis (Weidner & Cain, 2003) holds that psychosocial factors such as stress, economic uncertainty, inadequate social support, and depression are the basis of the problem; however, tobacco use, alcohol abuse, and dietary factors also contribute (Petrukhin & Lunina, 2011).

The behaviors that put men at higher risk than women are likely to continue, so the gender gap in life expectancy is not likely to disappear in the near future (Murray & Lopez, 1997). As the headline story for this chapter highlighted, that gap has narrowed recently in high-income countries (Crimmins, Preston, & Cohen, 2011). The gender gap that opened during the 20th century has closed a bit during the early years of the 21st century.

The United States is among high-income nations, but some ethnic groups in the United States have patterns of disease and death that look more like those in low-income coun- tries. The underlying reasons for these health disadvantages include poverty and discrimi- nation, both of which affect living conditions and access to medical care. The provision of health insurance through employment or through private policies results in decreased access and often poor-quality medical care for poor people. Ethnic minority groups are

418 Health and Fitness

affected by these circumstances more than White people are (Lasser, Himmelstein, & Woolhandler, 2006).

African Americans have higher infant mortality rates and shorter life expectancies than other ethnic groups in the United States. The infant mortality rate for African Americans is 10.9 deaths per 1,000 live births compared to a rate for Whites of 5.1 per 1,000 (National Center for Health Statistics, 2015). That is, African American babies die at a rate comparable to those in Kuwait, Costa Rica, and Bulgaria, whereas infant mortality for White babies is comparable to that of high-income countries. Other health indicators for African Americans show that they have a shorter life expectancy and a higher rate of several diseases, including cardiovascular disease, diabetes, and liver disease. African Americans are fi ve times more likely to die of violence than Whites (NCHS, 2015). Young men are especially likely to be the victims of unintentional and intentional injuries.

Hispanic Americans are disadvantaged by conditions similar to African Americans, but their mortality rates are more similar to non-Hispanic Whites than to African Americans. Young Hispanic American men are at slightly elevated risk for injuries and death due to violence (NCHS, 2015), but deaths due to cardiovascular diseases and cancer are lower than for non-Hispanic Whites. The overall death rate for Hispanics was comparable to that of non-Hispanic European Americans, but as Hispanics become more acculturated, their health behaviors and health become more like other European Americans and their rates of CVD and cancer increase (Abraído-Lanza, Chao, & Flórez, 2005).

Native Americans experience a pattern of health problems that varies from other ethnic groups. Poverty and poor living conditions are major problems for the health of Native Americans, and their access to medical care is often through the Indian Health Service, which provides free medical care to Native Americans who live on reservations or in areas covered by the service (Keltner, Kelley, & Smith, 2004). This limitation restricts the health care of many Native Americans. Infant mortality is higher for Native Americans than for Whites, but lower than that for African Americans, as is violence among young men (NCHS, 2015). Native Americans also have a genetic predisposition for developing diabetes, and their levels of alcohol abuse contribute to liver disease, violent deaths, and fetal alcohol syndrome.

As a group, Asian Americans experience health advantages rather than disadvantages when compared to all other ethnic groups in the United States. Infant mortality rates for Chinese Americans, Japanese Americans, and Filipino Americans are among the best in the world (NCHS, 2015). For Asian Americans as a group, CVD death rates and deaths from violence are almost half of those for European Americans, and the rate of cancer deaths is lower.

Therefore, some ethnic groups within the United States have health disadvantages whereas others have advantages. The health of non-Hispanic Whites and Asian Americans compares favorably with the high-income nations throughout the world. For African Americans and Native Americans, health care and health indicators are comparable to those of low-income nations.

Summary

Women live longer than men. This gender difference has existed in most countries and during most time periods. In high-income countries such as the United States, Canada, Australia, and the countries of Scandinavia and Western Europe, deaths from cardiovascular disease, cancer, and violence account for the majority of deaths. Men die of these causes at younger ages than women, creating a gender gap in longevity.

Health and Fitness 419

Cardiovascular disease (CVD) refers to diseases of the heart and circulatory system. Heart attack and stroke account for about 30% of the deaths in the United States. Although the total mortality from CVD is similar for men and women, men are more likely to die of CVD than women are before the age of 65. This discrepancy has created a bias among physicians, who are slower to interpret women’s symptoms as CVD and less likely to recommend treat- ment for women.

Cancer is the second most common cause of death, and men are more likely than women to die from this cause. Lung cancer, the deadliest form of cancer for both men and women, is strongly related to cigarette smoking. Until recently, men have smoked at a substantially higher rate than women. With the rise in women’s smoking, their lung cancer rates have increased and will continue to do so. Both women and men develop cancer of the reproductive organs, but women are more likely to die of such cancers, especially before age 65 years.

The gender difference in violent deaths is large; men die of unintentional injuries, suicides, and homicides at higher rates than women. The male gender role, which holds that men are supposed to be reckless and aggressive, plays a part in the high death rates from these causes. Men’s greater prevalence of heavy alcohol use also increases their risk. Violent deaths also vary from country to country, with the United States having one of the higher rates of violent deaths. Within the United States, different ethnic groups are not equally affected by violence—African Americans are especially vulnerable to violent death.

Although women live longer than men, women also seek health care more often. The female gender role allows and even encourages vulnerability to illness, but the male gender role discourages the acceptance of any weakness, including illness. Women’s sensitivity to physical symptoms tends to boost health care seeking, but their access to health care is diminished by lower rates of employment, lower salaries, and lower insurance coverage.

The interaction of gender roles of the patient and health care provider has an impact on the type of health care patients receive. Physicians have been the target of criticism concern- ing their treatment of female patients; these criticisms include being reluctant to believe female patients, using men as a standard against which all patients are judged, and omitting women from medical research. Concern over these problems has prompted the founding of the Offi ce of Research on Women’s Health. Gender-specifi c medicine is a newly developed specialty that devotes similar attention to men’s health.

Reproductive health is a major reason for the gender difference in receiving health care. Women not only become involved in the health care system due to pregnancy and childbirth, but contraception and menopause are also reasons for consulting physicians. Both women and men are affected by sexually transmitted diseases and disorders of the reproductive organs. Both develop cancer of the genitals, and among women, breast cancer is the most frequent (but not the deadliest) cancer. Gender is also a factor in healthy aging. Women have longer life expectancies than men, and their advantages relate to health habits and behaviors such as a history of smoking, alcohol use, dietary choices, and physical activity. However, aging is most often accompanied by the development of chronic diseases and disabilities that impair quality of life.

The lifestyle differences that impact morbidity and mortality during late adulthood infl u- ence the health of women and men throughout their lives. Eating and exercising are two such behaviors. A thin body has become such a widespread ideal among women that diet- ing is now a way of life for millions. Because they cannot be as thin as the ideal, women are more vulnerable to body image problems and are more prone to eating disorders such as anorexia nervosa and bulimia. Men also experience body image dissatisfaction, but they tend

420 Health and Fitness

to feel insuffi ciently muscular. Both men and women with body image problems are likely to attempt to alter their bodies through exercise and through dieting, including unhealthy dieting practices.

Exercise can be a positive factor for fi tness and weight control, and men are more likely to participate in sports and physical activity than women are. The passage of Title IX of the Education Amendments of 1972 removed some barriers that prevented women from participating in athletics, and increasingly positive publicity for female athletes encour- ages girls to become athletic. In an increasingly technological and sedentary society, most men and women must use their leisure time to pursue fi tness. Athletic activities can build fi tness and contribute to health, but excessive exercise can also be symptomatic of body image problems.

Life expectancy and health vary around the world, and economic factors contribute heavily to this variation. High-income nations have longer life expectancies and the problems associated with long life—high rates of cardiovascular disease and cancer. Low-income countries have shorter life expectancies and the problems associated with poverty—high infant mortality and death from infectious diseases. But low-income countries have shown an increase in cardiovascular disease, presenting increased risk for those populations. Within the United States, Asian Americans and European Ameri- cans have longer life expectancies and better health than African Americans and Native Americans.

Glossary

anorexia nervosa an eating disorder consisting of self-starvation in pursuit of thinness. bulimia an eating disorder consisting of binge eating, followed by some method of purging,

either by induced vomiting or excessive laxative use. cardiovascular disease (CVD) a group of diseases involving the heart and circulatory sys-

tem, some of which are life threatening; heart attack and stroke are the most common. morbidity illness. mortality death. osteoporosis the process of bone demineralization, resulting in greater likelihood of ortho-

pedic problems and injuries. risk factor any condition or factor that increases the probability that an illness will develop. sexually transmitted diseases (STDs) infectious diseases that are spread through sexual

contact, including bacterial infections, viral infections, fungal infections, and parasitic infections.

Suggested Readings

Baggio, Giovannella; Corsini, Alberto; Floreani, Annarosa; Giannini, Sandro; & Zagonel. Vittorina. (2013). Gender medicine: A task for the third millennium. Clinical Chemistry & Laboratory Medicine, 51 (4), 713–727. Baggio and colleagues elaborate on the need for pursuing gender-specifi c medicine to provide adequate treat-

ment for women and men, focusing on common diseases for both sexes.

Chrisler, Joan C. (2001). Gendered bodies and physical health. In Rhoda K. Unger (Ed.), Handbook of psychology of women and gender (pp. 289–302). New York: Wiley. Chrisler presents a relatively brief but fairly comprehensive summary of women’s experience with illness and

with the health care system. In addition, she discusses the health risks involved with the pursuit of beauty.

Courtenay, Will H. (2000). Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention. Journal of Men’s Studies, 9 , 81–142. Courtenay presents a lengthy, excellent summary of men’s behaviors that contribute to the gender gap in

mortality.

Health and Fitness 421

Simon, Harvey B. (2004). Longevity: The ultimate gender gap. Scientifi c American, 14 (3), 18–23. Simon’s article draws too heavily on hormones as an explanation for the gender gap in longevity, but his

article is short and readable, reviewing the physical, social, and behavioral factors that contribute to this gender discrepancy.

Suggested Websites

Healthfi nder (www.healthfi nder.gov) is a gateway website for health information from the U.S. government. This site includes information on a variety of topics, including categories of men’s and women’s health. In addition, it furnishes hundreds of links to other sites. It also includes a search engine that allows you to fi nd topics that are not obvious on the menu page. When searching for health-related information, this site is always a good place to start.

For information specific to women’s and men’s health, the National Women’s Health Information Cen- ter (http://www.womenshealth.gov/), sponsored by the Office on Women’s Health, contains a great deal of information of women’s health but also offers a section on men’s health. The U.S. Centers for Disease Control and Prevention (CDC) sponsors a website devoted to topics on men’s health (http://www.cdc. gov/men/).

The Siteman Cancer Center website (http://www.yourdiseaserisk.wustl.edu/) features assessments of disease risk to determine personal risk. The diseases include several of the leading causes of death, such as heart disease, stroke, and cancer.

Aimed at teen girls, Adiosbarbie.com (www.adiosbarbie.com) is a website devoted to positive body image. About Face (www.about-face.org/) is an organization devoted to challenging and changing images of women presented by the media. It concentrates on body image but also focuses on other women’s health issues.

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Headline: “White Men Have Less Life Stress, But Are More Prone to Depression Because of It,” Huffi ngton Post, September 23, 2015

Research indicating that White men experience less stress than African American men hardly seems worthy of headlines. Although White men are not exempt from discrimination, vio- lence, fi nancial diffi culties, poor health, money problems, or marital diffi culties, African Americans tend to experience more of such stressful events. However, research by Shervin Assari and Maryam Moghani Lankarani (2015) showed that experiencing less stress does not translate into escaping the effects of stress. To the contrary, that research showed that White men experienced a higher rate of depression related to stressful experiences than African American men or to women of either ethnicity. As Assari said of White men and stress, “They don’t get a lot of it and they are not used to it, so they are more prone to its harmful effects” (in Shumaker, 2015). That is, the key to the harmful effects of stress may lie in effective coping rather than in the magnitude of stress.

This research accepts that stress has harmful effects, including increased risks for psycho- pathology. Although stress has become a popular explanation as the source of almost every psychological and medical problem, researchers strive to identify the specifi c role that stress may play and the disorders for which stress is a risk.

Stress and Coping

Stress has been defi ned in many ways, but when circumstances place people in situations that tax or exceed their resources and endanger their well-being, they feel stressed (Lazarus & Folkman, 1984). Stress is an inevitable part of life, so searching for the stresses that relate to the development of mental disorders becomes a complex task. Researchers cannot simply identify sources of stress, but must investigate how people perceive various stressors and how they cope with the resulting stress in their lives.

Sources of Stress for Men and Women

The basic physiological reaction to stress is similar for men and women (Taylor et al., 2000), but sources of stress vary. The many combinations of marriage, parenthood, employment, and other activities provide women (and men) with complex roles. Men have traditionally occupied the breadwinner role and have not been involved with providing much in the way of housekeeping or child care; that situation has changed, and women are pressuring men to become more involved in performing household work and caring for children. That pressure may be one source of stress for men. Research has explored the ramifi cations of occupying the multiple roles of spouse, parent, and employee. Although fulfi lling these roles

Stress, Coping, and Psychopathology 14

430 Stress, Coping, and Psychopathology

may be satisfying, the experience may also be stressful and thus related to the development of problems. Experiences with violence present another source of stress that shows gender variations. Sexism, gender discrimination, and poverty are also potential sources of stress that have different impacts on women and men and show a relationship to the development of mental disorders.

Family Roles

The gender differences in family roles revolve around marriage, parenthood, and employ- ment. Those roles were once different for men and women but have become more similar. Research from Australia (de Vaus, 2002) and from the United States (Hetherington & Kelly, 2002; Holt-Lunstad, Birmingham, & Jones, 2008) has indicated that being married was a mental health advantage to wives and husbands in both countries. In the United States, unmarried men were at higher risk for mental health problems than unmarried women (Hetherington & Kelly, 2002), but in Australia, the two groups showed similar rates of disorders (de Vaus, 2002). Husbands and wives were equally benefi ted by marriage in both countries (de Vaus, 2002; Williams, 2003).

Roles other than marriage may raise or lower the risk for mental disorders. Being employed was a positive factor for men and women in both countries. Indeed, the combination of mar- riage and employment was associated with low levels of mental health problems, and being both unmarried and unemployed raised the risks (de Vaus, 2002; Sachs-Ericsson & Ciarlo, 2000). The role of parent does not necessarily increase the risk of mental health problems,

Photo 14.1 Women report more experiences of stress than men.

Stress, Coping, and Psychopathology 431

but unmarried women with children were at increased risk in both countries. In the United States, men who occupied all three roles—spouse, parent, and employee—showed the lowest risk for mental problems of any group.

Family roles have the potential to improve mental health, but some combinations of roles pose risks. Good relationships with partners are benefi cial (Leach, Butterworth, Olesen, & Mackinnon, 2013), and unhappy marital relationships create a mental health risk for both women and men (Holt-Lunstad et al., 2008; Williams, 2003). Couples who believe that their partners contribute to the emotional work of the relationship as well as helping with child care and household work were more satisfi ed with their marriages than couples who believed that their partners were not as supportive in these domains (Edwards, 2006; Stevens, Kiger, & Mannon, 2005).

Work and family roles interact in ways that can enhance or have a negative impact on the other (Barnett et al., 2012). For example, when married mothers are employed and experi- ence strain in each role, their risk for mental health problems increases but not when they experience little strain in either role. When family demands are equal for employed men and women, they have comparable rates of depression and anxiety disorders (Grzywacz, Quandt, Arcury, & Marín, 2005). When the burdens of family care fall disproportionately on women, their risk increases for the development of depression. Husbands, however, may feel stressed by their wives’ employment because of the changes that wives’ employment brings to hus- bands’ household work and child care responsibilities. Single fathers experience even greater burdens and also increased risks for mental health problems (Chandola et al., 2004).

The spillover of work into family and family into work affects both women and men to a similar extent, but possibly in somewhat different ways (Corwyn & Bradley, 2005). Employed women tend to have less satisfying jobs and more responsibility for child care and household work, which can make work less satisfying and create a family strain that spills over into work. Men fi nd it easier to occupy the role of worker and father because they tend to have higher-status jobs and fewer child care and household responsibilities. Thus the unequal strain that women experience is likely due to the continuing inequal- ity of their work and family situations (Barnett, 2004). Both partners may experience role strain related to parenting and work, and lack of support is an important factor in the equation. Figure 14.1 presents some of the infl uences of various roles on psycho- logical health.

Figure 14.1 Infl uences of Various Roles on Risk for Psychological Disorders

employment marriage

child care homemaker

role

WOMEN’S ROLES

MEN’S ROLES

employment marriage

care giving

breadwinner role employed wife

Decreases risk

Increases risk

432 Stress, Coping, and Psychopathology

Violence Violence researcher Mary Koss wrote, “Experiencing violence transforms people into victims and changes their lives forever. Once victimized one can never feel quite as invulnerable” (Koss, 1990, p. 374). Men and women may both be the victims of violence, but their experi- ences tend to differ. Men are more frequently the perpetrators as well as the victims of vio- lence. When women are the targets, their victimization may be especially traumatic, because women are more likely to be the victims of violence perpetrated by family and friends rather than by strangers (Pimlott-Kubiak & Cortina, 2003; Temple, Weston, Rodriguez, & Mar- shall, 2007). Furthermore, women are more likely to be injured in violent encounters by persons they know than by strangers.

The risk to physical health is apparent, but a growing body of research has implicated violence as a risk to mental health. Much of this research has concentrated on intimate violence in families—namely, childhood sexual abuse, rape, and intimate partner vio- lence. Although women’s abuse has received more publicity, men may also be victims of intimate abuse; this similar victimization produces comparable effects. Indeed, a history of violence victimization is related to the development of a wide variety of psychological problems.

Meta-analyses of research on intimate partner violence (Devries et al., 2013; Golding, 1999) revealed that a history of such violence increases the risk for depression, suicide, post- traumatic stress disorder, and substance abuse for women and depression for men. Almost half of the women in the studies showed some type of mental health problem, which repre- sents a greatly elevated risk. Men and women appeared equally vulnerable to mental disorders when they had experienced violence. A study of a large, representative group of U.S. men and women (Pimlott-Kubiak & Cortina, 2003) indicated different patterns of victimization for women and men, which appear in Table 14.1 . But these meta-analyses demonstrated the mental health risks of intimate partner violence.

Sexual abuse is another type of violence that presents a risk for a variety of mental disorders; this risk applies to both men and women who experience sexual abuse at any age (Dube et al., 2005; Koss, Bailey, Yuan, Herrera, & Lichter, 2003; Pimlott-Kubiak & Cortina, 2003). Being a victim of sexual abuse increases the chances of depression, post- traumatic stress disorder, substance abuse or dependence, phobic disorder, panic disorder, and obsessive-compulsive disorder. Abuse victims experience an elevated risk of mental disorders between two and four times that of men or women who have not been abused. Childhood abuse may be more of a danger than abuse during adulthood, but both pose risks. A systematic review of meta-analyses (Hillberg, Hamilton-Giachritsis, & Dixon,

Table 14.1 Patterns of Violence Victimization for Women and Men

Type of Violence Women Men

Physical assault (during adulthood) 31% 45%

Physical assault (during childhood) 40% 54%

Emotional abuse (during adulthood) 51% 48%

Sexual violence (lifetime) 18% 3%

Stalking 32% 26%

Source: Data from “Gender, Victimization, and Outcomes: Reconceptualizing Risk,” by S. Pimlott-Kubiak and L. M. Cortina, 2003, Journal of Consulting and Clinical Psychology, 71, pp. 528–539.

Stress, Coping, and Psychopathology 433

2011) showed that childhood sexual abuse raised the risk for a variety of adulthood psy- chopathology, with no difference in vulnerability for women or men. However, the type of problems may vary, with men more likely to experience drug and alcohol problems and women more likely to experience depression. Women’s more frequent victimization means they have greater risks.

Community violence and bullying also relate to the development of psychological dis- orders. Being a victim or a witness to community violence raises the risk of psychological disorders, especially posttraumatic stress disorder (PTSD) (Breslau, 2009; Foster, Kuper- minic, & Price, 2004; Koss et al., 2003; Scarpa, Haden, & Hurley, 2006). Direct involve- ment with violence is not necessary for the development of problems; exposure to violence is also a risk. Being a victim of a violent crime appeared as a larger risk than being a witness for men, but either experience increased the risk for women (Foster et al., 2004). More severe victimization tends to create greater risk, but all crime victims showed elevated risks of PTSD, demonstrating the psychological risks of criminal victimization. Not only does criminal victimization produce risks; bullying also creates risks for mental health. Children who were bullied experienced more unhappiness and school problems than those who were not victimized (Arseneault et al., 2006). Thus, exposure to violence as well as the experience of many types of violence presents risks to mental health.

The evidence for the relationship between violence and mental disorders is much more straightforward than risks from the various family roles; violence increases the risk for several mental disorders. Childhood victimization is especially harmful. Women are more likely to be the targets of childhood sexual abuse and rape (two types of violence that research has related to psychological disorders), but men who are victimized are at comparably elevated risk of such problems.

Discrimination

People may be the targets of discrimination for a variety of reasons, but skin color, ethnic- ity, gender, and nonheterosexual sexual orientation are common reasons. A national survey of U.S. residents (American Psychological Association, 2016) revealed that the experience of discrimination was common—47% of the participants reported major incidents of dis- crimination, 61% reported that discrimination was a frequent occurrence, and 69% said that they had experienced some type of discrimination. This survey included all types of discrimination, ranging from small incidents such as being treated discourteously to more serious incidents such as denied a promotion unfairly to very serious situations such as being stopped and searched or abused by police for no reason. This study showed a substantial relationship between perceptions of discrimination and increased stress, with implications for increased physical and mental health problems.

Sexist discrimination is certainly a source of stress. People may believe that sex dis- crimination is a practice of the past, but that perception is incorrect; many women have daily experiences of sexist discrimination, both large and small (American Psychological Association, 2016; Ross & Toner, 2003). The large traumas such as childhood sexual abuse and criminal victimization can produce problems; however, so can being subject to frequent discrimination and harassment, such as being denied a job or promotion or hav- ing to listen to sexist jokes. This type of experience has also been related to mental health problems. Sexist discrimination tends to lead women toward seeing the world as less just and fair, which pushes them toward lower well-being and increased depression and anxiety (Fischer & Holz, 2010).

A sample of African Americans reported a high incidence of racist discrimination within the year before the study; 100% reported having experienced racist discrimination during

434 Stress, Coping, and Psychopathology

their lives (Hendryx & Ahern, 1997). Discrimination creates stigma, the negative con- sequences of which include stress and threat (Major & O’Brien, 2005). The creation of stigma may be one route through which discrimination creates distress; individuals who perceive discrimination tend to ruminate over the experience—they think and rethink what happened—and that rumination works toward creating distress (Hatzenbuehler, Nolen- Hoeksema, & Dovidio, 2009). A study with a very large sample of African Americans (Anderson, 2013) and a meta-analysis of the effects of discrimination on health (Pascoe & Richman, 2009) showed the negative mental health effects of discrimination. Perceived discrimination produced heightened stress responses as well as a tendency to avoid health- enhancing behaviors and to perform unhealthy behaviors. Thus, research has produced ample evidence that the experience of discrimination may produce a variety of negative mental health effects. These fi ndings may offer an explanation that both sexist and racist discrimination affects mental health.

Poverty

Poverty also presents a risk for mental disorders for women, men, and children (Albee, 2005; Belle & Doucet, 2003). Indeed, poverty may be the underlying factor for both physical and emotional disorders because poverty is intertwined with both violence and discrimination (Albee, 2005; Mossakowski, 2008). The statistics indicate that those who live in poverty are at least two and a half times more likely to receive diagnoses of mental disorders than those who are not poor. Even for those who are no longer poor, a history of childhood poverty increases the risk (Kim et al., 2013).

The absolute level of poverty relates to living conditions that impinge on many factors in a person’s life, but the discrepancy between the lowest and highest income groups is another way to analyze the impact of poverty. That discrepancy is sharper in the United States than in many other industrialized countries, but income inequality also constitutes a factor in mental health in the United Kingdom (Pickett & Wilkinson, 2010) and shows a stronger relationship to life expectancies and low rates of disease than does absolute income (Wilkinson & Pickett, 2009). That is, among high-income nations, the most egalitarian have longer life expectancies than countries like the United States, with its extreme differ- ence between wealthy and poor people. These health risks extend to mental health; this pat- tern appears even within the United States in states with more extreme income inequalities (Kahn, Wise, Kennedy, & Kawachi, 2000; Lieberman & Merrick, 2009). The elevated risk of mental health problems among the poor applies not only to high-income countries with large income discrepancies, but to poor people in low-income countries as well (Patel & Kleinman, 2003). Being among the poor constitutes a risk.

Life circumstances associated with poverty are also associated with poor mental health (Albee, 2005; Belle & Doucet, 2003). Not only does low income create many stresses, but unemployment or underemployment, divorce, single parenthood, problems in access to services, and lack of power and resources are all sources of stress that are associated with poverty and contribute to poor mental health. In addition, low income can lead to a host of problems, such as poor housing in high-crime neighborhoods, which exposes poor people to greater risks of violence and other community dangers, a combination of stress and hazardous living conditions that Clare Ulrich (2002, p. 16) termed “the envi- ronment of poverty.” People with little money also have barriers to seeking treatment, allowing their problems to become more serious before they receive care (Thoits, 2005). Poor women who are being abused by their domestic partners may be powerless to avoid this violence (Goodman, Smyth, Borges, & Singer, 2009). Thus poverty intersects with other risks and has an indirect as well as a direct link to risks that increase the likelihood

Stress, Coping, and Psychopathology 435

for problems. Figure 14.2 shows some of the links and interactions among discrimination, violence, and poverty.

Poverty affects women and ethnic minority families more than other groups (Belle & Doucet, 2003; NCHS, 2015). Single mothers are more likely to be poor than any other demographic group, not only affecting their mental and physical health but also placing their children at risk. Poverty has a negative impact on the ability to cope, depriving people of the ability to deal with other problems that can produce stress. Lack of money limits opportuni- ties and choices, putting people in positions of dependency on government bureaucracy for housing, health care, food, and other essentials. Both problem situations and the lack of any control over them can magnify stress. The economically advantaged may be able to extricate themselves from problem situations and relationships that poor people cannot avoid—they have advantages in coping with stress.

Coping Resources and Strategies

The number and intensity of stressors are important factors in the experience of stress, but resources and strategies for coping are even more important. Those who have resources to cope with the stresses in their lives may not perceive the situations as stressful. One theory of stress (Lazarus & Folkman, 1984) proposes that each person’s appraisal of a potentially stressful situation varies according to his or her perception of the personal importance of the situation plus personal resources to deal with the situation. Lacking (or believing that they lack) the resources to cope with events in their lives makes people vulnerable to stress, whereas similar experiences but better resources lead others to experience less stress. Thus, stress varies according to perception, which depends on the evaluation of resources for coping.

The resources for coping may differ for men and women; men often have more power and greater fi nancial resources than women have. Power and money certainly offer advantages for avoiding many of life’s problems and for dealing with others. For example, the loss of a job may be more stressful for a single mother of two with only a high school education and skills as a salesclerk than for a married male engineer with an employed wife and a sizable savings account. Neither of these jobless people will avoid stress; losing a job is stressful for almost everyone. The engineer is likely to have material resources for dealing with his situ- ation that the salesclerk lacks.

Figure 14.2 Relationships among Discrimination, Poverty, Violence, and Risk for Psychological Disorder

discrimination limited

employment / income

poverty living in a neighborhood with high violence

increased risk of victimization

development of mental problems

stress

436 Stress, Coping, and Psychopathology

One of the most important differences between the male engineer and the female sales- clerk is the social support the engineer has in the form of his family. The salesclerk may receive support from her children, but she must also offer them care and support. Women’s roles generally carry obligations for providing care for others, whereas men’s roles may pro- vide them with emotional support (Belle & Doucet, 2003; Gove, 1984). Receiving support is a large advantage in coping with stress, but providing care for others can be stressful. As Deborah Belle and Joanne Doucet (2003, p. 103) commented, “Social networks can serve as conduits of stress, just as they can serve as sources of social support.” Thus, involvement in social relationships carries both advantages and costs.

Social Support

Social support is more than a matter of social resources. Four different elements of social support are emotional concern, instrumental aid (such as money or other assistance), infor- mation and advice, and feedback (Finfgeld-Connett, 2005; House, 1984). Social support requires more than contact or acquaintanceship. People who have high social support tend to have a wide network of people on whom they can count for emotional and material support. Poor quality of support and small network size both relate to the development of anxiety and depression (Vandervoort, 1999). Social support acted as a moderator for stress and its impact on depression over time for a large group of older women (Uebelacker et al., 2013).

As discussed in the “Friendships” section of Chapter 9 , women are more likely than men to form friendships that include emotional intimacy, which may give them the advantage in creating networks that provide them with social support. Men’s friend- ships tend to be activity oriented, which may offer them the material support but lack the emotional intimacy that is an important component of social support. Men’s social support often comes from their relationships with women; among married couples, women provided more (and more positive) social support than their male partners, creating a gender gap in social support (Verhofstadt, Buyssee, & Ickes, 2007). Single and divorced men are at greater risk for mental health problems than married men (de Vaus, 2002; Sachs-Ericsson & Ciarlo, 2000), again suggesting the importance of social support. Those at greater risk typically have less social support, and those at lesser risk typically have more sources of social support.

The breadth and strength of social networks vary with culture as well as with gender. Individualistic cultures such as the United States and Australia tend to encourage different social support networks than more collectivist cultures such as those in Latin America, Asia, and some African countries. Results of cross-cultural research (Scott, Ciarrochi, & Deane, 2004) revealed that people with strong individualist values within an individual- istic culture had smaller social networks, lower emotional competence, and poorer men- tal health than those with weaker individualistic beliefs. The collectivist infl uence may stay for generations in those who immigrate into individualist cultures, creating ethnic groups with stronger social support than the individualistic culture. In the United States, African American and Hispanic American families tend to have larger support networks than European Americans (Aranda, Castaneda, Lee, & Sobel, 2001; Lincoln, Chatters, & Taylor, 2005; Taylor, Lincoln, & Chatters, 2005). The advantages of an extended family include a wider range of people who offer their emotional and material support and advice. This intersection of gender and ethnicity relate to the fi ndings from the headline story: White men are more likely to experience depression as a response to stressful life events (Assari & Lankarani, 2015).

Stress, Coping, and Psychopathology 437

Coping Strategies

Coping is the process of changing thoughts and behaviors to manage situations that involve potential stressors (Lazarus & Folkman, 1984). How people deal with the events in their lives makes a critical difference in the amount of stress they experience, so having coping strategies is an essential factor in managing stress. These management strategies vary among people and situations. Coping effectiveness distinguishes among people who feel more or less stress. Table 14.2 lists coping strategies and gives examples of each.

Gender is a factor in coping with stress, but how important a factor is not currently clear. Research such as this chapter’s headline story is beginning to reveal some of the effects of the intersection of gender and ethnicity’s impact on responses to stress. One view of an interaction (Taylor et al., 2000) holds that women react to stress in ways that differ from men’s reactions. Rather than the “fi ght or fl ight” reaction typical of men, women’s reac- tions to stressful situations can be described as “tend and befriend.” This view ties together women’s role as caregivers with neurohormonal reactions and evolutionary history, predict- ing that women’s primary coping strategy will be seeking social support, which is classifi ed as an emotion-focused strategy. Women are more inclined to seek social support than men are, but men also “tend and befriend” under some stressful circumstances, such as soldiers during battle (Geary & Flinn, 2002). Research on behavioral reactions to acute stress confi rmed that seeking social support is a reaction that occurs to stressful situations (von Dawans, Fischbacher, Kirschbaum, Fehr, & Heinrichs, 2012), and other research showed that hormonal reactions are consistent with the “tend and befriend” hypothesis (Cardoso, Ellenbogen, Serravalle, & Linnen, 2013). However, this research also showed that this coping strategy occurs in both men and women but may be more common among women (Taylor, 2012).

Table 14.2 Examples of Coping Strategies

Coping Strategy Behaviors That Exemplify This Strategy

Seeking social support Talk to someone who could help Talk to someone who has experienced similar problems Talk to friends or family who will sympathize

Problem-focused Analyze the situation Plan a strategy to solve the problem Take action to get rid of the problem Concentrate on the problem

Emotion-focused Become upset Express negative feelings

Denial Refuse to accept the reality of the problem Try to ignore the problem

Turn to religion Seek God’s help Pray

Disengagement Work on other activities Sleep more than usual Engage in distracting activities Consume alcohol or other drugs

438 Stress, Coping, and Psychopathology

Other views of gender-related differences in coping include the socialization view, which holds that women and men are socialized to react to stress differently (women with emo- tional coping and men with active, problem-solving strategies) and the structural view, which holds that gender-related differences in coping come from the different stressful situations women and men encounter (Ptacek, Smith, & Zanas, 1992).

Consistent with the socialization view, girls used more maladaptive emotional coping (such as ruminating on their problems and lashing out at others) than boys until ado- lescence, when boys increased in their emotion-focused coping (Hampel & Petermann, 2005). Separating gender from gender role allowed an examination of these two factors, and results indicated that adolescents with feminine gender role orientation were more likely to use emotion-focused coping than adolescents with masculine gender role ori- entation (Washburn-Ormachea, Hillman, & Sawilowsky, 2004). Additional evidence in support of the socialization view comes from examinations of coping in different cultural groups. If coping differs with culture and gender within cultures, then socialization must be important in these differences. Research with African American, Asian American, and White college students (Sheu & Sedlacek, 2004) indicated both ethnic and gender dif- ferences in coping. Therefore, some evidence is consistent with the socialization view of gender differences in coping.

Consistent with the structural view, men and women tend to cope in similar ways when they are in similar situations. Early research that showed stereotypical gender differences in coping—men using problem-focused and women using emotion-focused strategies—may have been biased by the different situations of the participants. For example, in one study that showed such results (Folkman & Lazarus, 1980), the men were much more likely to be employed than the women. When studies have assessed coping strategies for men and women in comparable situations, the results have shown more similarities than differences. A longitudinal study of stress in medical school (Niemi & Vainiomäki, 2006) revealed similar stress for male and female students, a study of fi rst-year college students (Pritchard & Wilson, 2006) found that coping strategies became more similar over the fi rst semester of college, with male students beginning to use more emotion-focused strategies. Evidence for convergence over the lifespan comes from a meta-analysis of older caregivers (Pinquart & Sörensen, 2006), which revealed few gender differences.

The stereotypical view that women use emotion-focused coping and men use problem- focused coping is wrong. Instead, women and men both use problem-focused coping, but in addition, women are more likely to seek social support. This pattern applies to a wide variety of cultures and situations, including U.S. college students (Lengua & Stormshak, 2000), Spanish adults (González-Moreles, Peiró, Rodríguez, & Greenglass, 2006), ado- lescents in Hungary (Piko, 2001), and Canadian physicians (Lovell, Lee, & Brotheridge, 2009).

Another possibility is that no gender differences exist in terms of coping. A study that used two methods to measure coping (Porter et al., 2000) pointed to this possibility. This study asked male and female participants to fi ll out questionnaires about their coping strategies, but these participants also carried electronic diaries that prompted them to make a report every 40 minutes concerning their stress and coping. The reports from the electronic diaries showed no gender differences, but the questionnaires did. This fi nding brings up the pos- sibility that reports of gender differences in coping are biased by memories funneled through gender role stereotypes, and the few gender differences in coping may be research artifacts rather than genuine differences.

Therefore, situational factors and gender roles may be more important factors in cop- ing than sex or personality traits. If so, gender differences in coping may be fairly large because men’s and women’s lives show many situational differences, and women report more

Stress, Coping, and Psychopathology 439

situations as stressful than men do (Assari & Lankarani, 2015; Day & Livingstone, 2003). Also, gender roles place women in more situations that encourage seeking social support, whereas men’s gender roles discourage this coping strategy. Therefore, the stresses related to women’s and men’s lives continue to vary, and their coping strategies may also vary. The tendency of women to defi ne more events as stressful, combined with stressors that occur more frequently in their lives, may account for some of the differences in behavior problems. Other possibilities for the source of these differences lie in the criteria and in the processes used to diagnose mental and behavioral disorders.

Diagnoses of Mental Disorders

Before a sick person can receive appropriate treatment, the person must receive a diag- nosis , a statement of the classifi cation of a physical or psychological problem. Without a diagnosis, treatment would be haphazard rather than connected to the problem. Thus, classifi cation of both physical and mental problems is an essential step in receiving proper care. A good clinical classifi cation system should provide information about the cause of the condition, enable clinicians to make predictions about the course of the disorder, and suggest a course of treatment as well as methods of prevention (Sarason & Sarason, 2001). In addition, a system of classifi cation should provide a set of common terminol- ogy for professionals to communicate among themselves. No system of diagnosis meets these goals perfectly, but the goals are common to the diagnosis of physical and mental problems.

For practitioners, diagnosis is a challenging task that consists of matching information about what constitutes a disorder against a person’s symptoms. Because any person’s symp- toms will not match the textbook description of a disorder, clinicians’ personal judgment is always a factor in the diagnosis, which allows for the possibility that personal bias can enter the diagnostic process.

Although diagnosis is a necessary part of treatment, it presents disadvantages as well as advantages (Sarason & Sarason, 2001). The advantages include providing an accepted stan- dard that allows reliable diagnosis of the same problem by different clinicians. One of the problems involves labeling—the need to apply a label to the diagnosis. With mental disor- ders, many labels carry a stigma, and people who have been labeled with diagnoses of mental disorders may be the targets of discrimination. Furthermore, labeling also puts people into categories, and grouping people tends to magnify the similarities and obscure the individual differences of those within a category.

Currently, two systems exist for the classifi cation of mental disorders—the International Classifi cation of Diseases (ICD) of the World Health Organization and the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) of the American Psychiatric Association. Increasing compatibility with international psychiatry was a priority for the fi fth edition of the DSM (American Psychiatric Association [APA], 2013).

The DSM Classifi cation System

The DSM of the American Psychiatric Association has become the standard for professionals who provide mental health care, especially in North America. Both the fi rst version of the manual (1952) and the second edition (1968) were relatively brief and strongly infl uenced by psychoanalytic theory (Sarason & Sarason, 2001). Diagnosis required the clinician to understand the patients’ internal, unobservable psychological processes, which failed to pro- vide reliable diagnoses.

440 Stress, Coping, and Psychopathology

The third edition of the DSM appeared in 1980 and represented a substantial revision. The goal was to create a description-based system of classifi cation for mental disorders that would lead clinicians to make reliable judgments. The DSM-IV , which appeared in 1994, and the text revision ( DSM-IV-TR ) contained no major changes but allowed for greater compatibility with the ICD. The fi fth edition appeared in 2013 and contained signifi cant changes from DSM-IV-TR , the most prominent of which was the elimination of the axes that dominated diagnosis for DSM-III and DSM-IV .

Each revision of the DSM has sparked heated controversy. Criticisms include a lack of research support, adding and deleting diagnoses for political rather than scientifi c reasons, adding diagnoses that fall within the realm of normal behavior, and promoting a biological framework for diagnosis that requires medication and ignores social and political factors in behavior (Kutchins & Kirk, 1997; Marecek & Gavey, 2013; Poland & Caplan, 2004). The lists of behaviors that serve as criteria for each diagnostic category gives the impression of objectivity, but research support for these criteria is not impres- sive (Lafrance & McKenzie-Mohr, 2013; Lerman, 1996). Therefore, the impression of objectivity is an illusion.

Gender Inequity in the Diagnosis of Mental Disorders

Criticisms of gender bias appeared soon after the publication of DSM-III , occurred with the publication of DSM-IV , and continued with DSM-5 . A number of critics (Cosgrove & Riddle, 2004; Lerman, 1996; Ussher & Perz, 2013) have asserted that the DSM system includes descriptions of disorders that make women likely to be diagnosed with problem behavior, even when the behavior is not due to any pathology. That situation stems from using a male standard to defi ne what is normal, which places any behavior found more commonly in women outside the norm. Social values infl uence the process of diagnosis, and generally “professionals have used male-based norms to defi ne healthy versus pathological behavior” (Cook, Warnke, & Dupuy, 1993, pp. 312–313). This bias has resulted in defi ning behaviors such as independence and assertiveness as important for healthy mental functioning but considering emotional expressiveness as the sign of a problem.

In 1972, Phyllis Chesler proposed that diagnosis of mental disorders is fundamentally gender biased. Chesler contended that women who overconform or underconform to the traditional female gender role are subject to diagnosis; if they are either too aggressive or too submissive, they are deviant. Although Chesler’s argument centered on the diagnosis of women’s problems, the rationale can also extend to men. Those men who fail to conform to the male gender role may be at increased risk for diagnosis. Confi rmation for Chesler’s contention came from a study (Rosenfi eld, 1982) that demonstrated that gender role stereo- types relate to psychiatric diagnosis. Women and men who showed signs of psychopathology that were more typical of the other gender were more likely to be judged as candidates for hospitalization than were those who showed gender-typical disorders. A more recent study (Wirth & Bodenhausen, 2009) also found that stereotypes affect the evaluation of psychopa- thology. This study discovered that people evaluated a man with depression or a woman with alcohol abuse problems as more likely to have a disorder than when the man was alcoholic and the woman who was depressed. Both studies suggest that “deviant” deviance is seen as more serious than more “normal” deviance.

The DSM system has also received criticism for its failure to consider the life circum- stances and culture of those receiving diagnoses (Ali, 2004; Marecek & Gavey, 2013). The fi fth edition of DSM integrated cultural considerations into each diagnosis, but critics have contended that this version is even less attuned than previous editions to culture and social

Stress, Coping, and Psychopathology 441

factors that infl uence behavior. Despite the warnings about cultural factors in behavior, the conceptualization of diagnosis for behavior problems focuses on personal behavior. This focus assumes that disorders reside within the person, and that the person’s circumstances, although possibly relevant, are not the source of the problem. Thus, if a battered woman experiences distress or depression, she will still be diagnosed by her symptoms as having depression or one of the anxiety disorders. The violence of her home life may be taken into account; however, even though the symptoms warrant a diagnosis of mental disorder, that diagnosis is given to her, not to her batterer or her home circumstances. Thus, people may receive diagnoses and then treatment for depression or substance abuse disorder without addressing the social context of the problem and without the clinician considering it appro- priate to do so.

As noted in Chapter 13 , some normal female functions, such as childbearing, have become “medicalized” and thus considered abnormal. This criticism applies to premenstrual dys- phoric disorder (PMDD) , the diagnosis applied to symptoms that are very similar to pre- menstrual syndrome (PMS) (Cosgrove & Caplan, 2004). A diagnostic category limited only to women was destined to provoke controversy, and major controversy occurred with the publication of DSM-IV . DSM-5 also includes PMDD, now classifi ed as a depressive disorder (APA, 2013). Although critics have raised similar objections (Cosgrove & Wheeler, 2013), the level of controversy has not been as high.

Gendered Voices: I Think I have it

Male psychologist: “Have you read the new description of PMS that will appear in the fourth edition of the DSM? I’m really very concerned.”

Female psychologist: “Yes, I have. Premenstrual dysphoric disorder will replace late luteal phase dysphoric disorder. I’m concerned, too. It’s supposed to appear in the main body of the classifi cation under mood disorders, and I understand that the treatment will be anti- depressant drugs. It’s been very controversial, and I think that this move will keep it that way. What bothers you?”

Male psychologist: “According to my reading of the diagnostic criteria, I think I have it.”

Criticisms of gender bias have been even more frequent for the personality disorders than for many others. Part of the criticism has focused on the poorer research support for personality disorders, and some doubt exists that the DSM-5 changes have improved this problem area (Livesley, 2012). Other criticism has targeted the gender, ethnic, and social class biases inherent in the description of these disorders. The DSM-5 warns clinicians that they “must be cautious not to overdiagnose or underdiagnose certain personality disorders in females or in males because of social stereotypes about typical gender roles and behaviors” (APA, 2013, p. 648).

The DSM warning is warranted; it is possible to interpret the differential diagnosis for mental disorders by casting personality disorders as extensions of gender role stereotypes. For example, schizotypal personality disorder is characterized by “a pervasive pattern of social and interpersonal defi cits marked by acute discomfort with, and reduced capacity for, close relationships as well as cognitive or perceptual distortions and eccentricities of behav- ior” (APA, 2013, p. 655). Antisocial personality disorder appears as a “pervasive pattern of disregard for, and violation of, the rights of others” (p. 659), including lying, fi ghting,

442 Stress, Coping, and Psychopathology

stealing, and physical cruelty. Both these personality disorders include exaggerations of the traditional male gender role (Brannon, 1976). Indifference to social relationships resembles the Sturdy Oak facet of the role, with its emphasis on self-reliance and lack of emotion. Ele- ments of antisocial personality disorder resemble the Give ’Em Hell facet, with its emphasis on dominance and aggression.

Dependent personality disorder features “a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation” (APA, 2013, p. 675), which is an exaggeration of stereotypical feminine behavior. Histrionic personal- ity disorder is also compatible with gender stereotypes for women, including “pervasive pattern of excessive emotionality and attention-seeking. Beginning in early adulthood and present in a variety of contexts” (APA, 2013, p. 557). As Pamela Reed Gibson (2004, p. 201) observed, “our culture actually exerts pressure upon women to adopt and exhibit histrionic behavior but labels them mentally ill if they do so.” Table 14.3 shows some of the personality disorders, along with their prevalence and the gender-related differences in their prevalence.

Not surprisingly, studies that have investigated clinicians’ diagnoses of these personality disorders have found biases in diagnosis that are consistent with gender stereotypes for anti- social personality disorder and histrionic personality disorder (Boysen, Ebersole, Casner, & Coston, 2014; Flanagan & Blashfi eld, 2005; Samuel & Widiger, 2009) as well as borderline personality disorder (Bjorklund, 2006). Rather than automatically connecting a personality disorder with a male or female client, clinicians appear to use gender as a background piece of information that skews the process of interpreting symptoms, resulting in a bias that is consistent with gender stereotypes (Flanagan & Blashfi eld, 2005). When this bias is enacted through the diagnosis process, the result is an exaggeration of gender differences that might actually exist in these categories.

A more fundamental criticism of diagnoses of mental disorders revolves around the con- cern that women will be considered less psychologically healthy than men because in any system, men constitute the standard for what is mentally healthy (Bem, 1993). An early study (Broverman, Broverman, Clarkson, Rosenkrantz, & Vogel, 1970) laid the founda- tion for this concern by asking what constitutes a well-adjusted, healthy adult. The results

Table 14.3 Prevalence of and Gender-Related Differences in Personality Disorders

Disorder Estimated Rate in General Population

Gender Difference

Paranoid 1.9–4.4% More common among men in clinical populations

Antisocial 3.8% More common among men—75% are men

Avoidant 1.2–4% More common among women

Borderline 2.7–5.9% More common in women—75% are women

Histrionic 0.3–1.8% No difference

Narcissistic 1.0–6.2% More common among men

Dependent 0.3–0.5% More common in women

Schizotypal 0.6–3.9% No difference

Any Personality Disorder 9.1–25.1% More common in men

Source: Based on data from “Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders,” Trull et al., 2010, Journal of Personality Disorders, 24(4), 412–426.

Stress, Coping, and Psychopathology 443

showed that clinically trained psychologists, psychiatrists, and social workers described a well-adjusted, healthy person in different terms than a well-adjusted, healthy woman. For example, such stereotypically feminine traits as dependence and emotionality are not part of the concept for adult mental health. These researchers contended that the discrepancy between the ideal of mental health for a woman and that for an adult refl ected a double standard. However, later studies (Phillips & Gilroy, 1985; Wood, Garb, Lilienfeld, & Nezworski, 2002) have revealed no signifi cant gender-related differences for standards of mental health.

Even without overall bias within the system, gender and ethnic biases may enter the diagnosis process through clinicians’ personal biases and their infl uence on the decision about pathology (Wood et al., 2002). This process may include two types of judgment errors—overdiagnosis and underdiagnosis (López, 1989). The most commonly studied form of diagnostic bias has been overdiagnosis , identifying people as having disorders when they do not. Underdiagnosis is the mistake of failing to identify problems by overlooking symptoms or considering them normal. Both present problems for patients by identifying problems in people who have no pathology and by failing to diagnose problems in others who have mental disorders.

Research on under- and overdiagnosis has confi rmed these tendencies and also found a pattern of gender bias (Horsfall, 2001; Redman, Webb, Hennrikus, Gordon, & Sanson- Fisher, 1991). Standardized assessments show a similar number of men and women as psy- chologically disturbed, but the diagnosis process may lead to different results. Physicians show a tendency to underrate the psychological disturbances of men and to overrate those of women but to consider men’s symptoms as more serious than women’s. Other research (Wood et al., 2002) has confi rmed the tendency to both overdiagnose and underdiagnose certain psychological problems, but cultural differences are even more likely to contribute to over- and underdiagnosis than gender.

Therefore, both the DSM system and the process of diagnosis contain the potential for bias. The DSM contains descriptions of disorders that allow clinicians to decide which diagnosis is appropriate for a particular person. These diagnoses are included in the DSM through a committee decision that may be motivated by social or political reasons rather than accuracy or scientifi c research. The descriptions of several diagnoses seem like exaggerations of gender stereotypes, and the number of women and men who receive these diagnoses vary accordingly. In addition, clinicians’ perceptions, including gender stereotypes, intrude into the diagnosis process, providing another route for gender and cultural bias in the diagnosis of mental disorders. Unfortunately, these criticisms are not often included in textbooks about abnormal psychology (Wiley, 2004), and students may be left with the impression that the DSM system is objective and accepted without controversy—which is not true.

Gender Comparisons in Psychopathology

Chapter 13 presents information about gender differences in seeking health care, showing that women are more likely than men to do so. This tendency also applies to psychological problems. Data from large-scale surveys of mental health problems (Kessler, Brown, & Bro- man, 1981; Substance Abuse and Mental Health Services Administration [SAMHSA], 2012) showed that women seek mental health care more often than men do. Several possibilities exist for this difference, including women’s tendency to interpret problems as mental health problems (Kessler et al., 1981). Women’s help-seeking behavior is responsible for between 10 and 28% of the gender difference in treatment.

444 Stress, Coping, and Psychopathology

The circumstances that bring women and men to treatment vary. Women are more likely than men to consult general physicians about mental health problems, which opens the possibility for additional mental health consultations. Men do not make as many physician visits as women (see Chapter 13 ), so a comparable number of opportunities do not arise for them. The overall rate of hospitalization for mental disorders is similar for women and men (SAMHSA, 2012). Women are more likely to receive outpatient treatment, and men tend to be confi ned in and to stay in mental hospitals longer than women do.

In examining the patterns of gender similarities and differences for mental disorders, not all disorders show gender differences, but several do. Anxiety disorders, depression, and substance abuse disorders are among those problems that show marked gender differences, whereas schizophrenia and bipolar disorder are more evenly distributed between women and men.

Depression

The clinical diagnosis of depression varies from the popular conception of minor, temporary, low mood; depression is a severe, debilitating disorder that affects all aspects of functioning. In the DSM system, major depressive disorder is classifi ed as one of the depressive disorders and may occur in a single episode, recurrent episodes, or as persistent depressive disorder/ dysthymia (APA, 2013).

Symptoms of major depressive disorder include feelings of worthlessness, loss of inter- est and loss of pleasure, feelings of helplessness and hopelessness, changes in sleep or eating habits, and diffi culty in concentrating. These symptoms must persist for at least 2 weeks to warrant a diagnosis of major depression. Persistent Depressive Disorder/Dysthymia is milder than major depression and tends to be a chronic condition that may last for years. This diagnosis applies to people who chronically experience depressed mood, loss of interest, or other symptoms of depression, much as they would a personality trait. Major depression and dysthymia can co-occur or can exist separately.

Table 14.4 shows the prevalence of and gender-related differences in mood disorders. Women experience major depressive disorder almost twice as frequently as men (Culb- ertson, 1997; Kessler, 2003; SAMHSA, 2012). Although most societies show a ratio of female to male depression similar to that of the United States, several rural, nonmodern cultures have similar rates of depression in women and men. Among these cultures are the old-order Amish, a rural farming society in the United States. In addition, university

Table 14.4 Prevalence of and Gender-Related Differences in Depressive Disorders

Disorder Estimated Rate in General Population Gender Difference

Major depression 6.6% of adults and 8.2% of adolescents experienced an episode in previous year

More common in women (8.3%) and girls (12.1%) than men (4.7%) and boys (4.5%)

Persistent Depressive Disorder/Dysthymia

1.5% of adults within the previous year More common in women

Sources: From Results from the 2011 National Survey on Drug Use and Health: Mental Health Findings by Substance Abuse and Mental Health Services Administration, 2012, NSDUH Series H-45, HHS Publication No. (SMA) 12–4725. Rockville, MD. And Dysthymic disorder among adults by Substance Abuse and Mental Health Services Administration and National Institute of Mental Health, 2013. Retrieved October 19, 2015 from http://www.nimh.nih.gov/health/statistics/prevalence/dysthymic- disorder-among-adults.shtml

Stress, Coping, and Psychopathology 445

students, the elderly, and the bereaved show no gender differences in rates of depression. Also, gender differences in depression do not occur during childhood (Twenge & Nolen- Hoeksema, 2002), but begin during adolescence (Wade, Cairney, & Pevalin, 2002). The explanations for these fi gures have included biological as well as social and cognitive theories.

Biological contributions to the development of depression include genes and hormones. Research has failed to fi nd a simple relationship between any gene and vulnerability to depression. Instead, mounting research evidence (Bufalino, Hepgul, Aguglia, & Pariante, 2013; Caspi et al., 2003; Gellynck et al., 2013) indicates that genetic confi gurations may interact with the experience of stress to produce depression, both in adolescents (Åslund et al., 2009) and in adults (Brummett et al., 2008). Thus when genetically vulnerable individuals encounter environmental stressors, they are more likely to develop depression than individu- als without this genetic vulnerability.

Those who have sought biological explanations for the gender differences in depression usually rely on the differences in reproductive hormones, but simple versions of hormonal theories have very little clear support (Nolen-Hoeksema, 2006). Gender differences in depression begin to appear during adolescence, which suggests that estrogens may create a vulnerability to depression (Cyranowski, Frank, Young, & Shear, 2000). Consistent with this view, women are more vulnerable to depression before menopause than after (Bromberger et al., 2011). One suggestion is that estrogen modulates the action of neurotransmitters such as serotonin that is known to infl uence depression and that genetic variation in estro- gen receptors is the genetic mechanism that creates a vulnerability to depression (Ryan & Ancelin, 2012).

Alan Booth and his colleagues (Booth, Johnson, & Granger, 1999) researched the con- nection between testosterone and depression in men and found a complex relationship that also points to a physiology–environment interaction. For men with low testosterone levels, the lower their hormone level, the higher their rate of depression. For men with high testosterone levels, the higher the hormone level, the higher the rate of depression. The hypothesis is that the relationship of negative life events and high testosterone is the basis of this association; young men with high testosterone are more likely to exhibit antisocial behaviors that put them at risk for violence, including suicide; older men with low testosterone are at risk for depression (Sher, 2013). Therefore, hormones may be a factor in depression, but their role is quite complex, not clearly established, and not restricted to women.

Depression is common among older adults, including both men and women. A longitudinal study of adults over age 55 (Laborde-Lahoz et al., 2015) examined the occurrence of depression symptoms and the relation to the development of depression in later life. Not surprisingly, earlier symptoms predicted the development of major depression and anxiety disorders, but this representative sample of U.S. residents also showed that over 13% of older adults met the criteria for a diagnosis of depression. Another study (Vafaei, Ahmed, Freire, Zunzunegui, & Guerra, 2016) examined the influence of gender role in the development of depression among adults between 65 and 74 years old. Results indicated that participants who endorsed masculine or femi- nine gender role ideology were at increased risk for depression compared with those whose gender role was androgynous.

Other vulnerabilities to depression come from differences in the use of cognitive strategies for dealing with distressing events that affect more women than men. Susan Nolen-Hoeksema and her colleagues (Nolen-Hoeksema, 2006; Nolen-Hoeksema, Larson, & Grayson, 1999) proposed that the gender differences in depression arise from a combination of differences in negative experiences, feelings of mastery, and strategies for dealing with negative feelings.

446 Stress, Coping, and Psychopathology

Women have more negative experiences, lower feelings of mastery, and tend to ruminate on their feelings. Dwelling on problems and negative feelings tends to amplify the feelings, which can lead to depression. Rather than ruminate, men tend to take action, which may not solve problems. Indeed, some of these actions include unhealthy behaviors, such as drinking or drug use, but such activities do provide distraction. Figure 14.3 shows the complex rela- tionship among these factors. This pattern of interrelationships appeared in a large commu- nity study and suggested that women may become involved in a cycle of stress from negative events, low feelings of mastery, rumination, and depression. A meta-analysis of the studies on rumination showed that this cognitive style presents a risk for current and future depression among adolescents (Rood, Roelofs, Bögels, Nolen-Hoeksema, & Schouten, 2009). Other research on rumination (Michl, McLaughlin, Shepherd, & Nolen-Hoeksema, 2013) has indicated that this style of thinking may be related to anxiety disorders as well as depression.

Another cognitive explanation for women’s higher rates of depression is that their genuine emotions, goals, and desires become suppressed or “silenced” (Jack, 1991, 1999, 2011). According to this view, women are more prone to depression because society devalues women and the feminine, placing women in a position in which they must deny who they really are to get along in the world and to maintain their relationships. When women conform to this standard, they lose their sense of self and become depressed. Research support for this view is less robust than for the cognitive factor of rumination, but studies have confi rmed that scores on Silencing the Self Scale relate to depression (Besser, Flett, & Davis, 2003; Cramer, Gallant, & Langlois, 2005; Tan & Carfagnini, 2008; Ussher & Perz, 2010). However, one important contention for the Silencing the Self concept has not been supported: the restric- tion of the concept to women. According to Jack (1991), this self-silencing applies to women and explains their greater depression, but in studies that included men (Cramer & Thoms, 2003; Cramer et al., 2005; Duarte & Thompson, 1999; Ussher & Perz, 2010), self-silencing was not restricted to women, and self-silencing was related to depression. These fi ndings

Figure 14.3 Effects of Gender, Rumination, Strain, and Feelings of Mastery on Depression

Source: Adapted from “Explaining the Gender Difference in Depressive Symptoms,” by S. Nolen-Hoeksema, J. Larson, and C. Grayson, 1999, Journal of Personality and Social Psychology, 77, p. 1067. Copyright 1999 by the American Psychological Association. Adapted by permission of the American Psychological Association and Susan Nolen-Hoeksema.

Stress, Coping, and Psychopathology 447

indicate that the concept of self-silencing may be a mediating factor in the development of depression but not one unique to women.

Although gender differences exist in the diagnosis of depression, perhaps these differences represent a failure to understand men’s depression, as the headline story suggested. Women and men probably experience the negative feelings that underlie depression at similar rates, but they express their feelings differently. Women tend to turn their negative feelings inward, whereas men are more likely to take action. In women, the feelings produce symptoms consistent with the female gender role and hence with the DSM diagnostic criteria for depression. In men, the feelings produce symptoms such as substance abuse, risk taking, and violence but may still represent depression. Thus the symptoms of depression may be seen as an expression of gender role socialization for women, but men exhibit different symptoms, which have received other diagnoses.

In summary, depression appears as a category in the DSM -5—major depressive episode and persistent depressive disorder/dysthymia. Women from many cultures are more likely than men to report symptoms of and receive treatment for depressive disorders, with a ratio of nearly 2 to 1. Several explanations exist for this gender difference, including genetic and hormonal vulnerability and the cognitive style of rumination, which increase the risk for depression. Another view holds that the gender differences in depression are a product of the ways in which women and men typically deal with distress and negative mood. Women’s style includes passive behavior, which is compatible with expressing symptoms of depression, whereas men’s style is to become active, expressing symptoms of risk taking, violence, drug use, or some combination of these three behaviors. Janet Hyde and her colleagues (Hyde, Mezulis, & Abramson, 2008) have proposed a model that integrates the risk factors for depression, including gender differences.

Substance-Related and Addictive Disorders

Substance-related and addictive disorders involve the use of psychoactive substances , drugs that affect thoughts, emotions, and behavior. Examples include alcohol, amphetamines, mar- ijuana (cannabis), cocaine, hallucinogens, opiates, and sedatives, but caffeine and tobacco are also psychoactive substances. In order to be diagnosed as having one of the types of substance-related disorders, the person not only must use the drug but also must exhibit a strong desire to use the substance and experience problems in social or occupational func- tioning due to drug use.

Alcohol is the most frequently used and abused substance, and men drink more than women in the categories of light, moderate, and heavy drinking (SAMHSA, 2012). Indeed, drinking and drunkenness are associated with the male, and not the female, gender role (Capraro, 2000; Monk & Ricciardelli, 2003). People expect men to drink beer and to get drunk, but the same expectation does not apply to women (Day, Gough, & McFadden, 2004). Indeed, women (and especially feminine women) are not expected to drink beer (but are expected to drink wine) and should not get drunk (Landrine, Bardwell, & Dean, 1988).

Alcohol is not equally intoxicating for men and women. Women tend to weigh less than men, and body weight affects intoxication, meaning that each drink has a greater effect on a smaller person. In addition, some research has indicated that women’s metabo- lism of alcohol produces a higher alcohol concentration in their blood compared to that in men’s blood, even with the body-weight factor taken into account (Ward & Coutelle, 2003). Both these factors result in greater risks to women who drink moderately or heav- ily than to men who do so (Mann, 2005). Because fewer women than men are heavy

448 Stress, Coping, and Psychopathology

drinkers, however, men are more likely than women to experience the problems associ- ated with heavy drinking, including the health risks and social problems associated with alcohol abuse.

A variety of evidence suggests that drinking is related to depression for both men and women. Alcohol and other substance abuse disorders often co-occur, but the direction of the relationship has not been clear. Several longitudinal studies have demonstrated that some people use drinking (and probably other substances) as a strategy of avoidant coping (Hola- han, Moos, Holahan, Cronkite, & Randall, 2001, 2003, 2004). In a group of community adults (Holahan et al., 2001), a group of people diagnosed with depression (Holahan et al., 2003), and a contrast of the two groups (Holahan et al., 2004), drinking and depression were associated. Individuals diagnosed as depressed tended to use the strategy of drinking to cope with stress and problems, which escalated their drinking or developed alcohol-related problems over the 10 years of the study (Holahan et al., 2003, 2004). Thus, the drinking-to- cope strategy constitutes a risk of alcohol problems for depressed people. In the community sample (Holahan et al., 2001), people who reported that they used drinking as a way to cope tended to escalate their drinking and were more likely to develop problem drinking over the 10-year period of the study than people who drank for other reasons. A study of college students (Moneta, 2011) examined the link between depression and increased drinking, showing that negative cognitions and coping strategies mediated the relationship. Therefore, the link between drinking and depression may be through the strategy of drinking to cope with stress and problems, and people who lack other coping strategies may be particularly vulnerable.

Illegal drug use is also higher among men than women, with men more likely than women to use and abuse drugs such as heroin, amphetamines, cocaine, and marijuana— a pattern that parallels their alcohol use (SAMHSA, 2012). On the other hand, women are more likely to receive prescriptions for psychoactive drugs from psychiatrists (Mojtabai & Olfson, 2010), from other physicians (Travis & Compton, 2001), and in Veteran’s Admin- istration facilities (Bernardy et al., 2013). The higher rate of prescription drug use by women and the greater use of illegal drugs by men result in similar rates but different patterns of substance use. Table 14.5 summarizes the prevalence of and gender-related differences in substance use.

Table 14.5 Prevalence of and Gender-Related Differences in Substance-Related Disorders

Disorder Estimated Rate in General Population

Gender Difference

Alcohol dependence 6.8% More common in men, with a ratio of 2:1

Stimulants 0.2% More common in men, with a 3:1 or 4:1 ratio

Cannabis 1.7% More common in men

Cocaine 0.4% More common in men, with a 1.5–2:1 ratio

Hallucinogens 0.1% More common in men, with a 3:1 ratio

Heroin 0.2% More common in men, with a ratio of 1.5–3:1

Nonmedical use of psychotherapeutics

1.0% Women are at higher risk

Source: SAMHSA. (2012). Results from the 2012 Survey on Drug Use and Health: Detailed Tables. Table 5.2B & 5.8B. Retrieved October 19, 2015 from http://archive.samhsa.gov/data/NSDUH/2012SummNatFindDetTables/DetTabs/ NSDUH-DetTabsSect5peTabs1to56–2012.htm

Stress, Coping, and Psychopathology 449

Men’s drug use is more apt to be illegal, making them more likely to receive diagnoses because of their drug use. This diagnosis difference may not refl ect much of a differential tendency in substance use: “The sex differences in the use of alcohol and prescription psy- chotropics are not inconsistent with the hypothesis that men and women are equally likely to resort to substance use for coping, and that the sex difference is merely in the choice of substances” (Biener, 1987, p. 336). Perhaps women might also resort to illegal drug use if physicians were less willing to prescribe drugs for them.

In summary, the research indicates that a relationship exists between depression and alcohol use. The tendency to drink more heavily when depressed is stronger among men but not exclusive to them. Perhaps men choose this strategy for dealing with negative feelings more often than women do, so this difference in dealing with negative feelings may account for some of the gender differences in depression and substance abuse disorders. The overall pattern of drug use for men and women probably differs little, but women tend to use legal prescription drugs, whereas men’s drug use is more likely to come in the form of alcohol and illegal drugs.

Anxiety Disorders

The group of disorders labeled anxiety disorders includes panic attack, phobias, social anxiety disorder, agoraphobia, and generalized anxiety disorder, all involving features of anxiety and avoidance of problem situations. Anxiety disorders are common experiences; over 30% of adolescents and adults have experienced at least one of these disorders (Kessler, Petukhova, Sampson, Zaslavsky, & Wittchen, 2012). For adults, every type of anxiety disorder is a more common experience for women than for men, but the prevalence rates do not show such large gender differences among adolescents.

Panic attack is characterized by periods of intense fear that occur without any fear- provoking situation. These attacks are typically accompanied by physical symptoms of dis- tress, such as sweating, dizziness, and shortness of breath. This disorder is more common in women (Kessler et al., 2012). Panic disorder is associated with agoraphobia but not exclusively so; agoraphobia can occur with or without panic attacks. Agoraphobia is charac- terized by fear or anxiety about being in open spaces, a crowd, or outside the home alone, but it also can come from being in an enclosed space or using public transportation (APA, 2013). The fear or anxiety leads people to avoid the situations that might provoke such feelings. Women are also more likely to have this disorder (Kessler et al., 2012). Phobias , unreasonable fears concerning some object or situation, constitute other categories of anxiety disorder. Phobias may be specifi c phobia , which is a fear of a specifi c object or situation, or social phobia (social anxiety disorder) , which appears as a persistent fear of certain social situ- ations. Examples of specifi c phobia include fear of spiders or fl ying, and examples of social anxiety disorder include speaking in public, in which the person is judged by others or in which the person may do something embarrassing. Both types of phobias are more common among women. Table 14.6 summarizes the prevalence fi gures for differences associated with gender for anxiety disorders.

Women’s higher rate of anxiety disorders is not surprising, considering that anxiety and fear are more characteristic of the female than of the male gender role. Even as children and adolescents, girls show more of the sensitivity to anxiety that may underlie the development of anxiety disorders (Walsh, Stewart, McLaughlin, & Comeau, 2004). No gender difference appears in prevalence of panic disorder among adolescents, but the difference is signifi cant among adults, and women are more likely than men to have this and all other anxiety dis- orders (Kessler et al., 2012).

450 Stress, Coping, and Psychopathology

Other Disorders

Several other important classifi cations of mental disorders show gender differences, whereas others show few or none in prevalence, but men and women with these disorders may not exhibit identical symptoms or the same time course of the disorder. Among the disorders that appear with different frequency in men and women is obsessive-compulsive disorder (OCD) , which now has a separate listing in DSM-5 . OCD is the combination of obsession, which refers to recurrent, intrusive thoughts about something the person would prefer to ignore, and compulsion, which refers to repetitive behaviors intended to ease anxiety. To receive this diagnosis, a person must be distressed by the obsessive thoughts and must spend over an hour per day on the compulsive behaviors. Women are more likely than men to meet the diagnostic criteria for this disorder (Kessler et al., 2012).

The origin of posttraumatic stress disorder (PTSD) originally described men who suf- fered lasting effects from their war experiences, but its applicability to a wider variety of situations became evident. Now individuals receive the diagnosis when they experience the prolonged aftereffects of many different types of traumas, including natural disasters, acci- dents, and violent crime as well as military combat. Almost 12% of women in a representa- tive sample of U.S. residents met the criteria for PTSD, making it one of the most common mental disorders (Kessler et al., 2012). Women are more likely than men to develop PTSD, possibly because of the varieties of trauma and violence by which they are victimized (Nem- eroff et al., 2006).

Schizophrenia is one of the disorders that are equally common in women and men. It is a serious and complex disorder involving thought disturbances, problems in personal relationships, and possibly hallucinations. Schizophrenia is not a common diagnosis—a bit less than 1% lifetime prevalence (APA, 2013). Almost as many women as men receive this diagnosis. However, men with schizophrenics tend to be younger than women at the time of their diagnosis, less likely to be married, more likely to exhibit poor social functioning, and more likely to have been recently hospitalized (Kalisz & Cechnicki, 2002; Usall, Ochoa, Araya, & Márquez, 2003). Despite these advantages for women, they tend to have more severe symptoms than men with increasing age (Seeman, 2003). Considering these differences, male and female schizophrenics exhibited more similari- ties than differences. (See According to the Media and According to the Research, which present media confusion about schizophrenia.)

Bipolar disorder is characterized by periods of mania, high activity, and elevated mood alternating with periods of depression. These drastically different mood states change in a cyclic fashion such that the affected person experiences both mania and depression over a period of weeks or months, often interspersed with periods of normal moods. Bipolar

Table 14.6 Prevalence of and Gender-Related Differences in Anxiety Disorders

Disorder Estimated Rate in General Population Gender Difference

Panic disorder 2.1–7.0% Not signifi cantly different among adolescents; signifi cantly more common in adult women

Agoraphobia 1.7–3.7% Signifi cantly more common in girls and women

Specifi c phobias 17.1–23.0% Signifi cantly more common in girls and women

Social phobias 6.2–14.2% Almost two times more common in girls than boys; signifi cantly more common in women

Source: Based on data in “Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States” by R. C. Kessler et al., 2012, International Journal of Methods in Psychiatric Research, 21(3), 169–184.

Stress, Coping, and Psychopathology 451

According to the Media . . . Multiple Personality Disorder Creates Violent Men

In the movies, dissociative identity disorder (DID) is a popular plot device, but DID is often referred to by the older term multiple personality disorder and also often confused with schizophrenia (Byrne, 2001). In Me, Myself and Irene (Farrelly & Farrelly, 2000), Jim Car- rey’s character is called a “schizo,” and both of his personalities fall for the same woman. This movie was a comedy, but DID is usually not played for laughs; instead, movies featur- ing characters with DID either dramatize a case study of an individual with DID or present a fi ctional character as part of a plot revolving around this character’s disorder. The former movies usually feature female characters; the latter more often show men with DID.

The fi ctionalized case studies of DID include The Three Faces of Eve (1957), Sybil (1976 and 2007), and Voices Within: The Lives of Trudi Chase (1990). All of these movies pre- sented stories based on women who had experienced the symptoms typical of this disorder, including childhood trauma, memory “blackouts” during which alternate personalities dominate, and a core personality that is passive, dependent, and plagued by feelings of confusion and depression (APA, 2013). These fi ctionalized stories also contain a number of inaccuracies, but the movies in which DID is a plot device portray individuals with dissociative personality disorder who are typically male and murderous. In movies such as Psycho (1960), Raising Cain (1992), Primal Fear (1996), Fight Club (1999), and Identity (2003), men with DID commit murder (or try to get away with murder). Even in movies with fi ctional female characters with DID, such as Dressed to Kill (1980) and Never Talk to Strangers (1995), these female characters are killers. These movies send the message of “hidden evil in the person tainted with mental illness” (Byrne, 2001, p. 27).

According to the Research . . . People with Dissociative Identity Disorder are Usually Nonviolent Women

Movie portrayals of multiple personalities as killers offer screenwriters an easy way to show bizarre, violent behavior, but these media images are inaccurate in many ways. First, the term multiple personality disorder is not the current diagnosis; the current term is dissociative identity disorder (DID). This disorder was a rare diagnosis until the 1980s (Pope, Poliakoff, Parker, Boynes, & Hudson, 2007), and its increase has made it controversial (APA, 2013). Women receive this diagnosis more often than men, and these women are likely to have experienced sexual abuse and trauma as children (Foote, Smolin, Kaplan, Legatt, & Lipschitz, 2006).

Second, the portrayal of individuals with DID as violent is even more inaccurate. “Con- fusing schizophrenia with DID is unfortunate, but the violence these fi lms depict adds mis- understanding to misinformation. That misunderstanding equates ‘split personality’ with ‘nice guy/murderer’” (Byrne, 2001, p. 27). Even Jim Carrey in Me, Myself, and Irene (2000) had a violent (but comic) personality that got into a fi ght with himself, as did Edward Nor- ton’s character in Fight Club (Bell & Fincer, 1999). Norton’s character was also a murderer.

Research on the infl uence of media portrayals of people with mental illness has revealed that these depictions have the power to infl uence people’s attitudes and behaviors. The association of mental disorders and violence in the media is exaggerated; characters with mental illness are 10 to 20 times more likely to be violent than actual mental patients or former mental patients (Diefenbach, 1997). In addition, a study with college students showed a relationship between negative attitudes toward the mentally ill and watching portrayals of mental disorders on television (Granello & Pauley, 2000). Therefore, the inaccurate depictions of DID in the media serve not only to convey inaccurate informa- tion but also to perpetuate the stigma associated with mental illness.

452 Stress, Coping, and Psychopathology

disorder shows no gender differences in prevalence (Kessler et al., 2012). However, women may manifest symptoms somewhat differently, spending more time in both depressive and manic phases than men and cycling from manic to depressed more rapidly (Rasgon et al., 2005).

The somatic symptom disorder includes the experience of physical symptoms of dis- ease, but no identifi able physical basis for those symptoms. This experience is common, but some individuals develop a persistent pattern of worry and seek care from many types of medical professionals (Bouman & Eifert, 2009). Women account for 95% of diagnoses of this disorder in the United States (Tomasson, Kent, & Coryell, 1991), but in some other cultures, this gender discrepancy is not large. For example, the ratio of women to men in Germany is 1.6 to 1 rather than 20 to 1 (Ladwig, Marten-Mittag, Erazo, & Gün- del, 2001). Given physicians’ tendency to dismiss the physical complaints of women and attribute those complaints to emotional problems (see Chapter 13 ), this diagnosis may be erroneously applied to women who have physical rather than mental problems (Klonoff & Landrine, 1997).

A related condition is illness anxiety disorder , which prompts individuals to become anxious and preoccupied with their health (APA, 2013). However, this disorder shows no gender difference in prevalence. Conversion disorder , the loss of physical function without any physical basis for the disability, was originally called hysteria and restricted to women. In the late 1800s, this disorder was so strongly associated with women that the extension of the label to men was controversial. The American Psychiatric Associa- tion (2013) estimated that conversion disorder is two to three times more common in women than in men.

Sexual disorders occur in conjunction with many mental disorders, but two catego- ries in DSM-5 focus on sexual problems: sexual dysfunctions and paraphilias. Sexual dysfunctions consist of abnormally low (or high) levels of sexual desire, or diffi culty achieving arousal or orgasm. Women are more likely to receive diagnoses indicating abnormally low levels of sexual desire or inhibited orgasm, but men also experience these sexual problems. For example, erectile disorder and delayed ejaculation are restricted to men.

When people receive diagnoses of abnormally low (or high) sexual interest or activ- ity, these diagnoses require a standard of comparison, which may be their previous behavior as compared with their currently decreased (or increased) interest. Some critics (Working Group on a New View of Women’s Sexual Problems, 2004) have questioned the DSM framework of sexual problems, especially for women. The possibility exists that patients may be held to some arbitrary standard of what constitutes normal levels of sexual activity, and they may be diagnosed on the basis of behavior that is deviant merely by defi nition.

Paraphilic disorders are characterized by intense sexual feelings in response to objects or situations, such as nonhuman objects, children, nonconsenting persons, or even the suffering of self or others. The nonhuman objects include animals or items of cloth- ing, and the situations include exposing one’s genitals to strangers, fondling strangers in public places, observing sexual activities, or dressing in gender-inappropriate clothing. Sexual masochism—experiencing pleasure from receiving pain or humiliation—and sexual sadism—experiencing pleasure from infl icting pain or humiliation on one’s sexual partner— are also among the paraphilias. Voyeuristic disorder occurs when individuals observe unsus- pecting others who are naked or involved in sexual activity and constitutes the most com- mon sexual behavior that involves breaking the law (APA, 2013). Knowing the prevalence of paraphilias in the general population is diffi cult, but among those diagnosed with these disorders, men are 2 to 10 times more common than women.

Stress, Coping, and Psychopathology 453

A summary of the prevalence and gender-related differences and similarities for the disor- ders presented in this section—including sexual disorders—appears in Table 14.7 .

In summary, several mental disorders show patterns of gender differences, and some dis- orders that have no overall discrepancy in prevalence do show gender differences in onset

Table 14.7 Prevalence of and Gender-Related Differences in Selected Disorders

Disorder Estimated Rate in General Population

Gender Difference

Obsessive-compulsive disorder* 1.8–3.6% Signifi cantly more common in women

Posttraumatic stress disorder* 2.3–11.7% Signifi cantly more common in girls and women

Bipolar disorder* 2.1–3.1% No signifi cant gender difference

Schizophrenia** <1% No gender difference

Somatic symptom disorder** 5–7% Likely more common in women

Illness anxiety disorder** 1.3–10% No gender difference

Conversion disorder** Unknown More common in women, with a ratio of 2–3:1

Dissociative identity disorder** 1.5–1.6% Similar in women and men

Sexual dysfunction** Varies with disorder and age

Some disorders are restricted to men or women

Paraphilic disorders** 1–30% Much more common in men, with the ratio of men to women of 2–10:1

Sources: *Based on data in R. C. Kessler et al. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184.

** Based on data in American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edition). Washington, DC: American Psychiatric Publishing

Gendered Voices: The Doctor Wouldn’t Listen

The case of a young woman who was in one of my classes is a good example of a woman whose physician failed to take her complaints seriously. This young woman felt unwell, experiencing a variety of symptoms, including chest pain, abdominal pain, and lack of energy. She consulted her physician, who had been her family’s doctor since she was a child. He asked her about her symptoms and about her life. She described how she felt and where it hurt, along with the stresses and problems she had recently experienced: Her parents were getting divorced, and she felt so tired that school was diffi cult to manage. The physician said that she was experiencing stress and told her to relax, assuring her that she would feel better.

She tried but felt no better. After several visits, the woman was convinced that she had a problem that the physician was missing, and he was equally convinced that she had a mental problem that she failed to acknowledge. She consulted another physician, who might have behaved much as the fi rst did, but instead, the physician did a series of tests that revealed a kidney tumor, which required immediate surgery. Her many symptoms and the stresses in her life were consistent with a number of diagnoses, but her family physician failed to take her physical complaints seriously, insisting that she was experiencing psycho- logical distress rather than organically based physical problems.

454 Stress, Coping, and Psychopathology

or experience. The most dramatic gender differences occur for anxiety and depressive disorders—diagnoses overwhelmingly given to women—and sexual paraphilias—diag- noses overwhelmingly given to men. Schizophrenia and bipolar disorder show no gender difference in prevalence, but men and women with schizophrenics and bipolar disorder show some behavioral differences. The gender differences in bipolar disorder relate to the rapidity of cycling, with women more likely to cycle rapidly.

Although psychopathology constitutes more than exaggerated gender role behavior, all gender differences in mental disorders lend themselves to interpretations through a lens of gender. People tend to exhibit pathology related to gender stereotypes—women show signs of weakness and physical complaints, whereas men show violence and hypersexuality. The patterns in rates of mental disorders for men and women refl ect the power of gender stereotypes. When violations of gender roles occur, clinicians are likely to perceive that these patients have more severe problems than patients who exhibit psychopathology consistent with gender stereotypes.

Considering Diversity

Gender stereotypes are not the only possibility for biased diagnosis with the DSM sys- tem; ethnic stereotypes can also influence the labeling of mental disorders. The DSM system represents the summary of the American Psychiatric Association’s evaluation of mental disorders, and the psychiatrists who compose this organization are mostly male, mostly White, and mostly from countries in North America. However, considering cultural factors in diagnosis takes knowledge and time, which may be a challenge in the current cost-conscious health care climate (Roysircar, 2005) and may not be adequate to ensure proper diagnosis (Ton & Lim, 2006). For the most part, the diagnostic catego- ries describe symptoms that people manifest in cultures around the world (U.S. Depart- ment of Health and Human Services [U.S. DHHS], 2001). However, there are errors both ways.

The latest edition of the DSM (APA, 2013) contains repeated warnings to clinicians to be sensitive to culture when making diagnoses. Indeed, DSM-5 includes a section titled “Culture-Related Diagnostic Issues” for most of the diagnostic categories (whereas only some categories contain a section titled “Gender-Related Diagnostic Issues”). In addi- tion, Section III of DSM-5 contains information on cultural factors in diagnosis, includ- ing the cultural formulation interview. The Appendix contains a glossary of cultural concepts of distress, which contains some of the descriptions of syndromes that appeared in DSM-IV-TR as culture-bound syndromes , patterns of abnormal behavior that are unique to a specifi c cultural group. These cultural concepts of distress include ataque de nervios , a disorder experienced in Latin American and Mediterranean cultures. This disorder includes symptoms of uncontrollable shouting and crying, fainting episodes, a sensation of heat rising within the body, and aggressive outbursts, usually precipitated by some stressful event. The affected person may have no memory afterward of the events that occurred during the attack. Women and adolescent girls are more likely than others to experience ataque de nervios, but men and even children have been identifi ed with this disorder (Guarnaccia, Martinez, Ramirez, & Canino, 2005). Dhat syndrome is another cultural concept of distress; it appears in South Asian cultures and involves young men with symptoms of anxiety, weight loss, fatigue, weakness, impotence, and

Stress, Coping, and Psychopathology 455

depression, which they attribute to a loss of semen. DSM-5 omits these disorders from its main classifi cation, but it includes a disorder that is restricted to Western cultures— bulimia. This eating disorder described in the DSM-5 fails to appear in other cultures (Keel & Klump, 2003). Other disorders that seem to occur only in Western cultures include premenstrual dysphoric disorder (Chrisler, 2008) and dissociative amnesia (Pope et al., 2007). Thus, the DSM system consists of omissions and inclusions, both with a Western bias.

Research on clinician bias has suggested that the cultural sensitivity recommended by the DSM does not occur as often as it should (Jarvis, 2008; U.S. DHHS, 2001). When the ethnicity of the clinician and patient matches, clinicians reported more psychosocial events that may infl uence behavior and fewer Personality Disorder diagnoses than in diagnostic situations in which White clinicians diagnosed Hispanic clients (Zayas, Cabassa, Perez, & Howard, 2005). When comparing the diagnoses for African Americans made by clinicians to diagnoses made by following a standardized assessment strictly, clinician bias became evident (Trierweiler et al., 2000). This bias is likely responsible for the fi ndings that people of African descent receive more diagnoses of schizophrenia than White people, both in the United States (Trierweiler et al., 2000) and in the United Kingdom (Boydell et al., 2001). Even when African Americans reported symptoms consistent with depression, the tendency was to diagnose them as schizophrenic.

Other research has identifi ed both ethnicity and social class as factors in psychiat- ric disorders as well as in access to treatment (U.S. DHHS, 2001). After controlling for several factors including socioeconomic level, the difference in rates of diagnosed mental illness between African Americans and White Americans disappeared. However, educational and income levels are lower for African Americans and Hispanic Americans than Whites, and thus these two factors relate to the risk of mental illness. Without statistical controls for these factors, they make a signifi cant difference in risk for mental health problems.

Looking beyond the United States, similarities appear in psychopathology and in the fac- tors related to its development around the world. However, different countries show different rates of problems (WHO World Mental Health Survey Consortium, 2004). For example, a much higher percentage of people in the United States (26.4%) and the Netherlands (14.9%) reported some type of psychological problem during the past year than did people in Shanghai (4.3%) or Nigeria (4.7%).

Some of the gender differences that appear in the United States also occur worldwide. For example, depression is a common mental disorder around the world and affects women more often than men (Whiteford et al., 2013). Some of the factors that relate to women’s risk for mental disorders in the United States also operate throughout the world, including inequitable treatment in family relationships, violence, and poverty. Both women and men who live in war-torn areas are at increased risk for PTSD as a result of the violence in their countries, and women’s lack of education, limited access to good jobs, and dependence on men for survival place women at risk for depression and anxiety disorders, which are more common diagnoses for women than for men throughout much of the world. Like men in the United States, men elsewhere throughout the world receive more diagnoses of drug and alcohol abuse, suggesting that the male gender role and its pressures that prompt U.S. men to cope with negative feelings by alcohol and drug use operate in many cultures. As in the United States, psychopathology tends to follow gender role patterns.

456 Stress, Coping, and Psychopathology

Summary

Women experience more stress than men, and women’s roles are the most probable sources of these differences. Women’s roles often obligate them to provide physical and emotional care for their families, but they may not receive as much social support as they give. An increasing body of evidence has implicated violence as a factor contributing to a variety of mental disorders. Although men are the more common targets of violent crime, women are more commonly the victims of intimate violence, including child- hood sexual abuse, rape, and partner battering. Discrimination is a pervasive experience that increases stress in the lives of both ethnic minorities and women. Poverty is related to both violence and discrimination and poses other risks that disproportionately affect women and ethnic minorities, both of whom have higher rates of mental disorders than White men.

Comparisons of women’s and men’s coping strategies have been complicated by the need to examine differences in stressful situations in their lives. Studies that fail to control for these factors tend to support the stereotypical view that women use emotion-focused techniques more often and men use problem-focused coping. Women use social support as a coping strategy more often than men do, but the situation is more important than gender in the selection of a coping strategy.

Gender differences in patterns of psychopathology have been the source of accusations of gender bias in construction of categories and in the process of diagnosis. These criticisms have centered on the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) of the American Psychiatric Association. This publication contains a descriptive system for assign- ing diagnoses to people’s behavioral problems. Using the DSM system, clinicians match each patient’s symptoms against a description and make diagnoses.

Women’s higher rate of treatment and the gender differences in some categories of disor- ders have led some critics to argue that there is pervasive gender bias in the DSM , especially in the personality disorder diagnoses. The descriptions of these disorders appear to exagger- ate traits of the female and male gender roles, and the expected gender differences appear in these disorders.

The clinicians who apply the criteria may also be biased, holding men as the standard for both women’s and men’s mental health. Early research indicated that clinicians value mas- culine traits above feminine ones. These biases may be weakening, but clinicians are more likely to overdiagnose women’s and underdiagnose men’s mental disorders. Although clini- cians may not be personally prejudiced, gender forms a backdrop against which clinicians evaluate symptoms, creating bias in diagnoses.

Many categories of mental disorders show few gender differences, but major depressive disorder and substance-related disorders show marked gender differences, with women being more often diagnosed with depression and men more often diagnosed with substance abuse problems. Models of both disorders include biological and cognitive components—biological factors create vulnerabilities that environmental stressors and cognitive patterns precipitate into disorders. Gender differences in these two behavior problems may refl ect differences in expressing similar underlying, negative feelings: Women express their negative feelings in ways that receive a diagnosis of depression, whereas men channel their negative feelings into risky behaviors such as alcohol and drug abuse.

Other mental disorders show few gender differences in prevalence, such as obsessive- compulsive disorder, schizophrenia, and bipolar disorder. Some disorders do tend to fall along gender-stereotypical lines, such as phobias, which are more common among women, and paraphilic disorders, which are far more common among men. Therefore, the patterns of abnormal behavior refl ect aspects of the gender roles of women and men.

Stress, Coping, and Psychopathology 457

Ethnic bias may also affect diagnoses of mental disorders, and several ethnic groups in the United States receive diagnoses at higher rates than Whites do. People in these ethnic groups tend to be more burdened with risks such as poverty, violence, and discrimination. Patterns of gender difference exist throughout the world, and so do some mental disorders, but some patterns of distress appear in one culture and not in others.

Glossary

agoraphobia an Anxiety Disorder characterized by anxiety about being in places or situa- tions in which escape might be diffi cult or embarrassing.

antisocial personality disorder a Personality Disorder that is characterized by irresponsible and antisocial behavior such as lying, fi ghting, stealing, and physical cruelty.

bipolar disorder one of the disorders in the category of Bipolar and Related Disorders. Bipo- lar disorder is characterized by periods of mania—high activity and elevated mood— alternating with depression.

coping the process of changing thoughts and behaviors to manage situations that involve potential stressors.

culture-bound syndromes patterns of abnormal behavior that are unique to a specifi c cultural group.

dependent personality disorder a type of Personality Disorder that features excessive desires to be cared for combined with submissive, clinging behaviors and fear of separation.

diagnosis classifi cation of a physical or psychological problem. histrionic personality disorder a type of Personality Disorder that is characterized by exces-

sive emotionality and attention-seeking behavior, beginning in early adulthood and appearing in a variety of situations.

major depressive disorder a diagnosis within the category of Depressive Disorders that is applied to severe symptoms of depression, such as feelings of worthlessness, loss of interest and pleasure, feelings of helplessness and hopelessness, changes in eating or sleep habits, and diffi culty concentrating.

obsessive-compulsive disorder the combination of obsession (recurrent, intrusive thoughts about something the person would prefer to ignore) and compulsion (repetitive behav- iors intended to prevent anxiety).

panic attack one of the Anxiety Disorders, characterized by periods of intense fear that occur without any fear-provoking situation and accompanied by physical signals of distress.

paraphilic disorders a type of sexual disorder characterized by intense sexual feelings in response to objects or situations that are unusual.

persistent depressive disorder/dysthymia a diagnosis within the category of Depressive Disorders that is applied to milder but chronic symptoms of depression, including depressed mood, loss of interest and pleasure, or other symptoms over an extended period, often for months or years.

phobia unreasonable fears concerning some object (specifi c phobia) or social situation (social anxiety disorder/social phobia).

posttraumatic stress disorder (PTSD) one type of Trauma- and Stressor-Related Disor- ders that involves the experience of some distressing event outside the range of normal human experience, the re-experience of the event, avoidance of stimuli associated with the event, and increased sensitivity to associated experiences. These symptoms must persist for at least one month.

458 Stress, Coping, and Psychopathology

premenstrual dysphoric disorder (PMDD) a controversial diagnostic category that appears as a subcategory of Depressive Disorders of DSM-5. Its symptoms are severe versions of premenstrual syndrome, and the diagnosis is restricted to women.

psychoactive substances drugs that affect thoughts, emotions, and behavior. schizophrenia a serious and complex disorder within the Schizophrenia Spectrum and

Other Psychotic Disorders in DSM-5 . Schizophrenia involves thought disturbances, problems in personal relationships, and possibly hallucinations.

schizotypal personality disorder a Personality Disorder characterized by pervasive pattern of social and interpersonal defi cits marked by acute discomfort with, and reduced capac- ity for, close relationships as well as cognitive or perceptual distortions and eccentricities of behavior.

sexual dysfunctions a category of disorders that includes problems with low or high level of sexual desire, or diffi culty achieving arousal or orgasm.

social support receipt of emotional and material resources from friends and family members. somatic symptom disorder a classifi cation of disorders that includes problems with physical

symptoms of disease but with no physical basis for these symptoms. stress a response that occurs when circumstances place people in situations that tax or exceed

their resources and endanger their well-being.

Suggested Readings

Brooks, Gary R. (2001). Masculinity and men’s mental health. Journal of American College Health, 49 , 285–297. Brooks discusses the “dark side of masculinity” and how fulfi lling the masculine gender role may be a danger

to men’s mental health but also a problem for women.

Freeman, Daniel; & Freeman, Jason. (2013). The stressed sex: Uncovering the truth about men, women, and mental health . New York: Oxford University Press. This book explores the questions posed in this chapter in greater depth by considering the gender differences

in diagnoses of mental illness and the factors that underlie these disorders.

Hyde, Janet Shibley; Mezulis, Amy H.; & Abramson, Lyn Y. (2008). The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological Review, 115 (2), 291–313. This article works toward providing a model of depression that explains gender differences through a blending

of the research from psychology and biology and a consideration of the social and environmental factors that affect women and men to different extents.

Marecek, Jeanne; & Gavey, Nicola. (2013). DSM-5 and beyond: A critical feminist engagement with psychodi- agnosis. Feminism & Psychology, 23 (1), 3–9. Marecek and Gavey review the DSM-5 , tracing its history and highlighting how the system includes bias in

many ways. This article is an introduction to a special issue of Feminism & Psychology that provides many critiques of this diagnostic system.

Suggested Websites

Many opportunities exist for online stress assessments. The original stress assessment is Holmes and Rahe’s Social Readjustment Rating Scale (https://socialwork.buffalo.edu/content/dam/socialwork/home/self-care-kit/ holmes-rahe-life-stress-inventory.pdf ). Other options include an assessment oriented toward college students (https://students.asu.edu/fi les/StressChecklist.pdf ). Queendom offers a stress and coping assessment (http:// www.queendom.com/tests/access_page/index.htm?idRegTest=3106).

The Social Psychology Network is an organization that maintains an extensive webpage (www.socialpsychology. org). This site includes over 5,000 links to psychology-related resources, including an extensive list of links to sites with information about clinical problems (http://www.socialpsychology.org/clinical.htm), which covers a wide range of topics, including eating disorders, depression, anxiety disorders, schizophrenia, and suicide.

Stress, Coping, and Psychopathology 459

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Headline: “Colorado Launches Man Therapy to Break Down Mental Health Stigmas,” Nation’s Health , October 2012

Dr. Rich Mahogany appeared in July 2012, as part of a suicide prevention public health campaign in Colorado (Krisberg, 2012), but Dr. Mahogany went international in 2013, when a similar campaign in Australia borrowed his approach for its own suicide prevention campaign (McCrimmon, 2013). Dr. Mahogany espouses Man Therapy tm , an outrageous mixture of exaggerated manliness intended to combat the stigma that is associated with seeking help for depression.

With his diploma from Porksausage University and his outrageous antics, Dr. Mahogany is clearly fi ctional, but depression and suicide are serious problems among men, who are even more reluctant than women to seek help for their problems. Dr. Mahogany’s creators believe that “men think therapy is for women and sissies. So they don’t seek the help that they need, when they need it” (in McCrimmon, 2013, p. 7). By creating this humorous character, they hoped to allow the good doctor to dispense online advice that men would seek and heed (Spencer-Thomas, Harrod, & Conrad, 2012).

Mental disorders and seeking treatment carry a stigma that is more severe for men but also affects women. A study that included people from 16 countries confi rmed this worldwide bias (Pescosolido, Medina, Martin, & Long, 2013). Although people in these countries recognized the disorders, believed that the disorders were neurologically based, and endorsed seeking therapy, they also expressed prejudices against people whose behaviors showed symptoms of depression or schizophrenia. These prejudices included doubting the ability of people with these disorders to hold responsible positions or care for children as well as fearing their tendency to harm themselves. The belief in the benefi ts of therapy is well founded; most people who seek therapy benefi t and are satisfi ed with the outcome. The problem is getting people into treat- ment, especially men. Those who take the step toward getting help have a variety of choices.

Approaches to Therapy

Throughout the history of therapy, the approach to treatment has been tied to the concep- tualization of the source of problems. During the 19th and early 20th centuries, medicine became the model for understanding mental disorders, and the view developed that such problems were the result of problems in mental functioning. Therapies for the treatment of mental disorders arose and became part of psychiatry and psychology.

Psychoanalysis

Sigmund Freud developed a system of therapy that has infl uenced treatment as well as contemporary thinking about mental disorders. Psychoanalysis is a talk-based approach

Treatment for Mental Disorders 15

Treatment for Mental Disorders 469

to psychotherapy that fi ts into Freud’s comprehensive theory of personality development and functioning. ( Chapter 5 presents the Freudian approach to personality development.) Freud believed that psychological problems develop when people are incapable of deal- ing with problems and use repression to push problematic material into the region of the unconscious. The unconscious does not function rationally, so repressed material has the potential to remain in the unconscious throughout childhood and adulthood and can pro- duce problems at any time.

Psychoanalysts attempt to help patients resolve their problems by bringing unconscious material to consciousness so that patients may deal with these problems rationally. Once patients gain insight into the source of their confl icts, Freud believed that the confl ict would disappear. Therefore, bringing repressed material to consciousness was a goal of psycho- analysis. Although Freud and his colleagues were physicians, psychoanalysis developed as a talk-based treatment for mental disorders; the source of mental disorders was psychological, and the treatment was accomplished through talking about the problems. Table 15.1 sum- marizes the elements of psychoanalytic therapy.

Dissatisfaction with some aspects of psychoanalysis prompted the development of other therapies, but they were also based on talking about problems. Karen Horney (1939), who protested the Freudian view of women, offered an alternative theory and therapeutic inter- vention (Westkott, 1997). ( Chapter 5 also includes information about Horney’s alternatives to Freudian theory.) Other talk-based therapies departed from the psychoanalytic frame- work, with its emphasis on early childhood and unconscious factors. Thus, these alternatives fi t into other models of therapy, such as humanistic, cognitive, and behavioral therapies.

Humanistic Therapy

Humanistic theories of personality hold a more optimistic view, proposing that people are innately drawn toward fulfi lling their human potential. If they fail, the reasons lie in their circumstances and in their environments, which somehow prevent the complete develop- ment of their full potentials. This context-sensitive, optimistic view of humanity is refl ected in Carl Rogers’s client-centered therapy.

Rogers (1951, 1961, 1980) proposed that human development follows a natural course toward health unless events block this development. Rogers believed that problems origi- nate from distortions in self-concept, and these distortions arise from a lack of acceptance of true feelings. When children get messages that the feelings they experience are unaccept- able, they begin to deny these feelings. Lack of acceptance of feelings leads to inaccuracies in self-concept and interferes with many facets of development.

Client-centered therapy seeks to help people develop their full potential by providing a safe therapeutic environment (Kaplan & Yasinski, 1980). To form a relationship with an

Table 15.1 Elements of Psychoanalytic Therapy

Category Description

Underlying source of problems Childhood trauma plus insuffi cient ego to deal with trauma

Cause of problems Repression of unconscious confl ict

Immediate source of problems Repressed material escapes from unconscious

Goal of therapy To bring repressed material to consciousness

Techniques Talking, free association, dream analysis

Practitioners Psychoanalysts (who are usually psychiatrists)

470 Treatment for Mental Disorders

empathic, acceptant, and genuine counselor is of primary importance. Thus, client-centered counselors offer three conditions to their clients—unconditional acceptance, empathy, and congruence. The most important of these is congruence, which refers to the ability to be genuine, whole, and to be what a person truly is (Feist, Feist, & Roberts, 2013). These three conditions are essential for clients to experience growth, and all three arise from clients’ relationship with the counselor. Given these three conditions, the process of therapy occurs.

The counselor does not work directly on changing clients, who must do that for them- selves. The counselor’s job is to provide clients with therapeutic relationships so that clients can reclaim their abilities to move toward personal growth and development. The focus is on allowing clients to think in undistorted ways, assuming that behavior changes will follow.

Other humanistic therapies exist, and all share the view that fulfi llment is a natural goal that people can reach, but barriers exist that block psychological growth. Humanistic thera- pists attempt to provide an atmosphere that permits clients to move in the natural direction of self-enhancement. Table 15.2 summarizes the elements of humanistic therapy.

Cognitive Therapy

Clients’ thoughts are important in humanistic therapy, but these thought processes are the major focus in cognitive therapy. Cognitive therapists believe that thought processes are the basis of feelings and behavior; they create psychological problems and also provide the potential for alleviating those problems. Behavior and emotions follow from cognition, so changes in cognition provide the foundation for changes in behavior.

Albert Ellis (1962) developed rational–emotive therapy (RET), one of the earliest cogni- tive therapies, in response to what he saw as the failure of psychoanalysis to solve people’s problems. Ellis objected to both the length and nondirective nature of psychoanalysis, insist- ing instead that therapists should set goals and that therapy should be brief and problem oriented. RET views psychological problems as a result of people’s irrational beliefs, and RET attempts to change these beliefs, assuming that changes in beliefs will produce changes in emotions and behavior.

Aaron Beck (1985) developed a cognitive therapy specifi cally for depression, which con- centrates on the distorted, self-defeating thoughts that accompany depression. Beck con- tended that depressed people overgeneralize personal failures into the belief that they are worthless, and that they explain positive occurrences as exceptions to the general rule of failure. Depressed people also magnify the enormity of negative events, seeing these events as catastrophic and unchangeable. Selective perception is another cognition that adds to depression, causing depressed people to notice the negative elements of their surroundings and ignore the positive ones. These distortions of thinking magnify and maintain negative

Table 15.2 Elements of Humanistic Therapy

Category Description

Underlying source of problems Discrepancy between genuine feelings and acknowledged emotions; feelings of not being whole

Cause of problems Blockage of development toward full potential

Immediate source of problems The problem that prompts a client to seek therapy

Goal of therapy To provide an atmosphere that allows clients to move toward personal growth

Techniques Empathic listening, providing unconditional positive regard, showing congruence

Practitioners Psychologists, social workers, counselors

Treatment for Mental Disorders 471

cognitions and thus perpetuate depression. Beck’s cognitive therapy attempts to help clients change their negative thinking patterns by testing the beliefs to evaluate their validity and by fi ndings ways to introduce pleasurable experience into the lives of depressed people.

Table 15.3 summarizes cognitive therapies. These therapies, such as Beck’s cognitive ther- apy, assume that cognitions underlie psychological problems and that changing cognitions will change behavior. Rather than concentrating on behavior itself, these therapies concen- trate on thoughts. Another therapeutic orientation takes an alternative approach—behavior modifi cation emphasizes behavior rather than cognitions.

Behavior Modifi cation

Behavior modifi cation is a technique based on operant conditioning applied to changing undesirable behavior. Researchers who were exploring the principles of learning discovered that reinforcement and punishment are powerful forces in determining behavior. Not only do these principles apply to the nonhuman animals commonly used in laboratories, they also apply to humans and their complex behaviors. Behavior modifi cation theory holds that such behaviors are learned and maintained by reinforcement and punishment; application of these two principles can change unacceptable behavior. Behavior modifi cation strives to replace inappropriate or deviant behaviors with other healthier behavior patterns through the use of reinforcement and punishment. Although both have been used in behavior modifi ca- tion programs, reinforcement for desirable behavior is more common than punishment for undesirable behavior.

Behavior modifi cation is more specifi c and task oriented than talk-based psychotherapies are. For example, behavior modifi cation is often the choice for various skills training, such as developing assertiveness, dealing with phobias, or changing eating patterns. In such pro- grams, a client learns to replace maladaptive behaviors with other responses that are adap- tive and acceptable in specifi c situations. Women are the most common clients for behavior modifi cation because they are the ones who most often seek treatment for assertiveness problems, eating disorders, depression, and phobias.

Cognitive behavior therapy is a variation of behavior modifi cation that accepts the impor- tance of cognition in producing behavior and applies the principles of reinforcement to bring about behavioral changes (Fodor, 1988). As with behavior modifi cation, this therapeutic approach assumes that problems are the result of learned patterns of maladaptive behav- ior, but the therapy typically differs from behavior modifi cation by focusing on chang- ing thought patterns and carrying those changes through to behavior. Cognitive behavior therapy tends to be more collaborative than behavior modifi cation, with the client playing an active role by establishing goals and in developing a treatment plan. The client, rather

Table 15.3 Elements of Cognitive Therapy

Category Description

Underlying source of problems Irrational beliefs

Cause of problems Application of irrational beliefs to personal circumstances

Immediate source of problems The problem that brings a person to therapy

Goal of therapy To change irrational beliefs to more rational beliefs

Techniques Confronting and disputing irrational beliefs; testing the validity of negative cognitions

Practitioners Psychologists, social workers, counselors

472 Treatment for Mental Disorders

than the therapist, may monitor and reward the desired behavior, leading clients toward self- regulation. Table 15.4 summarizes behavior modifi cation and cognitive behavior therapy.

Medical Therapies

Talk-based psychotherapies and behavior modifi cation are practiced by psychologists, social workers, counselors, and psychiatrists, but medical therapies are the specialty of psychiatrists and other physicians, but psychologists are attempting to change prescribing laws so that they may gain prescription privileges for psychoactive drugs (Heiby, DeLeon, & Anderson, 2004). Psychoactive drugs are the most common of the medical therapies, which take the approach of altering brain functioning in order to change thoughts and behavior. Practitio- ners may use these drugs in conjunction with psychotherapy or alone.

Since the 1950s, both the use and the number of psychoactive drugs have increased. Psychoactive drugs are prescribed to treat schizophrenia, depression, anxiety, and other disorders. Women receive more drug prescriptions than men, and this difference applies to psychoactive as well as other types of drugs (Anthony et al., 2008). A 1970 review of the patterns of prescription psychoactive drug use in Canada, the United States, and the United Kingdom showed a consistently higher rate of use for women (Cooperstock, 1970). More recent research has shown a continuation of gender differences in prescriptions. New drugs continue to appear for the treatment of schizophrenia, anxiety disorders, and depression. The trend toward prescribing multiple drugs for these disorders has increased since the mid-1990s, and increasingly frequently, patients leave psychiatrists’ offi ces with prescriptions for two or three medications (Mojtabai & Olfson, 2010). Women are tar- geted as consumers of drugs for depression and anxiety, both in advertising to physicians (Woodlock, 2005) and in television and magazine advertisements to consumers, urging them to ask for prescriptions (Chananie, 2005). This strategy is successful—when patients ask, physicians are much more likely to prescribe the medication (Kravitz et al., 2005). Not surprisingly, women receive more prescriptions for psychoactive drugs than men (Anthony et al., 2008).

Electroconvulsive therapy , the delivery of electrical shock to the brain, is also a medical approach to behavior problems. The resulting convulsions have a therapeutic effect, although the reasons for the benefi cial effects remain unclear, and serious side effects can occur. This approach became common during the 1940s and remains in use today, mostly for major depression and bipolar depression in patients who have failed to respond to antidepressant drugs (Medda, Perugi, Zanello, Ciuffa, & Cassano, 2009). Because a majority of the cases of depression occur in women, they are the most frequent recipients of this therapy. This

Table 15.4 Elements of Behavior Modifi cation and Cognitive Behavior Therapy

Category Description

Underlying source of problems None

Cause of problems Behavior that is not adaptive or successful in specifi c situations

Immediate source of problems The problem that brings a person to therapy

Goal of therapy To change behavior (or cognitions that underlie behavior) to more acceptable alternative behaviors

Techniques Reinforcement for acceptable behaviors, desensitization for phobias, assertiveness training

Practitioners Psychologists, social workers, counselors

Treatment for Mental Disorders 473

situation has led to the framing of electroconvulsive therapy as a form of violence against women (Burstow, 2006).

Table 15.5 summarizes medical therapies. Despite the growth of medically based treat- ments for behavior problems, these treatments are controversial. Drugs and electroconvulsive shock alter behavior and sometimes bring about substantial improvements, but side effects are a serious risk. In addition, these therapies decrease or diminish the severity of symptoms but do not cure mental disorders. Although the effects may be benefi cial, symptoms tend to reappear when patients stop taking the drugs, and the therapeutic effects of electroconvulsive therapy rarely last for more than a few months. In addition, medical treatments produce side effects that may produce more risks than benefi ts, at least for some people.

Accusations of Gender Bias in Therapy

In an early and vehement indictment of gender bias in diagnosis and therapy, Phyllis Chesler (1972) argued that diagnosis has been used to identify women who deviate from their tradi- tional gender roles and that therapy has been used to restore women to those roles. Women may behave in many deviant ways, but when they fail to be subservient and domestic, they are sometimes labeled as needing therapy. Chesler contended that women experience prob- lems when they either conform too little or too much to traditional gender roles and that therapy is a process used to reimpose the traditional feminine role.

According to Chesler, all therapies seek to restore women to the traditional female gender role, but therapists may exert more subtle sexist bias by imposing their own values into the therapy situation. If those values are sexist, so is the therapy. One of the respondents to a survey by the American Psychological Association (American Psychological Association [APA] Task Force on Sex Bias and Sex-Role Stereotyping in Psychotherapeutic Practice, 1978) confi rmed a sexist bias by saying, “I have had women report to me that they could not continue in therapy because the objective seemed to be for them to learn to adjust bet- ter to their roles as wives, mothers, daughters (underlings of one kind or another), and they needed to become free persons” (p. 1122).

By surveying female psychologists, the APA Task Force determined that sexist bias exists in four main areas of the practice of psychotherapy (Brodsky & Holroyd, 1975). The sexist use of psychoanalytic concepts was one of the four. This gender bias comes from conceptu- alizing men as the standard and making female development an inferior variation of male development. These critics see psychoanalysis as inherently gender biased, but humanistic and cognitive therapies as well as behavior modifi cation can also be conducted so as to create bias. The other areas of bias in therapy practice included fostering traditional gender roles (as Chesler claimed), including having biased expectations concerning women; devaluing

Table 15.5 Elements of Medical Therapies

Category Description

Underlying source of problems Biological or biochemical abnormalities

Cause of problems Chemical or biological malfunction in brain

Immediate source of problems The problem that brings a person to therapy

Goal of therapy To change biological functioning

Techniques Psychoactive drugs, surgery, electroconvulsive therapy

Practitioners Psychiatrists and other physicians

474 Treatment for Mental Disorders

women’s potential; and responding to women as sex objects, including therapists’ sexual exploitation of clients. Table 15.6 summarizes the potential sources of bias in various types of therapy.

Men are also subject to gender bias in therapy when practitioners urge the adoption of gender-typical behaviors. For example, when a male patient in one study described a life- style that included performing housework and child care, therapists tended to concentrate on these atypical behaviors, emphasizing the gender role as a potential source of problems

Table 15.6 Sources of Gender Bias in Therapies for Behavior Problems

Type of Therapy Source of Potential Gender Bias

Psychoanalysis Psychoanalytic theory assumes that women are inferior.

Humanistic Therapists may apply personal standards that are sexist; therapy focuses on the individual and ignores the social context of personal problems.

Cognitive Therapists may apply personal standards that are sexist; therapy fails to address the social context of personal problems.

Behavior modifi cation Therapists may choose to reinforce traditional gender-related behaviors.

Medical Women receive more prescriptions for psychoactive drugs and electroconvulsive therapy than men do.

Photo 15.1 Men are less likely than women to receive a diagnosis of depression, but those who do may receive talk-based or drug therapy, or both.

Treatment for Mental Disorders 475

(Robertson & Fitzgerald, 1990). A second male patient who described his role as more typi- cal of a breadwinner received no comments on his gender role behaviors as a potential source of problems. More recent research (Ro & Wampler, 2009) indicated that gender-biased attitudes still exist among therapists.

Counselors are likely to view both men and women stereotypically in terms of emotionality—women as overly emotional and men as lacking in emotion (Heesacker et al., 1999). These views infl uence the process of counseling when therapists blame hus- bands rather than wives for marital problems and when therapists set goals consistent with their own gender stereotypes. Such a bias appeared in a study in which therapists failed to encourage men to develop their expressiveness as much as they encouraged women to do so (Fowers, Applegate, Tredinnick, & Slusher, 1996).

Family therapy offers the ideal format for situating problems within a context rather than within an individual, but family systems therapists have been the target of criticism for failing to develop this opportunity (Evans, Kincade, Marbley, & Seem, 2005). For example, only 3% of the content of family practice master lectures was devoted to feminist concepts (Had- dock, MacPhee, & Zimmerman, 2001). In addition, stereotypical and even overtly sexist statements occurred, such as blaming women for family problems and endorsing traditional rather than egalitarian family roles. Therefore, evidence exists that the practice of therapy is not value-free and that therapy tends to work toward preserving traditional values, for men as well as for women.

Gender Issues in Therapy

Besides therapist bias, treatment presents several other gender issues. One issue is the suit- ability of various types of therapy for women or men. Although women more often seek counseling and psychotherapy and tend to be better at the therapy tasks involved, their needs may not be met by the process itself. The gender bias in psychoanalytic approaches and the potential for gender bias in other therapies have presented important issues for therapy, and several alternative approaches have endeavored to correct these biases.

Recognizing the potential for bias in therapy has led to the notion that good therapy should be nonsexist (APA Task Force on Sex Bias, 1978), and professionals have worked toward the principles underlying nonsexist therapy. Feminist alternatives to therapy arose from the belief that ignoring gender issues does not promote gender-fair therapy. The con- tention that nonsexist therapy is not an adequate answer to the gender bias in therapy prompted the development of therapies that are specifi cally feminist and oriented toward women’s problems as well as practiced by women. “The sexism in so-called nonsexist brands of psychotherapy may be less blatant, but any approach to psychotherapy that conceptual- izes women’s social problems as personal pathology and promotes ‘cures’ for women’s dis- tress primarily through individual personal change strengthens the patriarchal status quo” (Rawlings, 1993, p. 90).

Feminist Therapy

The history of feminist therapy can be traced to the early 1970s and the women’s rights movement (Enns, 2004; Truscott, 2010). Women, both inside and outside the mental health care professions, began to criticize therapy for its traditional goals and for its power in main- taining the status quo for women. Some women in professions that provide mental health care then responded by attempting to combine feminist goals with therapy; their results diverge from traditional therapy in several ways.

476 Treatment for Mental Disorders

Principles of Feminist Therapy

Four principles underlie the practice of feminist therapy (Worell & Remer, 2003). The fi rst principle is that personal and social identities intersect. That is, each individual occupies several social identities (such as gender, ethnicity, sexual orientation, and physical abilities) that exist within society; all these identities infl uence and interact with personal identity. The second principle is borrowed from the feminist movement and states that “the personal is political.” That is, personal experience is embedded within the social and political structure of the society, making the problems of any individual woman a refl ection of the wider society. The fi rst two principles have a close relationship.

Feminist therapy strives to enact these two principles in several ways (Brown, 2014). Clients explore the infl uence of social roles on their individual behaviors, examining the dif- ference between what they have been taught about appropriate behavior and what is actually appropriate. During feminist therapy, women have a forum for validating their experiences as women, including the situations and problems that are unique to women. Feminist thera- pists help clients reframe their problems and understand that their symptoms are a refl ection of the society in which they live (Worell & Remer, 2003).

Feminist therapy is political, striving to bring about change in society (Brown, 2014). The early feminist therapists were politically active in the women’s movement; indeed, such activity was a requirement for declaring oneself a feminist therapist. These therapists sought to bring about changes in the status of women and advocated political activism for their clients. Their position was that signifi cant change was not possible in women’s lives through personal changes in psychological adjustment; only change in society and in women’s roles would lead to benefi cial changes for women. Contemporary feminist psychotherapists may not emphasize the political as strongly as the founders did (Brown, 2006), but feminist therapists have tried to maintain the emphasis on politics by continuing to discuss power issues as part of their therapy sessions.

The third principle of feminist therapy states that therapists and clients should form an egalitarian relationship rather than the traditional therapeutic relationship in which thera- pists are dominant and clients are subordinate. This principle ensures that clients understand the types of therapies that they will receive and that they know about the options for other sources of assistance (Brown, 2014; Worell & Remer, 2003).

The equal relationship between client and therapist also aims to “demystify” the therapist as a person who has special knowledge and power (Gilbert, 1980). The rationale for this position lies in the attempt to counter the typical subordinate position that women occupy and to promote the belief that feminist therapy is an appropriate place for women to begin to feel a sense of personal power. Therapists who identifi ed themselves as feminist therapists endorsed more openness and self-disclosure with their patients than did psychodynamic and other therapists (Simi & Mahalik, 1997). Clients confi rmed that feminist therapists met the goal of sharing power with their clients more than therapists with other theoretical orienta- tions (Rader & Gilbert, 2005). Feminist therapists also promote an equal relationship with clients by modeling appropriate behaviors for their female clients and by sharing personal experiences with their clients (Truscott, 2010). This degree of personal openness and the advocacy of political activity on the part of the therapist differentiate the role of feminist therapists from therapists in most traditional therapies. Feminist therapists consider these differences essential to their approach.

The fourth principle states that women’s perspectives are valued. Feminist therapists believe that women’s viewpoint has not been valued or heard and that both value and voice can help women grow and become empowered. “Feminist therapists believe that women need to reject androcentric defi nitions of womanhood, to learn to value their personal

Treatment for Mental Disorders 477

characteristics, and to validate their own, woman-centered views of the world” (Worell & Remer, 2003, p. 74). Table 15.7 lists the four principles of feminist therapy.

The APA (2007) has proposed guidelines for therapy with girls and women that extend the framework of feminist therapy. These guidelines include not only rephrasings of the goals of feminist therapy but also an elaboration of the importance of culture, ethnicity, and context in women’s vulnerability to mental disorders, diagnosis, and treatment.

Clients of Feminist Therapy

During the early years of feminist therapy, the majority of clients were White middle-class women—a demographic description that matches many of the clients who seek therapy (Evans et al., 2005). Questions arose over the suitability of feminist therapy for all women. After all, some women who seek therapy do not endorse feminist goals, and many are not White or middle class. Indeed, some people who seek therapy are men. Is feminist therapy appropriate for all women? And is it ever appropriate for men?

Early studies of feminist therapy evaluated the clients and problems for which this approach was suited. One study compared feminist and traditional therapy (Marecek, Kravetz, & Finn, 1979) and found that feminist therapy was more helpful to those who identifi ed themselves as part of the women’s movement, but women who did not also benefi ted. Other studies examined the feminist orientation of the counselor (Enns & Hackett, 1990; Hackett, Enns, & Zetzer, 1992) and found that women showed some reluctance to see radical feminist thera- pists but preferred more moderate feminist therapists over traditional or nonsexist therapists.

As feminist therapy developed, practitioners and researchers focused on prevention and empowerment as well as reducing specifi c symptoms and problems (Brown, 2008, 2014; Worell, 2001; Worell & Johnson, 2001). Research indicated some success in all these goals. Considering the goal of creating empowerment, practitioners and clients of feminist therapy were able to identify the distinct elements of feminist therapy, including empowerment for women and valuing women’s point of view (Brown, 2014; Truscott, 2010). Feminist therapists have also been successful in creating egalitarian relationships with their clients (Rader & Gilbert, 2005). Feminist practitioners use a variety of specifi c therapy approaches and techniques, and the effectiveness of these approaches varies (Chambless & Ollendick, 2001). However, in order to be successful within the goals of feminist therapy, therapists must achieve political as well as personal goals. These criteria create an almost unattainable defi nition of success for feminist therapy and make the assessment of effectiveness very dif- fi cult, which is a handicap in the current climate of evidence-based treatment (Silverstein & Brooks, 2010).

Although men may seem to be unlikely clients for feminist therapy, this approach holds potential benefi ts for men (Brown, 2006; Kahn, 2011). Traditional therapy adheres to a gendered model of mental health, but feminist therapists strive to break down gender stereo- types and allow clients to make choices that are right for them. Research has demonstrated

Table 15.7 Four Principles of Feminist Therapy

Principle 1—Personal and social identities are interdependent. Principle 2—The personal is political. Principle 3—Relationships between therapists and clients are egalitarian. Principle 4—Women’s perspectives are valued.

Source: Based on Feminist Perspectives in Therapy: Empowering Diverse Women (2nd ed., p. 66), by Judith Worell and Pamela Remer, 2003. New York: Wiley. Reprinted with permission of John Wiley & Sons, Inc.

478 Treatment for Mental Disorders

that people with extreme instrumental traits are at risk for mental health problems (Good, Thomson, & Brathwaite, 2005), and men who develop their expressiveness experience men- tal health benefi ts (Addis & Mahalik, 2003; Brooks, 2001). Feminist therapists have the theo- retical orientation and the experience to help men make these changes. In addition, their experiences with female clients and their emotional issues have given feminist therapists valuable background that allows them to help male clients who are experiencing similar pain (Sweet, 2006; Walker, 2001).

By taking this approach with male clients, feminist therapists attempt to develop relation- ship skills, appropriate emotionality, empathy, and communication skills—skills that men often lack due to their masculine socialization. Feminist therapy with men also works toward altering views of gender roles and seeks to change men’s attitudes concerning what is appro- priate for both women and men (Kahn, 2011). By examining and questioning traditional gender roles, feminist therapy with men upholds the principle that the personal is political, one of the basic principles of feminist therapy. Feminist therapists once argued that the practice of feminist therapy is restricted to women, but that position has changed (Brown, 2014). Indeed, a survey of practicing psychotherapists (Szymanski, Baird, & Kornman, 2002) revealed that 24% of male therapists identifi ed themselves as feminist therapists. With either male or female therapists, male clients in feminist therapy can fi nd both appropriate modeling and support through participation in group therapy.

Feminist therapy is appropriate for a wide range of people. From its beginnings as a radical therapy for women discontented with traditional therapy (both as therapists and as clients), feminist therapy has since broadened its scope and clientele to include men and other mar- ginalized groups. Pamela Remer (2013) argued that the emphasis on sociocultural context and the emphasis on oppression give feminist therapy an advantage for helping clients who are gay or lesbian, people from marginalized ethnic groups, and those with various disabili- ties. Feminist therapy can help individuals develop their potential and become empowered in domains outside traditional gender roles.

Therapy with Men

As the headline story for this chapter highlights (Krisberg, 2012), therapy is not compat- ible with men’s traditional gender role. The masculine gender role demands that men hide their vulnerabilities, whereas counseling calls for disclosing them (Brooks, 2001, 2010). Counseling urges clients to share their problems with other persons, and men have been socialized to hide their problems and approach problem solving in an intellectual rather than an emotional way. Therapy emphasizes behaviors associated with the feminine rather than the masculine role. Men who show emotion, express their vulnerability, and seek help from others fail to fi t the masculine gender role, but all of these behaviors are necessary for psychotherapy.

Both clients and counselors experience diffi culties in the counseling process due to male clients’ stereotypically masculine behavior. Indeed, men may be in therapy because of their atti- tudes and unacceptable behavior associated with masculinity (Englar-Carlson, 2006; Mahalik, Good, & Englar-Carlson, 2003). These men may have followed the “Strong but Silent” or the “Tough Guy” script and become emotionally distant and uncommunicative. They may have followed the “Give ’Em Hell” script and battered their partners or children. They may have carried out parts of the “Playboy” script and experienced relationship problems or committed sexual violence. They may have enacted the “Winner” script and worked 80-hour weeks to adhere to their defi nition of success and developed a stress-related disorder. These men tend to be resistant to the therapy process, and therapists may have diffi culties accepting such cli- ents (Brooks, 2011). Thus, men experience barriers in counseling, which Table 15.8 presents.

Treatment for Mental Disorders 479

Table 15.8 Barriers to Counseling Men

Help-seeking is discouraged by elements of the masculine gender role: • Men should not require help. • Men should deny and suppress their emotions. • Men should not express their vulnerability. Therapy often takes a talk-based rather than an action-based or intellectual approach to problem solving. Emotional sharing is diffi cult for many men. Men may believe that counselors are biased against men’s needs. Psychology has responded by addressing women’s needs better than it does men’s needs. Presentation of psychological services may be in a format that does not appeal to men.

The goal of making psychological services more approachable for men has proven chal- lenging. Men’s attitudes about therapy tend to be negative (Levant et al., 2013); studies of secondary school students in Great Britain (Chan & Quinn, 2012), Japanese and American college students (Yamawaki, 2010), older men in the United States (Wilbur, 2012), and a sample of diverse community residents in the United States (Berger, Addis, Green, Mack- owiak, & Goldberg, 2013) confi rmed that men are reluctant to seek therapy.

Some strategies have succeeded in making counseling services more attractive to men. For example, avoiding the term counseling and substituting terms such as classes , workshops , seminars , and videotapes made these services more attractive to traditional men (Robertson & Fitzgerald, 1992; Rochlen, Blazina, & Raghunathan, 2002). Another term more compatible with the male gender role is coaching , which has developed into a way to present services to men (McKelley & Rochlen, 2010). The strategy behind the Man Therapy TM campaign (Spencer-Thomas et al., 2012) involves confronting this reluctance and combating it with humor and sound psychological advice. Therefore, some strategies may be able to engage men with unfavorable attitudes toward counseling.

Gender-Sensitive Therapies

Good therapy must be nonsexist. The APA Task Force on Sex Bias and Sex-Role Stereotyping in Psychotherapeutic Practice (1978) recognized the need for nonsexist therapy, but therapists have disagreed over how to achieve this goal. Will vigilance against sexism be an adequate approach to making gender-fair therapy, or will it be necessary to add elements to therapies to achieve this goal? Those who follow feminist therapy believe that ignoring gender or removing objectionable elements is not suffi cient to make gender-fair therapy; a therapeutic approach must include some explicit goals oriented around achieving social and personal equity.

Gender-aware therapy (GAT) was an attempt to integrate concepts of male and female gender development with the revised attitudes toward psychotherapy proposed by feminist therapists (Good, Gilbert, & Scher, 1990), but that approach has not become the dominant approach to gender-sensitive counseling. Instead, feminist therapy has continued as the major approach to dealing with gender issues in counseling for women, and new therapies for men have arisen. Gary Brooks (1998, 2001) proposed a gender-sensitive approach for counseling with traditional men that he described with the acronym MASTERY. Table 15.9 lists these principles, along with a brief description of how therapists can enact them.

More recently, Brooks (2010) has advocated for using the transtheoretical model for con- ducting therapy with men. This model proposes that change occurs in a sequence of stages, and Brooks argued that this type of change will engage men in the therapy process. This approach extends some elements of the MASTERY approach but shares the basic empha- sis on the importance of cultural and socioeconomic context of men’s problems, building empathetic relationships with clients and empowering men.

480 Treatment for Mental Disorders

Table 15.9 Principles of Gender-Sensitive Counseling with Men: MASTERY

Monitor Personal Reactions to Men and Male Behavior Styles—Therapists may have negative reactions to men’s behaviors and should develop empathy with their clients to help them change. Assume That the Male Client Is Feeling Pain—Even though men may be privileged in society, their strain at maintaining the male gender role causes pain. See the Male Client’s Problems in Gender Context—Understand and help clients understand that their behavior occurs in a cultural context with gendered roles. Transmit Empathy and Understanding—Convey compassion and understanding; if possible, urge clients to become part of a men’s group so that they can see they are not alone in their feelings. Empower Men to Change—Understanding is not enough; therapists must challenge men to make positive changes in their lives. Respect Resistance—Accept that men in therapy are not eager to change and that change is diffi cult. Y ield Some Control to the Larger System—Accept that many social forces push men toward traditionality, making therapeutic change slow and diffi cult.

Source: Based on A New Psychotherapy for Traditional Men, by Gary R. Brooks, 1998, San Francisco, CA: Jossey-Bass. Reprinted with permission of John Wiley & Sons, Inc.

According to the Media . . . Male Therapists Are Crazy or Evil, and Female Therapists Have Sex with Their Patients

The image of psychotherapists in movies is often vague and usually not fl attering (Gharaibeh, 2005). The profession of therapists is often left unclear—whether they are psychiatrists, psychologists, psychoanalysts, psychiatric social workers, or some other profession (Schultz, 2005). In addition, therapists are portrayed in unfl attering ways. Therapists in the movies usually fall into one of three categories: Dr. Dippy, Dr. Evil, or Dr. Wonderful (Schneider, 1987). Dr. Dippy fi rst appeared in a short fi lm in 1906 as the therapist who was crazier than the patients, and about 35% of movie therapists fi t into this category. Dr. Evil also appeared early in fi lm history in a 1908 movie, The Criminal Hypnotist ; about 15% of movie therapists fall into this category. Thus, about half the movie therapists are not good (Gharaibeh, 2005).

Dr. Wonderful is the ideal therapist—effective, caring, and available. These Dr. Wonderfuls devote large amounts of time to their on-screen patients doing talk-based therapy and rarely asking for payment. The psychiatrist in Ordinary People (1980) and the counselor in Good Will Hunting (1998) are good examples of Dr. Wonderful. Only about 22% of movie therapists fall into this category.

Female therapists are more likely to be Dr. Wonderful than Dr. Evil or Dr. Dippy, but their screen portrayals differ from male therapists. Only about 29% of therapists are female (Gharaibeh, 2005). These women are likely to be single or unhappy in their mar- riages, and female therapists often “help” their male patients by becoming their lovers (Gabbard, 2000). Movies such as Spellbound (1945), The Prince of Tides (1991), Basic Instinct (1992), Twelve Monkeys (1995), and Tin Cup (1996) depicted such female ther- apists. One analysis (Gabbard & Gabbard, 1999) had trouble fi nding a female movie therapist who had a relationship with anyone except a patient or former patient.

Female movie therapists who have sex with their patients do not seem to violate any rules or suffer any negative consequences. The patients sustain no harm, and the therapists experience benefi ts by “fi nding their femininity” (Gabbard, 2000) (and often abandoning their professional careers). When male therapists have sex with their patients, problems may arise, such as the depiction of Carl Jung’s relationship with Sabina Spielrein in A Dangerous Method (2011).

Treatment for Mental Disorders 481

According to the Research . . . Male, Not Female, Therapists Are More Likely to Form Sexual Relationships with Patients

Movie portrayals of therapists are inaccurate in a number of ways. Therapists are not as dramatic as movie portrayals; very few therapists match the fl amboyant behavior of Dr. Dippy, Dr. Evil, or even Dr. Wonderful. Effective, concerned therapists exist, but the ideal of a psychiatrist providing the amount of talk-based treatment that Dr. Wonderfuls dispense is not realistic (Gabbard, 2000). Drug treatments have replaced psychotherapy for most psychiatrists, but this option appears in the movies less than 6% of the time (Gharaibeh, 2005). Of course, all types of therapists charge for their services, which make them different from the media therapists.

Research also indicates that sexual relationships with patients are substantially dif- ferent from those in the movies. A compilation of the many studies on sexual exploita- tion by therapists (Pope, 2001) concluded that about 7% of male and 1.5% of female therapists enter sexual relationships with their patients. This represents a substantial gender difference, which is unlike the movie version in which most of the thera- pists who have sex with their patients are female. In addition, one study (Holroyd & Brodsky, 1977) found that 80% of those therapists who admitted at least one sexual relationship acknowledged more than one such relationship. This fi gure suggests that some therapists form a pattern of habitual sexual exploitation of their patients. In the movies, sexual relationships are usually the result of two people falling in love rather than a powerful therapist exploiting a vulnerable patient.

Another pattern of sexual relationships between client and therapist occurs as a series of steps involving boundary violations (Simon, 1999). That is, therapists begin to behave in ways that are more intimate and personal than professional, which eventually leads to sex. This process is likely to occur in gradual steps, with clients who are victims of childhood sexual abuse, and with therapists who are in a sole private practice, rather than with other confi gurations of clients and therapists (Somer & Saadon, 1999). This picture of sexually exploitative therapists contrasts sharply with the movie portrayal; therapists who form sexual relationships with their clients are more often male than female, tend to engage in a series of exploitative relationships, often prey on vulnerable clients, and fully understand that their behavior is a violation of their code of professional conduct.

A comparison of Tables 15.7 and 15.9 reveals many commonalities in the goals of feminist therapy and Brooks’s MASTERY approach to counseling with traditional men. All of these approaches strive to be nonsexist, not by ignoring gender issues, but by fi nding ways to rede- fi ne gender roles, personal goals, and personal relationships. All draw attention to the social context of problem behavior, defi ne an egalitarian relationship between client and therapist, and cultivate respect for clients’ views and values. Feminist therapy and the MASTERY approach both urge political and social action to change gender roles. Therefore, sensitivity to gender-related issues is an important goal to several therapy approaches, and therapists have choices in selecting how to accomplish the goals of nonsexist therapy.

Sexual Exploitation in Therapy

The preponderance of female clients and male therapists poses a situation in which gender is nearly always either an overt or covert issue in the therapy process (see According to the

482 Treatment for Mental Disorders

Media and According to the Research). The APA Task Force on Sex Bias and Sex-Role Ste- reotyping in Psychotherapeutic Practice identifi ed the treatment of clients as sex objects as a gender-related problem in therapy, which may include erotic or sexual behavior between client and therapist (Brodsky & Holroyd, 1975). Unfortunately, sex between therapist and client is not unusual. Beginning with the founding fathers of psychoanalytic therapy and continuing today, some clients are sexually exploited by the therapists to whom they come for help.

During the 1970s, a survey of licensed psychologists in clinical practice (Holroyd & Brodsky, 1977) disclosed that some therapists had engaged in erotic behavior with their clients. The percentages for this and subsequent surveys were not high—about 7% of male therapists and about 1.5% of female therapists admitted to such behavior (Pope, 2001). The attitudes among psychologists indicated that most psychologists believed that erotic contact was not benefi cial to clients; most professionals considered such relationships unac- ceptable and unprofessional. This attitude was a component in the denial of the existence of therapist–client sex: Psychologists were reluctant to acknowledge that this problem existed (Pope, Sonne, & Greene, 2006). Initially, journals were reluctant to publish articles, and conventions were unwilling to feature presentations on the topic (Pope, 1988).

The possibility of sexual attraction on the part of clients toward therapists and for thera- pists toward clients is an important concept in psychoanalytical treatment, but such con- tact was considered unacceptable (Pope, 2001). The knowledge of this possibility did not deter several prominent early psychotherapists from forming sexual relationships with their patients. Other counseling theories do not include the likelihood of mutual attraction between therapist and client, but therapy is an intimate process, and attractions arise. Other than psychoanalytic training, the possibility of sexual attraction was not an issue and thus not addressed, leaving therapists unprepared to deal with the possibility that they may develop sexual feelings for their clients (Pope, 1988; Pope et al., 2006).

Therapists’ lack of preparation for attraction to clients contributes to entering into sexual relationships with their clients (Pope, 1988, 2000; Sonne, 2012). Therapists may also rationalize such involvement, minimizing the potential harm to clients (McNulty, Ogden, & Warren, 2013). Another factor that increases the risk of sexual exploitation is the his- tory of sexual abuse in therapists’ backgrounds; therapists who have been the victims of childhood sexual abuse are at increased risk of sexually exploiting their clients (Jackson & Nuttall, 2001). Table 15.10 summarizes some of the factors that increase the risk of sexual exploitation of clients.

During the 1990s, sexual relationships between therapists and clients became a widely publicized issue, and the helping professions began to address this problem. Therapists receive training concerning ethics and the unacceptability of sexual contact with their clients, but the emphasis is usually on the unacceptability of such behavior, rather than on how to deal with sexual feelings that therapists may experience (Pope et al., 2006). A survey of

Table 15.10 Factors that Relate to Sexual Exploitation of Clients of Psychotherapy

Therapists Are More Likely to Form Sexual Relationships with Clients when

Therapists are male and clients are female

Therapists believe that the relationship will be benefi cial to the client

Therapists receive no training or preparation for sexual attraction to a client

Therapists’ backgrounds include a history of sexual abuse victimization

Treatment for Mental Disorders 483

psychology internship programs (Samuel & Gorton, 1998) showed that 99% of programs provided some training on this topic. However, only about half of the graduates of counsel- ing psychology programs remembered how their programs addressed this issue, and only 60% of that half thought their program’s training was adequate (Blanchard & Lichtenberg, 1998).

Although some therapists believe that personal and sexual relationships with clients are therapeutic for clients, research indicates otherwise. A variety of negative effects befall cli- ents who have participated in sexual relationships with their therapists (Ben-Ari & Somer, 2004; Nachmani & Somer, 2007; Pope, 2001). Clients may not exhibit any immediate negative effects of sexual intimacy with their therapists, but evidence indicates that at least 90% will eventually experience negative effects. These effects include posttraumatic stress disorder, depression, suicide, substance abuse, disrupted personal relationships, and career problems. The effects are stronger when the relationship occurs concurrently with therapy, but clients who begin relationships with their therapists after the termination of therapy are still at risk.

Gendered Voices: Of Course I’ve Felt Attracted to my Clients

Both a counseling intern and a counselor with 30 years of experience told me, “Of course I’ve felt attracted to some of my clients. I think it’s almost inevitable.” Both reported that the attraction made them very aware of the nature of the counseling relationship and how inappropriate these feelings were. Both also became very conscious about behaving so as to conceal signs of their attraction, because it was considered professionally unacceptable.

“Part of our training includes the ethical unacceptability of any type of personal rela- tionship with clients, especially any sexual relationship. It’s completely unacceptable,” the counseling intern said. “So feeling attracted to a client raised fl ags and made me aware that I needed to be very careful about what I did. I didn’t want to convey my feelings to my client, and I didn’t want to let my feelings affect my counseling. It’s a diffi cult situation and an inevitable confl ict, I think.”

The veteran counselor agreed. “It’s practically inevitable, although I have been sexually attracted to very few of my clients. When I felt attracted, those feelings made counseling more diffi cult. I tried to conceal how I felt, which is dishonest, while remaining honest in all other respects. And I tried very hard to do a good job in counseling the client. It made the counseling relationship more diffi cult.”

“Nothing in our training taught me how to deal with these feelings,” the intern said. “A great deal was oriented toward the ethics of counseling, but not how to handle my feel- ings or situations in which clients express some attraction for me. It was all ‘Don’t do that,’ but nothing about what to do. I wouldn’t feel comfortable talking to my supervisor about my feelings because of the ethical prohibition. I know it’s unreasonable to imagine that counselors won’t feel attracted to clients, but it’s so forbidden that I feel I shouldn’t have or admit to the attraction. I know that I will think about how to avoid letting any client know about my attraction, but teaching me how to deal with such feelings and what to do—no, that was lacking in my training.”

The experienced counselor said that his training included how to deal with clients’ attrac- tion to him but not his toward clients. “The whole issue of sexual exploitation of clients hadn’t been publicized or addressed in counselor training, so those issues were not part of my training.”

484 Treatment for Mental Disorders

The therapist–client relationship is one of trust and intimacy, but when sexual intimacy becomes part of the relationship, a betrayal of the client’s trust has occurred. Thus, impaired ability to trust is a potential lifelong problem (Pope, 2001). This situation often leaves clients feeling ambivalent; they experience rage and a longing to escape combined with a fear of separation from the therapist. Sexually exploited clients may also feel guilt, isolation, empti- ness, and sexual confusion. In addition, they have trouble fi nding help, contacting an average of 2.36 professionals before fi nding assistance they consider satisfactory (Luepker, 1999). Therefore, clients often experience a variety of serious problems after sexual involvement with their therapists and seek subsequent help for problems.

The growing awareness of the sexual exploitation of clients by therapists has produced changes in the codes of ethics for all of the professions that provide mental health care (Lazarus, 2003; Vasquez & Kitchener, 1988). The ethical codes that govern psychiatrists, psychologists, social workers, and marriage and family therapists all specifi cally prohibit sexual activity between therapists and clients.

Violations of sexual boundaries have been the most common of the ethical complaints against therapists (Gross, 2003). The typical situation involves a male therapist who forms a sexual relationship with a female client who is approximately 10 years younger than he is. This typical therapist has been the target of prior ethical complaints, but he is also at increased risk to have been involved in a sexual relationship with a teacher or supervisor. Thus, sexual exploitation during therapy may be part of a chain of sexual abuse.

The Self-Help Movement

A lack of confi dence in psychotherapy, publicity of sexual exploitation of clients, increased cost, and decreased insurance coverage contribute to the reluctance to seek therapy on the part of thousands of people with personal problems (Harwood & L’Abate, 2010). But these troubled individuals often seek the advice of others: “Across the country, in hospitals, churches, empty offi ces, and even shopping malls, small groups of individuals assemble to cope collectively with their unique challenges” (Davison, Pennebaker, & Dickerson, 2000, p. 205). People in self-help groups meet to share similar problems, and in the process, they receive emotional support as well as information that can assist in helping them cope.

Self-help groups began to proliferate during the 1980s. The 1987 Surgeon General’s Workshop on Self-Help and Public Health brought the benefi ts of self-help groups to the attention of an increased number of health care providers. In 1992, the number of self-help groups was more than 500,000, and over 7 million people were involved. By the end of the 1990s, the number of people in the United States who would be involved in some type of self-help group at some time during their lives was estimated at 25 million, a number that exceeded those in other types of therapy programs (Davison et al., 2000). The informal nature of many groups makes impossible an accurate estimate of the number of people involved currently (Flora, Raftopoulos, & Pontikes, 2010). In addition, the United States is not unique in the popularity of self-help groups—growing numbers of people in all high- income countries and in most other countries in the world.

The prototype for the self-help movement is Alcoholics Anonymous (AA). Founded in 1935 by two alcoholics who had stopped drinking, AA proclaimed that people with drink- ing problems could stay sober through the social support of others with similar problems (Robinson, 1979). The format is a meeting in which people acknowledge their alcoholism and seek the support of others to continue in the struggle to abstain from drinking, one day at a time. This approach to dealing with problem drinking has been enormously infl uential, both in the treatment of problem drinking and in the formation of other self-help sup- port groups. For example, addictions and other compulsive disorders were the concerns of

Treatment for Mental Disorders 485

early support groups such as Narcotics Anonymous, Gamblers Anonymous, and Overeaters Anonymous, but support groups now exist for a wide variety of problems, including mental disorders, physical diseases, and people living with or involved in providing care for people with mental or physical problems. “There are groups for almost every serious medical prob- lem and almost every presenting problem that clinicians confront, plus groups for dozens of conditions virtually unserved by therapists” (Jacobs & Goodman, 1989, p. 537).

The philosophy of the self-help approach is that people with similar problems can offer each other social support and information, which can be helpful and benefi cial. Rather than therapists who direct the therapy and clients who take direction, self-help and support groups may not involve professional therapists and may have no designated leaders (Flora et al., 2010). Other groups have professionals who consult or even participate in meetings. Groups vary in size from a few members who have formed their own group to large, nation- ally affi liated groups. Although the concerns of people in these groups vary, the underlying philosophies are similar.

The similarity of individuals in the group facilitates empathy and may be an important factor that draws people to support groups, especially for people with certain problems. For example, people with AIDS are 250 times more likely to join a support group than people with hypertension, and breast cancer has about 40 times as many support groups as heart disease (Davison et al., 2000). For disorders that have a social stigma or visible effects, sup- port groups of similar others may be especially helpful, and being with others with similar experiences can be comforting (Seebohm et al., 2013).

Self-help groups may also offer economic advantages. These groups may charge partici- pants a minimal fee or no fee at all. With the growing emphasis on cost containment, health care professionals have begun to promote cooperation between medicine and self-help groups as one way to contain treatment costs (Burti et al., 2005). Some health care providers are coming to see self-help support groups as an addition to the “toolbox” of interventions (Dadich, 2006).

Free therapy sounds cost-effective, but is it effective? A meta-analysis of bibliotherapy, providing people with reading materials, indicated that this self-help approach is effective for disorders such as anxiety and depressive disorders (den Boer, Wiersma, & Van den Bosch, 2004). Another review (Pistrang, Barker, & Humphreys, 2008) concluded that self-help support groups can be effective in helping people with chronic mental illness, depression, and bereavement. Another analysis (Gellatly et al., 2007) indicated that groups with some therapist guidance were more effective, but groups organized around participants with a democratic format led to greater feelings of empowerment (Segal, Silverman, & Temkin, 2013). Also, a one-year follow-up assessment of people treated for substance abuse disorders found that those who participated in self-help group meetings were functioning better than those who attended no such meetings (Moos, Schaefer, Andrassy, & Moos, 2001). Thus, self- help approaches provide some individual benefi ts, or boost the benefi ts of therapy, or both.

Self-help groups may function to alter cognitions, thus changing behavior (Dijkstra & De Vries, 2001), boosting self-effi cacy, and enhancing coping skills (Kelly, Magill, & Stout, 2009). That is, the effectiveness of self-help groups in bringing about therapeutic change stems from the same sources that underlie therapist-assisted change (Magura et al., 2003). Specifi c information about changing behavior and providing ways to bring about changes are important components, regardless of the therapy format.

The cost difference between self-help and traditional therapy makes self-help attractive to a wide range of participants, but social anxiety may deter people from attending sup- port groups meetings (Book, Thomas, Dempsey, Randall, & Randall, 2009). The growing accessibility of the Internet has created even more accessible forms of self-help that do not require face-to-face contact (Barak & Grohol, 2011). Information about all varieties of

486 Treatment for Mental Disorders

health problems, mental disorders, and other varieties of personal distress is available online, so individuals can obtain information about their problems on the Internet. Many mental health care providers have practices that feature online contact, interaction, or sessions. In addition, Internet websites feature interactive self-help interventions for various problems. Other Internet possibilities include online support groups.

Online Support Groups

People without easy access to support groups in their hometowns may meet in cyberspace. Early research (Weinberg, Uken, Schmale, & Adamek, 1995) indicated that participants in online self-help groups receive some of the same benefi ts that other participants obtain. Later research has examined the participants and types of problems in online groups, the patterns of support that develop online, and the differences from and similarities to face-to- face support groups. An evaluation of the effectiveness of online groups (Rains & Young, 2009) indicated that this approach can be helpful.

The formation of online groups differs from face-to-face groups. Support groups may con- sist of only a few people, or as many as a few dozen, but online groups may have thousands of members (Galegher, Sproull, & Kiesler, 1998). No meetings take place, but participants can enter discussions 24 hours a day, 7 days a week. Most online groups have no designated leader, but some sites have attempted to provide the “best of both worlds” by combining the online format with a mental health professional as the host (Hsuing, 2000). People can actively participate by posting comments and asking questions, or they may “lurk,” reading the posted interactions but not offering comments themselves. Participants often use created names, which makes online interaction anonymous. Thus, the format for online support groups shows clear differences from other support groups, but individuals who participate come to think of the groups as communities and themselves as members.

The types of problems that prompt people to seek support on the Internet may be the same but also may vary from those that bring people to face-to-face support groups (Davison et al., 2000). Rare and debilitating conditions are frequent topics on the Internet because many people can meet online to form a group. Conditions such as chronic fatigue syndrome and multiple sclerosis seem well suited to online support—people with these conditions make going to meetings diffi cult, but online access is convenient. People who have problems with oral speech can use a computer to communicate at their own pace in a medium they can master (Finn, 1999). For example, those with hearing impairment benefi ted from their involvement in an online group (Cummings, Sproull, & Kiesler, 2002).

The problems of participants in online support groups tend to center on physical health, but behavioral problems such as depression, anxiety disorders, bereavement, and attention defi cit/hyperactive disorder are also common topics. Alcohol and substance abuse treatment form a large segment of the face-to-face support groups and also appear online (Magura et al., 2003). The number of people in the United States who use an Internet support group for mental health problems has increased to about 100,000 people per year (DeAndrea & Anthony, 2013).

The same support processes that occur in face-to-face groups also take place online: shar- ing information, working toward mutual problem solving, allowing expressions of emotion, and showing support and empathy. One analysis of the processes in online support groups (Finn, 1999) showed that the majority of messages (55%) fall into the category of emotional or social exchanges, and 21% showed empathy. An analysis of online AA groups (VanLear, Sheehan, Withers, & Walker, 2005) indicated that emotional support was more common in AA than other online groups. Yet another analysis (Coulson, 2005) found that informa- tional exchange was the largest part of the communications. Thus, online support groups

Treatment for Mental Disorders 487

show similarities to face-to-face groups in providing a format for the exchange of emotional support, information, and practical advice from similar others.

The gender interactions in online groups may differ from face-to-face groups. One pos- sibility is that online anonymity might free people from gender-bound rules of interaction, but a study on this topic (Postmes & Spears, 2002) indicated that gender stereotypes affect online communication—people tended to rely on gender stereotypes to guide their inter- action. A review of research on this topic (Mo, Malik, & Coulson, 2009) indicated that gender differences are more likely to appear in online groups that consist of one sex or the other; when the groups included both men and women, fewer gender differences appeared in communication.

Gender Issues in Self-Help

Just as women are more likely to seek therapy, women are also more likely than men to participate in self-help groups. More than two-thirds of those who attend support groups are women (Galegher et al., 1998). However, men fi nd mental health services delivered through technology more attractive than traditional counseling (Ellis et al., 2013), which should boost their use of such services. Although depression is more common among women and online support groups for depression are plentiful, only 40% of those who posted com- ments in such groups were women. This fi nding suggests that the Internet may furnish a forum in which men feel more comfortable in seeking help and participating in emotional communication than they do in formal therapy or in face-to-face support groups (Barak & Gluck-Ofri, 2007; Seale, 2006). The agencies behind Man Therapy tm are relying on these fi ndings for the success of that campaign (Krisberg, 2012).

Gender issues are often prominent in self-help groups because many such groups are formed around women’s or men’s issues. Consciousness-raising groups originated as a way for women to share their unique experiences, explore the similarities of their lives, and increase interaction with other women (Morgan, 1970). These groups began to form in the mid-1960s as part of the women’s movement; thus, the aims of these groups were political as well as personal. The early emphasis on political ideology shifted to personal development (Kravetz, 1978). Instead of political activism, the most important goals became a sharing of thoughts and feelings about being women, learning about other women’s experiences, increasing self-awareness, receiving emotional support, and examining the traditional gender role for women. Participants rated the groups as very successful in helping them to attain these goals, and the majority of participants encouraged other women to join groups. The personal changes experienced by women during consciousness-raising groups were likely to have been therapeutic, leading to these groups’ becoming substitutes for or adjuncts to therapy (Enns, 1992).

The men’s movement has also devised group meetings for men to share their concerns (Andronico, 2001). In the 1970s, men’s groups were similar to early women’s consciousness- raising groups, with the purpose of making members more sensitive to the politics and the disadvantages of their gender role. Both concentrated on the social inequities women had experienced and how rigid gender roles had harmed men as well as women. Men sought to understand how they had participated in and had been harmed by society’s mandates for their behavior.

In the 1980s, the goals of the men’s movement began to diverge from those of the women’s movement (Faludi, 1991). Men’s oppression became the theme of many men’s groups dur- ing that decade, and men sought to redefi ne masculinity (Andronico, 2001; Bly, 1990). The format for this discovery is often in groups in which men discuss and explore their own experiences and problems with society’s defi nition of masculinity. Men’s groups have a greater

488 Treatment for Mental Disorders

diversity than women’s consciousness-raising groups, but fewer men’s groups exist. Women’s groups tend to be oriented toward sensitizing women to the political goals of feminism, but men’s groups have a variety of possible goals. Some men’s groups have political goals, such as groups organized around gay rights, divorce, or custody rights; others supplement therapy for substance abuse; still others explore social conceptions of masculinity and ways to bring about positive personal and social changes (Reddin & Sonn, 2003). Unlike traditional psy- chotherapy, both women’s and men’s groups share the goals of reexamining gender roles and seeking possible avenues of change.

Considering Diversity

The problems of mental disorders share some commonalities around the world: “Every local system of medical knowledge and healing must cope with prolonged sadness and with- drawal, with violence and irrational anger, and with seizures, emotional distress, and acute and chronic forms of madness” (Desjarlais, Eisenberg, Good, & Kleinman, 1995, p. 51). But the behaviors that lead to diagnoses of mental disorders appear in a cultural context, and the treatment that these behaviors receive is also strongly infl uenced by the society in which people enact these behaviors. So the diagnosis of mental disorders varies in countries around the world, as do the frequency and type of treatment (World Health Organization [WHO], 2013).

Many people in Asia, Africa, and Latin America have views of treatment that are not compatible with psychiatric treatments involving drugs and psychotherapy. In some cultures, professionals using drugs and psychotherapy have little success in treating people because the individuals receiving treatment do not share the same views about their problems that the therapist holds, and they have no confi dence in these therapies. In these cultures, healing processes include folk healers, ritual dramas, herbal medicine, and possession rituals (Desjar- lais et al., 1995; Sorsdahl et al., 2009). For example, the Yolmo Sherpa of Nepal experience a disorder symptomized by a loss of energy; a loss of interest in eating, working, and social- izing; sleep problems; and feelings of “dullness.” In the United States, these symptoms would probably result in a diagnosis of depression, but the Yolmo believe that these symptoms occur because one of their spirits has left the body and wanders around the countryside. The treatment involves a lengthy and elaborate ritual performed by a shaman, who tracks the lost spirit and helps it return to the affl icted person. For the Yolmo, this course of treatment is a better choice and probably more effective than antidepressant drugs. Some international experts have considered incorporating traditional treatments into mental health treatments to make treatment more accessible.

An analysis of mental health services around the world (WHO, 2013) indicated that inadequate treatment for mental disorders is widespread. Even in high-income countries that accept Western medicine and treatment, between 35 and 50% of individuals with seri- ous mental disorders go untreated. In middle- and low-income countries, 76 to 85% fail to receive treatment. These failures result in widespread disability; mental health problems such as depression, schizophrenia, and anxiety disorders disrupt people’s lives (and their fami- lies’ lives) and productivity. Mental disorders contribute to premature death and disability; between 25 and 33% of disability in low- and moderate-income countries is the result of mental disorders (WHO, 2013).

In the United States, Canada, and other high-income countries, a higher percentage of people receive treatment than in developing countries, but ethnicity plays a role in receiving treatment in those countries. A special report on mental health and care for the United States (U.S. Department of Health and Human Services [U.S. DHHS], 2001, p. 3) concluded that “Racial and ethnic minorities have less access to mental health services than do whites.

Treatment for Mental Disorders 489

They are less likely to receive needed care. When they receive care, it is more likely to be poor in quality.” This discrepancy means that “ racial and ethnic minorities bear a greater burden from unmet mental health needs and suffer a great loss to their overall health and productivity ” (emphasis in original). Issues of inaccessibility of services, mistrust of health care profes- sionals, and stigma associated with treatment create problems for ethnic minorities in the United States. However, African Americans and Native Americans are disproportionately represented in psychiatric hospitals (U.S. DHHS, 1999), which suggests that these groups are more likely to be subjected to involuntary treatment.

The ethnic diversity within the United States and the burdens of mental health prob- lems that arise within all these groups require that professionals who provide mental health care provide culturally appropriate care, which presents challenges to the practice of coun- seling and psychotherapy. Those practices arose within a Western context and retain the assumptions of that individualistic, competitive culture. Feminist therapists objected to those assumptions, and multicultural therapists have raised similar objections (Comas-Díaz, 2014; Sue, 2003). African Americans, Asian Americans, Hispanic Americans, and Native Ameri- cans may have worldviews that vary signifi cantly from non-Hispanic European Americans, requiring changes to mental health treatment to create an approach that places culture at the center of counseling and treatment. With its emphasis on empowering clients, developing skills to solve their problems, and furnishing opportunities to change society, multicultural counseling is similar to feminist therapy.

Cultural sensitivity is important for all clients, but the challenges of engaging men in therapy is greater with African American, Hispanic American, and Asian American men, who tend to be even more reluctant to seek therapy than White men. Their ethnic groups’ conceptualizations about help-seeking and masculinity may exert pressure against seeking care. For example, Hispanic men may be infl uenced by the concept of machismo (Casas, Turner, & Ruiz de Esparza, 2001), which calls for independence and toughness. They may struggle with ethnic stereotyping and discrimination as well living up to the standards of their culture’s concept of masculinity. Asian men (Sue, 2001) and African American men (Caldwell & White, 2001) experience similar struggles with stereotyping and discrimination. All use mental health services at lower rates than White men (U.S. DHHS, 2001), leaving men in these ethnic groups underserved.

Sexual orientation is another diversity issue, and the mental health care system has a history of failing to offer appropriate treatment to lesbians, gay men, and bisexuals. The emphasis on the social environment as a factor in psychological problems makes feminist therapy “one of few models of behavior change that intentionally perceives the variability of sexual orientations in human beings as a simple fact, rather than a matter for concern and intervention” (Brown, 1988, p. 206). Since that statement in 1988, criteria for therapies have changed to be more compatible with accepting sexual orientation as a circumstance in people’s lives rather than as a problem to be treated. But, therapists in training continue to hold stereotypical view of gay men (Boysen, Vogel, Madon, & Wester, 2006), indicating some need for improvement in this area. Without sensitivity to the issues that impact gay, lesbian, bisexual, and transgendered individuals, they may otherwise receive treatment biased by their sexual orientation rather than directed at the cause of their distress. Feminist therapy addresses gender stereotypes, making this approach well suited for lesbian, gay, bisexual, and transgendered individuals (Pseekos & Lyddon, 2009). Thus, sexual orientation is another diversity issue that therapy must address.

George Albee (2005) discussed the lack of access to therapy services, citing this world- wide problem as one that cannot be solved through any channel that now exists. As the World Health Organization (2013) pointed out, even in high-income countries, the number of unserved and underserved people is large. Too few treatment facilities and too

490 Treatment for Mental Disorders

few trained personnel exist to offer appropriate treatment for mental disorders, creating a pressing need for prevention. Albee suggested that the strategies for prevention should include decreasing some of the most severe sources of stress, such as discrimination, vio- lence victimization, and poverty, which is consistent with the WHO’s action plan to address the global problem of mental health. These experiences raise the risk for mental disorders such as depression, alcohol abuse, and anxiety disorders, which are leading causes of disability around the world.

Summary

Psychoanalysis, the treatment based on Freud’s conceptualization of personality develop- ment, was an early form of treatment for mental disorders that used talk to help people bring unconscious material to consciousness. Dissatisfaction with the theory and practice of psychoanalysis prompted the development of alternative talk-based therapies, including the humanistic approach to therapy, which attempts to help people fulfi ll their potential by accepting their emotions and feelings. Cognitive therapy is another talk-based therapy that focuses on thoughts and holds that changing irrational and self-defeating thoughts will produce a change in behavior. Behavior modifi cation centers on applying the principles of operant conditioning to alter undesirable behaviors. Cognitive behavior therapy is a blend- ing of cognitive therapy and behavior modifi cation that attempts to alter cognitions and establish more adaptive behaviors. Medical therapies are also used to treat behavior problems, including psychoactive drugs and electroconvulsive therapy. Women receive more prescrip- tions for psychoactive drugs and more electroconvulsive therapy than men do.

Charges of gender bias extend to all therapies; each offers a format in which therapists can enact their gender stereotypes and impose their values. In addition, all concentrate on the individual and ignore the social and political aspects of problems. Research indicates that gender stereotypes affect therapists and their delivery of therapy, tending to enforce traditional gender roles.

Nonsexist therapy was created in an attempt to remove the gender bias in therapy, but many female therapists believed that therapy should promote feminist goals. Feminist thera- pists hold that personal problems are refl ections of wider social problems, strive to maintain equality in the relationship between client and therapist, and value the views of women as ways to empower their clients and help them bring about positive changes. From its initial position of political activism, feminist therapy has expanded to a wide variety of clients, including men.

Men are less willing to seek therapy than women are. Men’s reluctance to seek therapy relates to the masculine gender role; men with more traditional values are less willing to seek help than men with less traditional values. Men fi nd it diffi cult to accomplish the goals of therapy, which often include discussing emotions or acknowledging vulnerability. Therapies to help traditional men are among the gender-sensitive therapies developed in recent years.

An American Psychological Association survey of female psychologists revealed four areas of concern regarding sexism in therapy: (1) using sexist psychoanalytic concepts, (2) foster- ing traditional gender roles, (3) diminished expectations for female clients, and (4) treating women as sex objects, including having sex with clients.

Surveys of therapists have revealed that the sexual exploitation of clients by therapists occurs with about 7% of male therapists and about 1.5% of female therapists. The preva- lence of this problem has led professional associations to include prohibitions against sexual relationships with clients, but this section nevertheless remains the most commonly violated of any of the ethical codes. A growing body of evidence indicates that intimate relationships with therapists do long-lasting harm to clients.

Treatment for Mental Disorders 491

Rather than seeking therapy from professionals, a growing number of people join self-help groups. These groups mushroomed during the 1980s and spread worldwide. Originating with the model of Alcoholics Anonymous, self-help groups offer emotional support and access to information from others who share the same type of problem. The low cost is attractive, and increased access to the Internet has led to the proliferation of receiving help through technology, including online support groups. These groups share many similarities with face-to-face groups but allow access to a wider group of participants who may not be able to attend in person. Men fi nd this format more acceptable than traditional counseling, which may encourage them to participate. Gender is a factor in both online and face-to- face groups, which may be organized around gender-related issues. However, even Internet anonymity does not erase gender stereotypes in online interactions.

People in Asia, Africa, and Latin America may not have the same views of psychopathol- ogy as people in the United States and Western Europe and thus may not readily accept psychotherapy or medical treatments for behavior problems. Treatment must be compatible with a culture to be accepted and successful, and providing culturally appropriate treatment presents challenges on a worldwide basis as well as in ethnically diverse societies such as the United States. With its emphasis on social context, feminist therapy, other gender-sensitive therapies, and multicultural counseling are appropriate for people from a variety of cultures as well as for gay, lesbian, bisexual, and transgendered individuals. However, the worldwide burden of mental disorders can only be solved through prevention.

Glossary

behavior modifi cation the application of principles of operant conditioning to behavior, with the goal of changing undesirable behavior to more acceptable alternatives.

electroconvulsive therapy the application to the brain of electric current suffi cient to induce a convulsion, which for unknown reasons produces therapeutic effects.

psychoanalysis Freud’s talk-based treatment for psychological problems that consists of attempts to bring unconscious material to consciousness.

repression a defense mechanism used to push troubling material from the conscious into the unconscious.

Suggested Readings

American Psychological Association. (2007). Guidelines for psychological practice with girls and women. Ameri- can Psychologist, 62 (9), 949–979. These guidelines provide a comprehensive review of issues related to girls’ and women’s mental health and

treatment. Although focused on girls and women, these guidelines provide 11 principles for providing therapy that is culture and gender sensitive, which equals good therapy for anyone.

Brooks, Gary. (2010). Beyond the crisis of masculinity: A transtheoretical model for male-friendly therapy . Washing- ton, DC: American Psychological Association. Brooks’s latest book discusses the barriers that men face in therapy, men’s needs for therapy, and how the

transtheoretical model of behavior change can be a good model for engaging men and keeping them in therapy.

Pope, Kenneth S. (2001). Sex between therapists and clients. In Judith Worrell (Ed.), Encyclopedia of women and gender: Sex similarities and differences and the impact of society on gender (Vol. 2, pp. 955–962). New York: Academic Press. Pope reviews the history, harmful effects on clients, and gender differences for therapists who have sex with

their clients.

Shah, Abhinav A.; & Beinecke, Richard H. (2009). Global mental health needs, services, barriers, and challenges. International Journal of Mental Health, 38 (1), 14–29. This review takes a worldwide view of disorders and the need for treatment in low-, middle-, and high-income

countries, including factors that limit access to adequate mental health care.

492 Treatment for Mental Disorders

Suggested Websites

Man Therapy, the story that began this chapter, has a website (http://mantherapy.org/) that maintains the same light-hearted yet informative strategy for making mental health services available to men.

The Social Psychology Network is an organization that maintains an extensive webpage (www.socialpsychology. org). This site includes over 5,000 links to psychology-related resources, including an extensive list of links to sites with information about treatment (http://www.socialpsychology.org/clinical.htm#treatment). This list cov- ers a wide range of topics, including links to sites furnishing background information on therapy and therapy effectiveness, online counseling, medications, social work, and how to locate a therapist.

Mental Health America’s website include a page that provides a guide to online support groups (http://www. mentalhealthamerica.net/fi nd-support-groups), including an explanation of the process for online groups and an extensive set of links to groups.

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Headline: “Signs of Détente in the Battle between Venus and Mars,” New York Times , May 31, 2007

“The conventional wisdom is that ‘men are from Mars and women are from Venus,’” said Molly Monahan Lang, a sociologist at Bloomsburg University of Pennsylvania. “On the contrary, we are from one small world that is getting smaller.” (in Cohen, 2007, p. A14). This statement demonstrates what participants in a conference on contemporary families described as gender convergence . Rather than a “war between the sexes,” this notion holds that women and men are becoming more similar—and are more likely to fi nd ways to get along with each other. Does gender convergence mean that women and men are happy with the changes to gender roles and want more? What do men and women want?

What Do Women Want? What Do Men Want?

Questioning what women want became popular after Sigmund Freud asked the question of Marie Bonaparte in the 1930s (Jones, 1955). His version of the question, as many others have been, was an exasperated plea prompted by a genuine lack of understanding of women’s motivations (Feist, Feist, & Roberts, 2013). Other men have contended that women’s goals are unreasonable rather than mysterious.

Men’s motives have not been subject to the same degree of scrutiny as women’s, but the changes in women’s roles have forced men to examine their own lives to consider what they want. Much of this examination has centered on what men want from women and the diffi culties that changes in women’s lives have created for men. But the concept of gender convergence suggests than women and men are becoming more similar.

Have Women Become More Like Men?

“Why Can’t a Woman Be More Like a Man?” was the title of a song in the musical play My Fair Lady (Lerner & Loewe, 1956). Henry Higgins sang about how unreasonable women were in comparison to men. As he longed for women to be more like men, he was voicing the stereotypical belief of essential differences between women and men. Although this view was common at the time the musical appeared (and for some people, even now), that view may be incorrect. Rosalind Barnett and Caryl Rivers (2004) contended that gender differ- ences have been exaggerated; women and men are much more similar than different. The headline article agreed that they are becoming so.

Women have begun to take the opportunity to pursue some of the goals that were once reserved for men, most notably education and paid employment. If large differences once existed between men and women, perhaps the intervening years have allowed Higgins’s wish

How Different? 16

500 How Different?

to come true. In what ways have women become more like men? And if this wish has come true, are men as comfortable with the changes as the headline article suggested?

Higgins’s wishes centered on emotionality; he listed negative emotions for women and positive ones for men. Of course, Higgins himself deviated from this ideal quite a bit, and his notion of overly emotional women failed to take male violence into account. Women may report more emotional intensity than men do, but a willingness to report emotion is tied to gender stereotypes of emotionality and not necessarily to the experience of emotion (Shields, 2002). Indeed, women and men have similar experiences (but different expressions) of anger (Archer, 2004). Girls and boys spend years learning how to perform emotion in gendered ways according to the display rules of their culture. These social rules for displaying emotion shape the gender differences in emotionality.

Rather than women becoming more like men, the opposite trend has appeared in couples’ relationships. As wives have joined the workforce, husbands have become more involved in household work and child care. As couples strive for intimacy, men feel the pressure to become more emotionally open. Thus, women have not become more like men in these respects, but instead, men are feeling the pressure to become more like women.

During the past 50 years, women and men have become more alike in their sexual behav- ior. When Alfred Kinsey, Wardell Pomeroy, and Clyde Martin (1948, 1953) conducted their surveys in the 1930s and 1940s, the double standard for sexual behavior constrained women from expressing their sexuality. Women were less likely to masturbate and to have intercourse outside marriage than men were. Later surveys (Herbenick et al., 2010; Hunt, 1974; Lau- mann, Gagnon, Michael, & Michaels, 1994) have shown diminishing differences; when women and men believe that their responses are monitored by a polygraph (“lie detector”), most differences in sexual behavior disappear (Alexander & Fisher, 2003; Fisher, 2013).

The sexual differences that remain may be important—small differences may create large problems for heterosexual couples (Hyde, 1996). For example, women’s lower rate of mas- turbation may relate to their diffi culties in having orgasms during sex with their partners,

Photo 16.1 The large number of women entering the paid workforce has brought about changes in women’s and men’s relationships and family lives.

How Different? 501

a problem that prompts confl ict in the sexual relationship of many couples. (The advice of sex therapists often includes masturbation to learn how to have orgasms.) The difference in attitudes toward casual sex has a large infl uence on couples’ relationships. When men and women bring different attitudes about commitment to sexual relationships, their varying standards can result in jealousy and confl ict.

Changes in sexual attitudes have allowed women to explore their sexuality. Women’s sexual attitudes and behavior changed substantially between the 1930s and the 1970s (Laumann et al., 1994). The conservatism of the 1980s and the growing fear of AIDS produced some decrease in the willingness for sexual exploration in both men and women, but women’s exploration of their sexuality has taken them in directions that were not necessarily com- patible with men’s sexual preferences. Indeed, increased acceptance of sexuality other than intercourse led women to be less sexually dependent on men. This change became a source of men’s discontent. Women have become more sexual, but not like men, and not neces- sarily to men’s liking. Even in “hook up” relationships, women have higher expectations of emotional commitment (McGinty, Knox, & Zusman, 2007) and more regret (Owen & Fincham, 2011) than men do.

Women have become more like men in terms of their achievements: Educational differ- ences between men and women have reversed—women now receive more college degrees than men (U.S. Census Bureau, 2015). Differences still persist in several areas of training and in the advanced and professional degrees awarded in some areas, but the gender gap is closing in training for prestigious careers such as law, business, and medicine. Women’s gains may overcome men’s current advantage, and more women than men will be qualifi ed for high-status jobs in the future. A wife’s income is attractive to many men, but competing with women for good jobs is not a change that men welcome.

Employment gives women more economic advantages, but also produces greater demands. Although some women have sought employment out of a desire for personal fulfi llment, economic necessity is the reason that most women join and stay in the workforce. This form of gender convergence is the most dramatic; women and men have increasingly simi- lar ambitions and goals (Whitmarsh & Wentworth, 2012). However, the degree to which women are satisfi ed with their employment varies according to the support they receive from their families as well as the support from their colleagues and supervisors on the job (Cohen, 2007). Women whose husbands provide little assistance and emotional support for their employment are less satisfi ed than women with more supportive families, but gender convergence is occurring in this area, too.

In needing and providing support, women and men are now similar, but these similari- ties represent changes in their traditional roles. Female homemakers were the traditional caregivers, but employed women need to receive support from, as well as provide support to, their families. In the past, male breadwinners could expect the support of their wives, but they are now expected to provide their wives with emotional support and also help with household work. Through these changes, women and men have become more alike, but an increase in household chores was probably not what men like Henry Higgins had in mind. This struggle has become one of the areas of détente that the headline article described—men are becoming more involved in household work and child care. Indeed, an analysis of time use among U.S. (Fisher, Egerton, Gershuny, & Robinson, 2007) and Australian (Chesters, 2013) women and men showed a trend toward convergence of time spent in work-related activities and in unpaid household work.

Education, employment, sexual attitudes and behavior, and achievement all show gender convergence, but the changes have not been symmetrical—men have not adopted women’s behaviors to the same extent. These asymmetric changes are not surprising when consider- ing the situations that have produced the changes. Women have moved into the educational

502 How Different?

and employment worlds formerly occupied by men, but for the most part, men have not made corresponding moves into women’s worlds. Thus, men encounter few—and women encounter many—situations that encourage the adoption of a more fl exible style.

Despite superfi cial endorsement of the virtues of the traditional feminine role of home- maker and mother, society has accorded little value to nurturing skills or other traditional feminine behaviors (Cancian & Oliker, 2000). Men’s traditional masculine style of assertive, independent, agentic behavior has set the mold for behavior in a variety of situations (Barnett & Rivers, 2004). Women who enter these situations tend to adopt the style of the situation, which is usually agentic rather than communal. Society’s value of masculine over feminine traits results in women receiving rewards for adopting such active, instrumental behaviors and men receiving less encouragement for becoming more expressive or communal in their behavior. Thus, women have more freedom than men to become androgynous by combining the positive aspects of masculinity with the expressive, communal behaviors of femininity.

How do women feel about these changes? A great deal of media attention has focused on the negative effects of the changes in women’s lives (see the According to the Media box). Stories appeared about women leaving prestigious careers to be full-time homemakers (Slaughter, 2012), but the stories tend to focus on interviews with selected discontented women rather than presenting studies with more representative samples of women. Better research indicates that women would like more opportunities and options rather than a return to traditional gender roles. An international poll (Pew Global Attitudes Project, 2010) showed not only wide- spread support for gender equality throughout the world but also a 97% endorsement within the United States. Acceptance of other changes in women’s roles is also widespread, including women’s employment, men’s participation in household work, and egalitarian marriage (see the According to the Research box). These beliefs are most common in Western Europe but also exist in countries in North and South America. Neither women nor men believe that going back to the gender roles of the 1950s is desirable (Bolzendahl & Myers, 2004).

According to the Media . . . The Battle of the Sexes Rages on

Media depictions of the “battle between the sexes” have appeared for more than 2,000 years, presenting many examples in a variety of media. In Ancient Greece, playwright Aristophanes wrote Lysistrata , a play about women boycotting sex to encourage men to end a war. Director Spike Lee updated the play in 2015 and set it in modern-day Chicago for his movie Chi-raq . Shakespeare often focused on male–female confl ict, none of which is more of a battle than Katerina and Petruchio in The Taming of the Shrew . A 1973 tennis match between Billy Jean King and Bobby Riggs was billed as the battle of the sexes. The broadcast of that match became the most widely watched sports event of its time. The story has been the topic of documentary fi lms and as well as a 2017 movie titled Battle of the Sexes .

The concept of a battle between women and men has become a board game, also titled Battle of the Sexes, which divides players into teams according to their sex. The men must answer questions that women would be more likely to know; the women receive questions stereotypically associated with men. An online version of the game also exists. Hip-hop artist Ludacris titled his 2010 album Battle of the Sexes and fi lled it with a variety of duets, some with female singers. Their presence did not exactly bal- ance the “battle;” the male point of view was obvious and overwhelming (Garraud & Kennedy, 2010). Thus, from ancient Greece to hip-hop, the media portray an endur- ing battle between men and women.

How Different? 503

Men in the United States see more disadvantages to the changes in gender roles than women do. Men’s role as breadwinner is compromised by the decreasing availability of good jobs and the increasing number of employed women who can provide for themselves (Faludi, 1999). A culture that seemed to revolve around boys and men stopped doing so, and women’s concerns became preeminent. Many men expect privileges that they no longer have, leaving them feeling cheated and resentful.

Henry Higgins’s wish may have come too true. Women have, indeed, become more like men, but the changes are not everything that he (and men like him) had hoped for. Most people fi nd change diffi cult and anxiety provoking, and changes in expectations for men and women have come about very rapidly. Indeed, the changes have occurred faster than social institutions have been able to accommodate them. People have few models to emulate in adopting new gender roles, and they live in a society with institutions that pressure them toward traditional gender roles. When gender roles were narrowly defi ned, everyone knew what to do. Although the rules were unquestionably restrictive, the roles were at least clear. Greater fl exibility has produced uncertainty as well as options.

The power and privilege of men’s traditional gender role put men in a position of having more to lose through change than women do, and men are less pleased than women with the changes that have occurred (Pew Global Attitudes Project, 2010). Although some men have welcomed the opportunities to form more intimate relationships with friends and partners and to be involved in their children’s lives, many others have resisted making changes or have found themselves not knowing how to enact the changes they want to make. Society offers little encouragement for men to become more feminine (Gross, 2003). Indeed, men continue to avoid activities associated with femininity. For example, few men want some of

According to the Research . . . Tension between the Sexes Is Trending toward Ending

As women and men have become more similar in education and employment, so have their everyday lives. These converging lives have led to converging attitudes and goals, including more acceptant attitudes about the changes that have occurred in women’s roles. Results from several studies predict more peaceful relations between the sexes.

Findings that promise easier relationships have come from research on a represen- tative sample of men (Hart Research, 2015) and another on both American women and men (Cotter, Hermsen, & Vanneman, 2014). Both indicated that the approval for women’s employment was high; 68% reported that they support women’s employ- ment (Cotter et al., 2014), with little difference in the attitudes of women and men. Another survey (Hart Research, 2015) confi rmed the fi nding of men’s support: 63% of men reported that they are comfortable with their spouse working outside the home. Having a wife who whose educational level is higher (Schwartz, 2014) or who earns more (Hart Research, 2015) is not the trauma it once was; men reported that they would be comfortable with those situations.

Another area of couples’ confl ict arises over sharing household chores, but this area may have evolved into different outcomes than the media portray. Not only are men participating in more household work than in previous generations, couples who share household chores experience a lower rate of divorce and slightly more satisfactory sex- ual relationships than couples with more traditional gender roles (Sassler, 2014). The changes in women’s roles have not created the strife that the media portray; instead, both men and women are experiencing and recognizing the benefi ts.

504 How Different?

the new options that gender equity has offered, such as careers as elementary school teachers or secretaries. Thus, the changes in gender roles have threatened privileges that men have and given them options most do not want. However, many men want to be more involved with their children’s lives, and this change has occurred to a larger extent than pursuing female-dominated careers.

Women too may not be entirely satisfi ed with the changes in their lives. As the many polls indicate, the majority of women favor more equal treatment in politics and jobs (Pew Global Attitudes Project, 2010), but they too may resist making other changes in the roles and underlying assumptions about their relationships with men, their sexuality, and their children. Many mothers experience diffi culties in becoming less involved in child care while fathers become more so. Not only does this situation violate gender-typical behavior, but also women may be jealous of the bond that forms between fathers and children (Barnett & Rivers, 2004). Women do not want to lose elements of their gender role. Instead, they want to add the privileges and choices that men have enjoyed. Men tend to complain about what they have lost—services and subservience. Women tend to complain, not about what they have lost, but about what they have gained—the equivalent of two full-time jobs. Table 16.1 summarizes some of these changes.

Why Can’t a Man Be More Like a Woman?

Men have not embraced the changes in gender roles and behaviors that have occurred in the past 40 years to the extent that women have. Study after study has found that men hold more rigid gender stereotypes than women do (see Chapter 3 ). Traditional men see no advantages for themselves in women’s greater freedom. Indeed, these men feel the competition for grades and jobs, and they resent the presence of women in the workplace. Traditional men have

Table 16.1 Ways Men and Women Have Changed over the Past 40 Years

Women Have Become More Like Men in

Education Women earn 57% of bachelor’s, 60% of master’s, and 51% of all doctoral degrees granted in 2011–2012 (U.S. Department of Education, 2015).

Employment 47% of workforce is female (U.S. Bureau of Labor Statistics, 2015).

Earnings Women earn 78¢ for every $1 earned by men (up from 59¢ in 1970s) (U.S. Bureau of Labor Statistics, 2015).

Sexual attitudes Age of fi rst intercourse is similar for girls and boys in the United States (Martinez et al., 2011). 48% of young men and 46% of young women are sexually active (Martinez et al., 2011). 98.9% of men and 99.2% of women want to settle down with one sexual partner at some time during their lives (Pedersen et al., 2002). Large majority of men and women fi nd extramarital sex unacceptable (Laumann et al., 1994).

Physical activity 51% of women and 42% of men are not adequately physically active (NCHS, 2015).

Men Have Become More Like Women in

Forming intimate relationships Women’s talk-based style of intimacy has become the standard (Cancian, 1986).

Smoking rate 20.7% of men and 16.7% of women currently smoke cigarettes (NCHS, 2015).

Dieting 24% of men and 38% of women are dieting (Kruger et al., 2004)

How Different? 505

stereotypical attitudes toward their own gender role (Vandello & Bosson, 2013) and prefer women to adhere to traditional femininity (Brooks, 2003). These men do not feel the appeal of expanding their gender role to include behaviors traditionally reserved for women, so they see nothing but disadvantages connected with changing gender roles.

These traditional men are a diminishing minority in countries around the world (Pew Global Attitudes Project, 2010). A majority of men in many countries endorse at least some of the changes in women’s roles; in countries such as the United States, this majority is large. Age is an important factor in men’s attitudes toward changing roles; traditional men are more likely to be older, whereas younger men are more acceptant of gender justice. Many men may be considered to be in transition between traditional views of male dominance and embrac- ing new roles for women and for men. These men tend to accept the contention that the women’s movement has produced benefi ts for them as well as for women. They are likely to be sympathetic to individual women but unlikely to embrace women’s issues.

Younger men are especially likely to endorse equality for women and greater involvement for men in family life (Galinsky, Aumann, & Bond, 2009/2011). Young men are more likely than older ones to have grown up with a mother who was employed, giving them a model for such relationships (Bolzendahl & Myers, 2004). They are also more likely to have female partners who are less traditional than they are, pushing these young men toward egalitarian relation- ships. Older men have also been pushed toward more egalitarian relationships. The worldwide fi nancial crisis of 2008 pushed some men toward those roles; more men than women lost their jobs, and women became the breadwinner in many families (Berik & Kongar, 2013). This situation resulted in women working more hours and doing less household work.

But how far do we want the convergence to go? Women have become more like men, but men have more often declined than accepted opportunities to become more like women. This situation has left women asking Henry Higgins’s question from their own point of view: “Why can’t a man be more like a woman?”

This question exists in two versions, one social and one personal. The social challenges the wisdom of continuing to use men and masculine values as the standard and as the pre- ferred style. For example, what makes the hierarchical, directive (sometimes autocratic) style of leadership that men typically use preferable to the cooperative, democratic style more typical of women? What is wrong with emphasizing relationships and being emotionally expressive? Why can’t men accept the value of the feminine style? Why are men considered the standard and women the exception (Bem, 1993)? The personal version of the question challenges men to include more expressiveness in personal relationships and to participate more fully in “women’s work,” that is, household work and child care. Women contend that both society at large, as well as their individual lives, would profi t from men accepting the value of men becoming a bit more like women (Gross, 2003; Pew Global Attitudes Project, 2010).

People have few problems in accepting the value of the communal qualities associated with women. Alice Eagly and her colleagues (Eagly & Johannesen-Schmidt, 2001; Eagly, Mladinic, & Otto, 1991) found that women received more positive personal evaluations than men did. People think of women as a social category in very positive terms, but not necessarily when women exhibit these qualities in positions traditionally held by men. As Eagly et al. (1991, p. 213) put it, “Although people evidently think that these qualities are wonderful human attributes, they may value them more in close relationships than in highly paid sectors of the workforce.” Thus, positive attitudes about women do not ensure the social acceptance of their style in roles other than traditional ones. This situation is unfortunate; research (Eagly & Johannesen-Schmidt, 2001) indicates that these behaviors foster positive workplace outcomes, and corporations with a mixture of male and female managers are more successful than companies with only male managers (Jones, 2009).

506 How Different?

Although the lives of women and men are converging in a number of ways, society offers few models of couples who develop equal relationships, but many examples of traditional couples. The convergence has occurred through the effort of couples who have worked out new ways of living together and raising children, with both partners contributing in the workforce and at home. The importance of family—to both men and women—was a clear message from the results of a survey on work and family life in the United States (Galinsky et al., 2009/2011).

What are the prospects for men becoming more like women? And how would women feel if they did? Currently, the rewards for men who adopt more expressive behaviors are not as great as for women who become more instrumental, which leads to the prediction that men will probably not change as much as women have. However, issues of gender equity have become a concern among leaders of the men’s movement, with statements concerning the necessity of changes for men in order to achieve gender justice for women (Connell, 2005a, 2005b). As Rita Gross (2003) pointed out, it is not possible to free women from restrictive gender roles without changing men as well. Men in many countries are beginning to agree (Pew Global Attitudes Project, 2010), a majority of whom fail to endorse traditional views of men as breadwinners and women as homemakers.

However, women do not want men to be like women (Backus & Mahalik, 2011; Bloom, 2002). Women see the benefi ts of breaking the stereotypes, both for themselves and for men. The ideals have changed so that the ideal for women as well as men is strong, smart, and self-reliant and the ideal for men as well as women is sensitive and affectionate. But this androgyny has limits. Parents do not want girls to become so strong, smart, and self-reliant that they have trouble getting invited to the prom, or boys to become so sensitive that they are taunted and bullied. The gender lines may not be drawn where they were, but the lines still exist, and most men and women want some lines. Those lines can feel like a hopscotch grid when it comes to negotiating the multiple roles that have become the rule for most people’s lives.

Multiple Roles Have Become the Rule

Once upon a time, women chose careers to support themselves until they married, and men devoted themselves to careers while remaining marginally involved in family life. These stereotypical patterns no longer apply to an increasing number of women and men in countries around the world. A growing number of women pursue careers on a full-time, uninterrupted basis. As a result, many men no longer provide the sole support for their families. With the job demands experienced by both men and women, fi nding the time to devote to marriage and family has become diffi cult. Indeed, work/life balance has become a major challenge for modern couples in most high-income countries (Galinsky et al., 2009/2011; Zagor, 2006) and many middle-income countries (Pew Global Attitudes Project, 2010).

The struggle in balancing work and family comes from social expectations and the fi xed gender roles that these expectations bring (Fuwa, 2004). Despite joining the workforce of paid employment, women still are expected (and expect themselves) to occupy the role of wife and mother, which may include performing a majority of the household and family work. Women’s employment has eroded men’s role as breadwinner (Zuo, 2004) and brought pressure on men to participate more in household work and child care. As the burden of household work becomes increasingly unfair to women, men begin to do more (Chesters, 2013). Men may struggle with these chores; they have few models for the acceptability of performing them and little practice in doing so. Thus men feel challenged by this aspect of their multiple roles.

How Different? 507

Gender stereotypes push men toward “men’s work” around the house, including mowing the lawn, shoveling snow, and taking out the trash, whereas women still perform the most time-consuming chores such as grocery shopping, food preparation and cleanup, and the majority of child care (Coltrane, 2000). Even when partners plan an equitable sharing of household work, they have diffi culty implementing these plans, but more couples are work- ing toward this goal (Galinsky et al., 2009/2011).

Some employment makes balancing work and family especially diffi cult. High-level mana- gerial and professional careers require long hours and extraordinary dedication. The cor- porate, male-dominated careers that women began entering in somewhat larger numbers during the 1970s have not changed to accommodate women’s family duties (Slaughter, 2012; Williams, 2010). Men provided the model for these careers—men who had wives to provide a support system for their husbands’ careers. These wives offered not only emotional sup- port at home but also social support in the public functions of the organization (Williams, 2000). That is, the “corporate wife” joins auxiliaries, organizes social functions, and boosts her husband’s career. Women too need “wives” to provide this support, but even husbands who are willing to be homemakers would not function as corporate “wives.”

An increasing number of men have taken the role of at-home support for employed wives (Tyre et al., 2003). A few men have chosen to be “Mr. Mom” and to devote time to being with their children. Older men have also been pushed toward more egalitarian relationships. The worldwide fi nancial crisis of 2008 pushed some men toward those roles; more men than women lost their jobs, and women became the breadwinner in many families (Berik & Kongar, 2013). This situation resulted in women working more hours and doing less household work, but this shift in roles creates tension in the relationship. Even when the arrangement is voluntary, wives with corporate careers and husbands who care for children are violating gender boundaries and receive disapproval for spending too much time in tasks that are gender inappropriate (Epstein, 2004).

Gendered Voices: I’ve Had This Conversation before

Melinda was a single mother with a 2-year-old son who told me about her experiences with the woman she had hired to care for her son. She considered herself and her son extremely fortunate; the nanny was a retired pediatric nurse, ideally qualifi ed to be a nanny, and a wonderful person. Like many other mothers with careers, Melinda felt less than enthusiastic at the thought of leaving her son in the care of someone else, and she felt fortunate not only to be able to afford a full- time, live-in nanny but also to have found a great person. Indeed, they had become like a family.

Melinda’s business career was demanding but fulfi lling. She had worked as a secretary dur- ing the time that she was married, but she had divorced and pursued a sales and management career and had become successful. Like other women with demanding and fulfi lling careers, she worked long and sometimes irregular hours. Her son’s nanny took care of him and the house, cooking dinner for herself and the child. She said that she could easily cook for Melinda as well; she would be glad to do so, but Melinda needed to be home to eat with them.

Melinda explained that she didn’t always know when she would need to work late, and she couldn’t be sure about being home in time for dinner every night. “But that doesn’t matter. If I’m late, just leave my dinner. It’s no big deal.” The nanny said that it was a big deal; she didn’t want to cook dinner and have her be late and have cold food. It just wasn’t right. Melinda thought, “I’ve had this conversation before—when I was married. Only this time I’m being the ‘husband,’ and last time I was the wife. My husband said all the things I’m saying and gave all the excuses I’m giving, and I said the words I’m hearing from my nanny. Now, I’m the ‘husband.’”

508 How Different?

Pepper Schwartz (1994) studied couples who had managed to construct marriages in which each shared equitably in family life, and she contrasted these couples with more traditional marriages. One factor that distinguished these two types of couples was level of employment; few fast-track careers appeared among the marriages in which the partners shared equally. Schwartz found that these couples “maintain their relationship goals by folding work into the relationship rather than vice versa” (1994, p. 181). For both men and women, the relationship was more important than career. By making their relationship and home life primary, these couples have expanded the role for men, making them into full participants in their wives’ and children’s lives. This egalitarian option is more attractive to younger couples (Galinsky et al., 2009/2011), and research has shown that being married to a feminist is a good choice—for either men or women (Rudman & Mescher, 2012).

What are the consequences of this balancing act of multiple roles for men and women? Several models hypothesize different consequences of multiple roles (Barnett & Hyde, 2001). The functionalist view holds that families function best when men concentrate on their jobs and women specialize on caring for home and children. This view dates back to the 1950s, when this family confi guration was common and deviations were considered less than ideal. In this view, multiple roles lead to role confl ict because people who try to fulfi ll many roles experience confl ict when the multiple roles produce stress in their lives. An alternative model, the psychoanalytic view, holds that boys develop a sense of autonomy that suits them to pur- sue accomplishments in the outside world, but girls do not. Thus women are unsuited for paid employment but well suited to domesticity and child care. This model also envisions a sharp division of gender roles and varying suitability for paid employment. Individuals who pursue unsuitable goals should experience problems. The view from evolutionary psychology also holds that women and men are inherently propelled toward different work and family roles by their evolutionary heritage. For example, one hypothesis drawn from this view is that women who have less contact with their families will experience more depression and mental health problems than those who stay in close contact. The role expansion model emphasizes the direct and indirect benefi ts of employment for women, proposing that the monetary benefi ts, the satisfaction of fulfi lling several roles, and the protection of occupying several different roles will be benefi cial. Table 16.2 shows these four models and the position of each on the effects of multiple roles.

Table 16.2 Four Models for Multiple Role Occupancy

Model Result of Multiple Roles Benefi ts

Functionalist Confl ict—Men should be breadwinners, and women should take care of household

None

Psychoanalytic Confl ict—Men are suited to the outside world and women to home

None

Evolutionary Confl ict and depression— “Natural” roles of breadwinning and homemaking are genetically programmed

None

Expansionist Enhancement—Both men and women are healthier and more satisfi ed when they occupy roles of partner and employee

Direct and indirect

Source: Based on “Women, Men, Work, and Family: An Expansionist Theory,” by Rosalind Chait Barnett and Janet Hyde, 2001, American Psychologist, 56, pp. 782–785.

How Different? 509

Research supports the advantages of multiple roles, especially the benefi ts that come from employment. These benefi ts apply to women and men (Barnett & Hyde, 2001; de Vaus, 2002; Sachs-Ericsson & Ciarlo, 2000). Rising work demands and overwork produce stress, but with a similar impact for men and women (Moen, Lam, Ammons, & Kelly, 2013). Searching for a balance between work and family has become a contemporary quest in many countries. Unlike the United States (Williams, 2010), countries in the European Union have policies that allow mothers more maternity leave and have also enacted policies and laws that allow men to devote more time to child care (Caracciolo di Torella, 2014).

Support is an important mediating factor in the distress that comes from trying to balance roles (Barnett & Hyde, 2001). For women with young children and no partner, their mul- tiple roles of mother, head of household, and employee are often stressful, and these women tend to have more mental health problems than women with partners (Sachs-Ericsson & Ciarlo, 2000). Men are also more satisfi ed with their marriages and their lives when they pro- vide support by participating in what they perceive to be a fair share of family work (Saginak & Saginak, 2005). Employed, married men with children had fewer mental health problems than any other combination of demographic characteristics for people in the United States (Sachs-Ericsson & Ciarlo, 2000).

The rule of multiple roles has resulted in women moving into careers and men becoming more involved in household work and child care. An acceptance of women’s employment and equal roles for women has grown over the past 40 years (Donnelly et al., 2016). Older adults may endorse these changes with less enthusiasm, but younger and middle-aged adults who endorse egalitarianism are now in the majority in the United States. These changes have created the convergence in attitudes and behavior that the headline discussed. Then what differences remain between women and men?

Where Are the Differences?

Differences still exist between women and men in the theories used to explain psychological factors related to gender. The traditional dichotomy for theories of gender is the biologi- cal view versus the environmental view—attributing differences to either nature or nur- ture. Although these opposing points of view have infl uenced research in gender, another approach now encompasses the nature–nurture debate in gender—the maximalist versus the minimalist positions.

The maximalist view holds that men and women have large differences (“Men Are from Mars, Women Are from Venus”), whereas the minimalist view holds that the differences between men and women are small compared to their similarities (“Same Difference”). The older versions of maximalist theory are biologically based, emphasizing differences, and offering genetic, hormonal, or evolutionary explanations for behavior as well as for anatomy. Evolutionary psychology is a maximalist theory that proposes that human evolutionary history has equipped people with preprogrammed patterns of behavior that differ a great deal between the sexes. These theorists tend to rationalize the disadvantaged social position of women by citing biological programming as the source of differences. Naomi Weisstein (1982, p. 41) summarized this position by saying, “Men are biologically suited to their life of power, pleasure, and privilege, and women must accept subordination, sacrifi ce, and submission. It’s in the genes. Go fi ght city hall.”

Not surprisingly, feminist scholars have disputed the biological basis of behavioral dif- ferences between men and women, proposing that social experiences produce differences in learning and thus in behavior. According to this view, social learning and situations, not biology, furnish an important foundation for these behavioral differences. This approach holds that behavior varies according to circumstances and surroundings, and these theorists

510 How Different?

attribute gender differences to the different situations that women and men typically encounter.

Not all maximalist theories rely on biology; social learning forms the basis for some ver- sions of the maximalist position. Although these theorists see the differences between wom- en’s and men’s behavior as learned, they believe that the differences are large and persistent. Many of these maximalist theorists are cultural feminists, advocating the superiority of women’s style and characteristics. Rather than accepting the differences as defi ciencies, they promote the female version as the better alternative.

Maximalist theorists such as Carol Gilligan, Nancy Chodorow, and Deborah Tannen are appealing to some women because “they offer a fl attering account of traits for which they have historically been castigated” (Pollitt, 1992, p. 802). This view is a modernized version of the Doctrine of the Two Spheres, the Victorian view that women were moral, pure, spiritual, emotional, and intellectually inferior. Unfortunately, the virtues that these maximalists ideal- ize also rationalize the continued subordination of women. What’s more, the popularity of this view is ironic, given that the roles of women and men are more similar than they have been at any time during the history of the West (Barnett & Rivers, 2004; Galinsky et al., 2009/2011).

These similarities are part of the evidence that the minimalists cite when they argue that gender differences are small. Rather than gender differences, Janet Hyde (2005) contended that this area of research should be called gender similarities because meta-analyses have revealed few large differences. Rosalind Barnett and Caryl Rivers (2004) titled their analysis Same Difference to convey the message that gender differences have been overstated.

Both maximalists and minimalists look at the same research and fi nd evidence to support their positions. The ability to maintain different interpretations of the same information highlights the constructed nature of theories; that is, those who support one view or the other have constructed their position in accordance with their beliefs about gender. Building and maintaining a theoretical position requires examining the research evidence, but theory goes beyond evidence and leaves room for personal bias (Eagly & Wood, 2013). Therefore, it is possible for theorists to maintain discrepant positions with regard to gender differences, with some theorists holding maximalist and others minimalist positions and few working toward understanding the complex interactions of nature and nurture.

Theories are not the only place that gender differences exist; gender-related differences also exist in behavior. The extent of gender-related differences, however, depends on the type of study considered. Research fi ndings on ability show few gender differences; fi ndings on the choices that men and women have made about what to do in their lives reveal larger gender differences.

Differences in Ability

Considering the many comparisons of abilities of women and men, the gender differences are largest for physical strength. This difference relates to size and muscle mass, with men being signifi cantly larger and stronger than women. The differences among individuals are also large; some women are stronger than other women, and some men stronger than others. However, gender differences are larger than individual differences, making gender a good predictor of strength.

In the past, physical strength made a great deal of difference for a variety of activities, especially in the world of paid employment. Currently, few positions of prestige and power require strength, but the legacy of this difference persists. In a survey and interview study of gender issues (Sigel, 1996), some men expressed the opinion that men should be paid more than women because men’s jobs require more strength. Despite the high levels of skills that

How Different? 511

secretaries might need, they should receive less money, according to this view, because their jobs do not require heavy labor. The requirements for physical labor were also mentioned as a reason why men should not be expected to share household work or child care—they had already done physical labor and should not be expected to do more at home. In the years since that study, this view has diminished (Galinsky et al., 2009/2011).

Gender is a good predictor of physical strength but a very poor predictor of mental abili- ties. In both verbal abilities and mathematical abilities, only small gender differences exist. Despite the widespread belief that men have superior mathematical abilities and women have superior verbal abilities, the technique of meta-analysis has revealed that the gender differences are small (Hyde, 2005; Hyde, Fennema, & Lamon, 1990). The largest differences in cognitive abilities are in writing and in one type of spatial task, the mental rotation task (Halpern, 2012). Women have a large advantage in writing, and men have a large advantage in mental rotation, but other spatial and verbal tasks show a mixed pattern of advantages for men, women, or neither.

Research conducted in laboratory settings often shows few if any gender differences. When men and women are put into situations without gender-related cues, their behavior tends to be quite similar. For example, a literature review (Frodi, Macaulay, & Thome, 1977) and meta-analyses (Archer, 2004; Eagly & Steffen, 1986; Knight, Guthrie, Page, & Fabes, 2002) of aggression have shown that women and men are similar in their experience of anger and willingness to behave aggressively in laboratory situations, but outside the laboratory, gender differences appear. One prominent difference is the type of aggression; men tend to choose direct confrontation whereas women are more likely to use an indirect strategy of causing harm.

Thus, the evidence about gender differences in abilities indicates a few large differences and many more small differences. Table 16.3 summarizes these few differences. When

Table 16.3 Where Are the Differences?

Differences between Men and Women Are Large in

Size Men are larger than women.

Strength Men are stronger than women, especially in terms of upper body strength.

Mental rotation ability Men are much better at mentally rotating fi gures in space than women are.

Writing ability Women are better at writing than men are.

Size of sexually dimorphic nucleus The sexually dimorphic nucleus is a brain structure that is larger in men, but its function is not currently understood.

Gender fl exibility Girls and women stereotype less and have more liberal attitudes about gender roles than boys and men do.

Crime rate 73.9% of those arrested for crimes are men; 26.1% are women (FBI, 2014).

Sexual attitudes and behavior Men masturbate more than women do (Petersen & Hyde, 2010). Men are more acceptant of casual premarital sex than are women (Petersen & Hyde, 2010).

Overweight 73% of men but only 65% of women in the United States are overweight or obese (NCHS, 2015).

Strategy of dealing with negative feelings

8.3% of women and 12.1% of girls but 4.7% of men and 4.5% of boys meet the diagnostic criteria of depressive disorders (SAMHSA, 2012). Men are diagnosed with substance abuse disorders at ratios of 2–4:1 compared to women (SAMHSA, 2012).

512 How Different?

examining the behavioral choices that men and women make, gender differences are larger than when considering abilities.

Differences in Choices

Women and men make different choices about important facets of their lives. These choices may refl ect genetic or other biological bases that are activated or encouraged on the basis of gender stereotypes (Eagly & Wood, 2013). By saying that women make different choices than men, it is implied that these choices are voluntary and freely made, but such is not the case. As Joan Williams (2000) described the situation, women and men are propelled by force fi elds that push them toward certain options and away from others, making the traditional choices the only available options for many individuals. Barriers that prevented women and men from attempting some activities seem to have fallen away, but constraints remain in the form of expectations and encouragement. These choices are more important than abilities in determin- ing what happens in people’s lives. The gender differences that exist in education, employment, family life, relationships, sexuality, emotionality, health-related behaviors, body image, and behavior problems refl ect these different choices and the expectations that foster them.

Although men and women have similar mathematical ability and now have similar prepa- ration in terms of courses completed in high school (Spelke, 2005) and an increasing number of college degrees in math (U.S. Census Bureau, 2015), young men are more likely than women to pursue careers that rely on math. Even women who complete the courses required for a good math background do not choose science and engineering careers as often as men do (Ayalon, 2003; Ceci, Williams, & Barnett, 2009). These discrepancies are larger than the differences in abilities would suggest: Fewer women enter mathematics and engineering than women who have the ability to do so.

The expectation that men will pursue careers consistent with the breadwinner role and that women will seek careers compatible with family duties eliminates many options for each. Men are limited in their family involvement by careers that require dedication and long hours. Men do not receive encouragement when they make different choices, such as allotting time to family life by choosing part-time employment or by choosing to be home- makers. Indeed, this choice is considered deviant, and men who have made such decisions are encouraged to reconsider (Epstein, 2004; Vandello & Bosson, 2013).

The movement of women into the paid workforce has increased their options in some ways but not in others. Women have more choices than men do concerning employment or homemaking—women may be homemakers or employed, or alternate the two, but men are still expected to be employed. However, the expectation is coming to be that women will be employed in addition to having a husband and children (Hoffnung, 2004; Konrad, 2003). Women who have chosen to have a career and family experience the strains of juggling roles as they work to develop their careers, fi nd adequate child care, and make time for children and husbands (Slaughter, 2012). Women who have chosen to be homemakers feel that their choice is not as well accepted or respected as the choice of pursuing paid employment, but they feel that the job they are doing is essential for their children’s well-being (Blair-Loy, 2003). Women who have paid employment but would rather be homemakers, and those who had expected to pursue careers but are instead homemakers, face confl ict between their expectations and their actual lives. Thus the changes in patterns of employment for women have resulted in additional role responsibilities as well as an additional option.

Men and women tend to enact different styles of friendships, and this difference is clearly a choice. That is, most women and men are capable of adopting the style of friendship more common in the other. A woman can be “one of the boys,” and a man can adopt the emotionally intimate friendship pattern more common among women, but each tends to

How Different? 513

choose a gender-typical style of relating to others. This choice gives women more intimate friendships with other women than with men, and it prevents men from forming inti- mate friendships with other men (and possibly with women). Friendships are one source of social support that brings advantages for physical and mental health, which women’s style of friendship tends to provide more emotional support, whereas men’s style of friendship tends to offer more material support. The advantages of social support come from both types of support and extend to both women and men.

Women’s choice of achieving intimacy through emotional sharing and talk has become the accepted style for love relationships (Cancian, 1986), and men may feel defi cient if they are not adept at this type of relating. Men’s attempts to establish intimacy through sexual activity are not entirely compatible with women’s choice to create intimacy through talk and shar- ing feelings. Thus, sexuality may have different meanings for women and men. Even with comparable levels of desire, men and women make different choices concerning expression of their sexuality (Petersen & Hyde, 2010).

Different choices also contribute to the gender gap in life expectancies: Women choose healthier and safer lifestyles than men in terms of the use of health care services, diet, alcohol intake, and seat belt use. On the other hand, men tend to make better choices by exercis- ing and avoiding unhealthy dieting. Both patterns match the interpretation that men’s and women’s health-related behaviors are oriented toward maintaining their gender roles. That is, much of women’s health-related behavior is not oriented toward health but comes from their concern over body image. Likewise, men exercise to attain a muscular appearance and choose risky health-related behaviors, which match the Give ’Em Hell component of the masculine gender role. The gap appears to be closing in the United States; life expectancies are increasing more rapidly for men than women (Fiegl, 2013), which may result in this difference becoming a convergence.

Men’s and women’s strategies for handling negative feelings can lead to different outcomes. These differences appear both in statistics on violence and in rates of various types of mental disorders. The display rules for emotion allow (and perhaps even encourage) men to express anger openly, leading to more acts of violence and crime committed by men. Women are encouraged to restrict their displays of anger, leading not to a decrease in the experience of anger, but to a difference in the expression of anger. One difference is that women often cry when they are angry, whereas men typically do not.

Different choices for dealing with negative feelings may be refl ected in the statistics on psychiatric diagnosis. Women are more likely to receive the diagnosis of depression than men are, but men are more likely to drink alcohol and use other illicit psychoactive substances than women are. Both types of symptoms may represent underlying depression (Scelfo, Springen, & Carmichael, 2007). For example, a pattern of avoidant coping involving alcohol use is related to developing depression (Holahan, Moos, Holahan, Cronkite, & Randall, 2001, 2003, 2004), which may be a more common strategy for men. Ruminating over nega- tive events is also related to developing depression (Michl, McLaughlin, Shepherd, & Nolen- Hoeksema, 2013; Nolen-Hoeksema, 2006; Nolen-Hoeksema, Larson, & Grayson, 1999), but this strategy is more common among women. These different choices produce apparent differences in psychopathology, but possibly signaling similar problems with depression.

The expression of psychopathology tends to fall along gender-stereotypical lines (Chesler, 1972; Rosenfi eld, 1982; Wirth & Bodenhausen, 2009). The categories of psychopathology most common among women fall into the female gender role, but are exaggerated versions of the role: being dependent (dependent personality disorder), passive (major depression), fear- ful (agoraphobia), and emotional (histrionic personality disorder). Likewise, men experience psychopathology that seems to have formed around elements of the male gender role but exaggerates these traits: being irresponsible, untruthful, and violent (antisocial personality

514 How Different?

disorder); reckless (psychoactive substance abuse disorder); and inappropriately sexual (para- philias). Although these patterns may not represent intentional choices, they exist as refl ec- tions of gender-typical differences.

Therefore, gender stereotypes infl uence choices, pushing both men and women toward gender-stereotypical behaviors. Considering the similarities in abilities, the differences in choices are huge and create life courses for women that differ from those of men.

Is a Peace Plan Possible?

Carol Tavris and Carole Wade (1984) used the term (and titled their book) The Longest War to describe what others call the “war between the sexes.” Tavris and Wade are surely correct: Of all human confl icts, this one must be the longest. Casting the relationship between men and women as a war highlights the opposition and difference that is prominent in people’s thinking about sex and gender. Confl ict is certainly part of male–female relationships, and some people imagine that women and men will never get along. John Gray’s (1992) bestsell- ing book tells us Men Are from Mars, Women Are from Venus , and Deborah Tannen’s (1990) best-seller contends that You Just Don’t Understand . These popular books infl uence people to believe that the longest war will continue, but research with women and men yields a more hopeful picture.

Although modern life may seem to continue to consist of two domains—male and female—with limited “visitation privileges” from one to the other, these two domains are not different planets. Rather, “the truth is, there is only one culture, and it shapes each sex in distinct but mutually dependent ways in order to reproduce itself ” (Pollitt, 1992, p. 806). Cultures still shape men and women, but those forces in the United States and many other high-income countries are now “blending into equality” (Lang & Risman, 2006, p. 287).

The freedom to make cross-gender choices is still constrained by gender stereotypes. The ease of stereotype formation and the perceptions that accompany their formation produce some cognitive convenience but limit options for men and women. This limitation shares the problem posed by all stereotyping: These choices ignore the inherent complexity of individual differences and fail to allow for a wide range of individual choices. The benefi t of convenience is outweighed by the cost of the limitations. The abilities of men and women demand an equally wide range of choices—wider than the choices that are available in the bipolar classifi cation of traditional gender roles.

Although gender stereotyping remains prominent, gender convergence is also occurring. Will gender convergence lead to a peace plan for the gender wars, as the headline article suggested? Patricia Cohen’s (2007) article suggested that the forays into each other’s worlds has increased understanding and empathy, making men and women more similar. Unlike earlier surveys (Sigel, 1996) that had reported continued discrimination against women and little attention to gender issues by men, more recent research (Galinsky et al., 2009/2011; Lang & Risman, 2006) has included many reports of men whose attitudes were consistent with changes in women’s roles, dedicated to family involvement, discouraging sexual harass- ment in the workplace, respecting their female colleagues, and doing the laundry. Some men continue to complain about “the good old days” when women “knew their place,” but these men are becoming less common (and less vocal). After about a generation of sharing the workplace and attempting to forge equally shared personal partnerships, changes have occurred.

The quest for gender equity is by no means fi nished. The gender gap remains in wages and despite men’s increased family participation, in household work. A new gender gap has appeared in education, with men lagging behind women. Managing multiple roles in

How Different? 515

a diffi cult economy is a current challenge for men as well as for women. Despite women’s ability and education, their careers are more often interrupted than men’s careers. Women are also more likely to be employed part-time, which allows them more time to devote to their families but puts them on the “mommy track” with lower expectations for career advance- ment. High-prestige careers have not become more fl exible; these jobs are “greedy” in terms of hours and demands, and fewer women than men negotiate family arrangements that allow them to pursue such careers successfully. Increased fl exibility in employment would be a giant step toward gender equity, improving the lives of women, men, and children. However, the trend in the United States is in the opposite direction—more hours at work. An increase in the number of hours worked per week makes the work/family balancing act more diffi cult for everyone.

Both men and women are coming to perceive the pressures of modern life as the enemy instead of each other. Many couples have worked out equitable plans for living together and have built satisfying personal relationships; others have succumbed to the pressures of trying to “have it all.” Building such relationships often requires analyzing the underlying assumptions connected with gender roles and fi nding ways to overcome the roles that society dictates for women and men. An increasing number of couples are trying for a peace plan for themselves.

For society, peace in the gender wars is not as close. Modern society is fi lled with barri- ers to gender equality. The traditional assumptions about women’s and men’s roles, based on gender stereotypes, are one type of barrier. Despite many people’s willingness to make individual exceptions, the rules still exist. As Williams (2000) described, these rules about gender roles exert force fi elds that push women and men toward traditional roles and away from equality.

Summary

The roles that men and women occupy have undergone changes in the past four decades, allowing women to move into careers that had formerly been the province of men. As women began to acquire aspirations and careers comparable with men’s, some men began to imagine that women would become more like them, which would make relating to each other easier. Although some of these men have been disappointed in the ways that women have become more like men, gender convergence is occurring.

Men have long wondered what women want and have expressed the desire for women to behave in ways more similar to men. This wish has come true in several respects; women have become more like men in terms of education and occupation. Men, however, did not envision competition from women in the classroom or at work as a desirable outcome of gender similarity, but as women have moved into the worlds of higher education and paid employment, they have assumed roles and behaviors required by these situations. Gender convergence has occurred for women not only in terms of education and employment but also in sexual attitudes and behavior. Despite stereotypes, few gender differences exist in experiencing emotion, but differences remain in how emotions are displayed. Although women’s style of personal relationships is the accepted one, men have experienced diffi culties in becoming more like women in this way.

Women also wish for changes in men; they want men to respect the qualities women value and to feel comfortable in adopting positive behaviors traditionally associated with women. Women would like for men to be more emotionally expressive and to communicate intimate thoughts and feelings to their partners. Women would also like for men to become more active with their families, sharing household work and child care. The changes in men’s lives have not been equal to the ones that women have experienced. The gender convergence for

516 How Different?

women appears in their behavior; in men, gender convergence has occurred in their attitudes. Men are coming to accept gender equality, and many are working toward becoming more involved fathers and sharing household work and child care more equally.

If women have become more like men in a number of ways, and if men have become more like women in some ways, how many gender differences remain? Differences continue in theories, with maximalist theories advocating that differences exist between the genders and minimalist theories arguing for more similarities than differences.

Research on gender and ability has revealed relatively few differences. The largest of these differences in ability lies in men’s greater physical strength, but few differences exist when measuring other abilities in laboratory situations. When examining the choices that men and women make concerning how to live their lives, larger gender differences appear. Indeed, the difference in choices may promote the idea that greater differences exist than research has confi rmed.

The choices that women and men make tend to preserve well-defi ned gender roles rather than allow people to make freer choices and develop the most satisfying lives. Reliance on gender stereotypes may simplify thought processes, but preserving this dichotomy extracts a high price for individual women and men. On an individual level, peace between women and men is possible, and many couples have built relationships that allow them to participate fully in the workforce, household work, child care, and each other’s lives. On a societal level, détente will be more diffi cult in the gender war because the widespread reliance on gender stereotypes exerts societal-level infl uence.

Glossary

gender convergence the notion that men and women are becoming more similar. maximalist view the view that many important differences exist between the sexes. minimalist view the view that few important differences exist between the sexes. multiple roles the situation of being required to fulfi ll the requirements of more than one

role simultaneously.

Suggested Readings

Barnett, Rosalind; & Rivers, Caryl. (2004). Same difference: How gender myths are hurting our relationships, our children, and our jobs. New York: Basic Books. Barnett and Rivers analyze the media outpouring of publicity about gender differences, countering the bad

science with a presentation of better science. They conclude that gender similarities are more common than differences.

Connell, R. W. (2005). A really good husband: Work/life balance, gender equity and social change. Australian Journal of Social Issues, 40 , 369–383. Connell presents a study of work/life balance in Australia, along with a sharp analysis of this issue in the

context of gender justice.

Eagly, Alice H.; & Wood, Wendy. (2013). The nature-nurture debates: 25 years of challenges in understanding the psychology of gender. Perspectives on Psychological Science, 8 (3), 340–357. This excellent review focuses on some of the most controversial gender differences, examining the social and

biological underpinnings and evaluating the research and theory.

Galinsky, Ellen; Aumann, Kerstin; & Bond, James T. (2009/2011). Times are changing: Gender and generation at work and at home. Families and Work Institute . Retrieved October 30, 2015, from http://familiesandwork. org/site/research/reports/Times_Are_Changing.pdf This report summarizes the results of a survey of men’s and women’s attitudes concerning how to balance the

demands of work and family and provides specifi c confi rmation for the convergence of gender-related attitudes and behavior.

How Different? 517

Suggested Websites

Examine the past to predict the future of gender by touring Gender and Society (www.trinity.edu/~mkearl/ gender.html). This site offers a historical and sociological review of the status of women, complete with many links to various sources of information.

Despite the perception that gender equality is controversial, support for shared power between men and women is widespread. The Pew Research Center found the extent of this support internationally, and the results of that poll appear on their website (http://www.pewglobal.org/2010/07/01/gender-equality/). For a country-by- country ranking, U.S. News and World Report ’s blog (http://www.usnews.com/news/blogs/data-mine/2015/11/12/ countries-where-gender-equality-is-valued-the-most) featured a story with these data.

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Note: Page numbers for fi gures and tables are in italics.

Index

AA (Alcoholics Anonymous) 254, 484–7 AAUW (American Association of University

Women) 326, 333, 342 ability: academic 343–4; cognitive 170–200,

327–8; differences in 510–12; musical 183–6; spatial 173, 185–8; spatiotemporal 180, 185 ; visual–spatial 327

abortion 417 abstinence-oriented sex education 280, 295–6 acceptance 469–70 accidents 395–9, 416 acculturation 150 achievement, academic 62–3, 340–5, 501 acquaintance rape 220–1, 297–8 acquired immune defi ciency syndrome (AIDS) 404,

485, 501 acupuncture 399 adaptability 4 addictive disorders 447–9, 484–5 adolescents: aggression in 213; bisexual 311; career

beliefs of 357; dating and 244–7; eating patterns of 408; education and 330–5; friendships of 239–41; gender identity development of 141–5; growth spurts of 83–4; heterosexual 295–8; homosexual 306–7; hormones and 84; media and 156–7; self-esteem and 342; sexual experimentation by 284, 314; stereotyping by 61

adrenal glands 78, 83–5 adrenogenital syndrome (congenital adrenal

hyperplasia [CAH]) 88–90, 146–7 adults: aggression in 213–16; dating and 245–7;

friendships of 236, 239–42, 436, 512–13; gender identity development and 141–5; heterosexual 298–303; homosexual 307–11; hormonal changes in 85–6; stereotyping by 61; see also older adults; young adults

Advanced Placement Program calculus exam 175–6, 332

advertising 92, 120–1, 152–7, 472 affection 204–6 Africa: as collectivist 224, 436; education in 324;

estimates of intelligence by gender in 171; female

husbands in 100; gender stereotypes in 66; health care treatment in 488, 491; sexual abuse in 292

African Americans: academic achievement and 62, 342, 345–7; balance of power in couple’s relationships and 254; barriers to career advancement 364, 367; benevolent sexism and 64; body image and 409; career development 357–9, 362–4; careers and 357–8, 364, 378–9; in college and professional school 337, 345–9; discrimination and 362, 433–4; division of household labor and 256–7; education and 337, 345–7; feminist movement and 15–16; friendships of 239–40; gender development of children and 150; health care and 489; high school graduation rates 345; infant mortality rates of 418; life expectancy of 390–1, 418; love relationships and 251; machismo and 254; marital satisfaction and 251; marriage and 251; matriarchy and 254; in media 56–7; occupational representation 364; self-esteem and 155, 342; sexuality and 297; social support and 436; stereotypes and 56–7, 62–3, 66, 224; stereotype threat and 62–3; therapy and 489–90; as victims of aggression 219; violence and 219, 396–8, 418; violent deaths and 396

ageism 155, 379–80 agentic behavior 502 aggression 96–9, 204, 209–16, 225–6, 440, 511 aging. see older adults agoraphobia 449–50 AIDS (acquired immune defi ciency syndrome) 404,

485, 501 Albania 100 Albee, G. 489–90 alcohol 396, 417–8, 447–9 Alcoholics Anonymous (AA) 254, 484–7 All in the Family (television show) 92 alternative health care services 399 Alzheimer’s disease 397 ambivalent sexism 65 American Academy of Pediatrics 153, 157 American Association of University Women

(AAUW) 326, 333, 342

522 Index

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM) 92, 96, 158, 439–44, 447, 452–6

American Psychological Association (APA) 10–14, 159, 477, 490; Task Force on Sex Bias and Sex-Role Stereotyping in Psychotherapeutic Practice 473–4, 479, 482

Amish 444 amnesia, dissociative 455 amphetamines 447–8 anabolic steroids 411 anal cancer 395 anal intercourse 286, 310–12, 395, 404 anal stage 110–11 Ancient Greece 236, 502 Anderson County, SC 280, 295–6 androcentric bias 15, 476–7 androgen insensitivity syndrome 88–90 androgens 78–90, 98, 146–7, 187, 305 androgyny 51–2, 68 anger 201–5, 214, 222, 225 animal subjects 4, 281, 471 anorexia nervosa 410–15, 419–20 anterior pituitary 78 antibiotics 404 antidepressant drugs 92, 96 antifeminism 13, 17 Antigone phase 115–16, 130 antisocial behaviors 445 antisocial personality disorder 441–2 anxiety 95, 222, 415, 436, 445, 449–53, 485–6 APA (American Psychological Association) 10–14,

159, 477, 490; Task Force on Sex Bias and Sex-Role Stereotyping in Psychotherapeutic Practice 473–4, 479, 482

Arab women 67 Arctic North America 265 Aries, E. 371 Aristophanes: Lysistrata 502 Aronson, J. 61–2 arousal 222, 259–61, 289–90 arranged marriages 243–4 artifi ciality, of laboratory research 25 Ashley Wilkes (character) 250 Asia 16; cognitive styles in 192; as collectivist

224, 436; education in 324, 335; estimates of intelligence by gender in 171; health care treatment in 488, 491; sexual abuse in 292; stereotypes in 56, 66–7, 189

Asian Americans: academic achievement and 345–7; body image and 409; careers and 379; in college and professional school 337, 345–7; death rates of 418; division of household labor and 257; education and 337, 345–7; friendships of 239; health care and 489; high school graduation rates 345; infant mortality rates of 418; life expectancy of 418; self-esteem and 342; sexuality and 297; stereotypes and 56, 63; therapy and 489

Assari, S. 429 Association for Women in Psychology 11, 14

ataque de nervios 454 athletics 330–1, 337–8 Atlantic Monthly 1–3 attachment 204–6, 225 Attitude Interest Analysis Survey 50, 68 Attitudes Toward Women Scale (AWS) 55, 58 attractiveness 246–7 Auca Indians 191 Australia 12; careers in 154, 362; household labor

in 255; as individualistic 224, 436; sexual abuse in 292; sexual harassment laws in 374; traditional gender roles in 149; violent deaths in 395

Austria 374 auto accidents 396 avoidant coping 448 AWS (Attitudes Toward Women Scale) 55, 58

baboons 313 baby clothing, gendered 109 bacterial diseases 404 bad but bold ratings 65, 68 bad guys 250–1 Balkissoon, D.: “You’ve Come a Long Way, Baby” 355 Barbie dolls 136, 141, 176 Barnett, R. 499; Same Difference 510 Barres, B.: “Does Gender Matter?” 22 basal metabolism 413 Basic Instinct (fi lm) 481 Battle of the Sexes (board game) 502 Battle of the Sexes (fi lm) 502 “Battle of the Sexes” (Ludacris) 502 Beach, F.: Patterns of Sexual Behavior 281 Beauty and the Beast (fi lm) 250 beauty standards 8, 409–11 Beauvoir, S. de: The Second Sex 14 Beck, A. 470–1 Bedhraj Matá (goddess) 100 Bee, H.: “Sex-Role Stereotypes and Self-Concepts in

College Students” 58 behavioral problems 486, 490 behavioral self-esteem 342 behaviorism 4–6, 17 behavior modifi cation 471–4, 490 Beijing Declaration and Platform for Action 14 Bem, D. 305–6 Bem, S. 15, 51, 123–6 Bem Sex Role Inventory (BSRI) 51–2, 68 benevolent sexism 64–9 berdaches 100 Berenbaum, S. 90 bias: androcentric 15, 476–7; decreasing 39–40;

in diagnosis and therapy 440–3, 449, 473–5, 490, 513–14; emotion and 202–4; health care treatment and 400; illusory correlation and 60; masculine 32, 38, 112; in the media 153–7; Scholastic Assessment Test (SAT) and 176; in science 32–40; sources of 32–7; stereotypes and 53; wage gap and 362, 366–7

bibliotherapy 485 Biggest Loser, The (television show) 410–11

Index 523

Big Wheel role 48–9, 58 Billboard Woman of the Year award (2012) 11 Binet, A. 171 Binet-Simon test 171 binge drinking 396 binge eating 412–13 Bing, J. 153 biological essentialism 22 biological sex 26–7, 158, 178 biology: behavior and 1–2, 77; cognitive abilities

and 186–8; depression and 445; evolutionary 204; gender development and 145–8; sex differences and 4–10, 17–18, 77–108, 509–10; sexual orientation and 305–6, 314

bipolar disorder 450–2, 453 birth control 6, 402 bisexuality 311–15, 489 Blacks. see African Americans Black Swan (fi lm) 218 Black Women’s Liberation Caucus 15 blue-collar jobs 360, 364, 370 Blumstein, P. 253, 310–11 Bly, R. 13; Iron John 14 bodily tissues 78 body fat 408 body image 408–15, 419–20 bogus pipeline 288–9 Bonaparte, M. 499 bone demineralization 415 Bones (television show) 34 bonobo chimpanzees 313 Bonvillain, N. 265–7 Booth, A. 445 borderline personality disorder 442 Botswana 265 Bowlby, J. 206 boys: aggression and anger in 210–14; education and

324–54; emotion expression and 223 ; friendships of 236–9; gender difference and 140–1; gender segregation and 152, 239; health care treatment and 404; mathematical performance and 174–8, 191; media portrayals of 156–7; sex reassignment and 146–7; sexual abuse of 292

“Boy’s Life, A” (Rosin) 136 bra burning 8–9 brain: activation 188, 408; cognitive performance

and 186–8; development 187; electroconvulsive therapy and 472–3; function 63–4; gonadal hormones and 78 ; imaging 187–9; psychoactive substances and 472; sex differences and 82–3

Brannon, R. 49, 222 Brazil 68, 256, 265 breakups 261–5 breast cancer 393–5, 401, 405, 485 breast implants 410 Brenner, M.: “The Target” 324 Brooks, G. 479–80 Broverman, I. and D.: “Sex-Role Stereotypes and

Self-Concepts in College Students” 58 BSRI (Bem Sex Role Inventory) 51–2, 68

Buffy the Vampire Slayer (television show) 334 Buffy the Vampire Slayer (video game character) 182 Bulgaria 418 bulimia 412–13, 419–20, 455 bullying 142, 333, 433 Butler, A. 304

caffeine 447 CAH (congenital adrenal hyperplasia) 88–90, 146–7 Campbell, S. 253 Canada: Attitudes Toward Women Scale (AWS) and

55, 58; education in 335; health care treatment in 472, 488–9; as individualistic 224–5; sexual harassment laws in 374; traditional gender roles in 149; violent deaths in 395

Canary Islands 184 cancer 393–7, 401, 404–5, 415–16, 419 Cancian, F. 242, 247–9, 252, 262–3 candidiasis albicans 404 cannabis 447–8 carcinogens 393–5 cardiac functioning, measures of 406 cardiovascular disease (CVD) 391–3, 401, 415–9 career and technical education (CTE) 333 careers 355–89; barriers to advancement in 363–7;

choice of 340, 355–7; development of 355–6, 365–7; family and 367–9, 504–9; opportunities 360–9

caregiving 205–7, 243, 357, 365, 437, 501 Caribbean 12 Carli, L. 363 Carrey, J. 451 Carter, S. 379 cartoon characters 119–21 case studies 29–30 castration complex 110 casual sex 286, 302, 310, 314, 501 Catholic men’s movement 13 causality 25–7 cause-and-effect relationships 25–30 causes of death 415–18 celibacy 298–300, 314 cell division 79 cerebral hemispheres 82–3 cervical cancer 394–5, 404–5 Change.org 128 Charmaraman, L. 291 chemotherapy 394 Chesler, P. 440, 473–4 childbirth 398, 402–4, 417 child care 206–9, 255, 355–6, 365–8, 504, 509, 512 child custody 12 childhood experiences 5, 110–16, 129–30 children: access to education of 347; aggression in

211–14; career beliefs of 357; emotion expression and 223 ; fi rst- and second-born 151; friendships of 236–41; gender role development and 137–45; media and 57, 153–7; sexual abuse of 283, 290–4, 314, 432–3, 482; sexuality of 282–3, 290–4, 313–14; stereotypes and 59–63, 68

524 Index

China: cognitive styles in 192; as collectivist 224; gender discrimination in 16; gender stereotypes in 66–7; idealized romantic beliefs in 251; premenstrual syndrome (PMS) in 92; sexual harassment laws in 374

Chinese Americans 418 Chi-raq (fi lm) 502 chiropractors 399 chlamydia 404 Chodorow, N. 113–15, 130, 510 choices, differences in 512–14 Christian women 67 chromosomes 77–108 chronic fatigue syndrome 486 chronic lower respiratory disease 397 cigarette smoking 393, 504 Civil Rights Act 14, 373 civil rights movement 6, 16 civil wars 49 class oppression 7 clerical jobs 358–9, 369 client-centered therapy 469–70 clinical psychology 10 clinical trials 401 clitoral orgasm 289–90 clitoris 81, 112, 289–90 coaching 479 cocaine 447–8 “Code Pink” (Sandler) 109 coerced sex 220–1, 292, 297–8, 375–6 cognitive abilities 170–200, 327–8 cognitive behavior therapy 471–2, 490 cognitive categories 53–4 cognitive development 123–30, 138, 142 cognitive performance 185 cognitive strategies 445–7 cognitive therapy 470–4, 490 cohabitation 247, 261 Cohen, P.: “Signs of Détente in the Battle between

Venus and Mars” 499, 514 collectivism 67, 224, 436 college 335–40, 501 Collier, FL 390 Colombia 390 colon and rectum cancers 394 “Colorado Launches Man Therapy to Break Down

Mental Health Stigmas” (Krisberg) 468 colors-coding, gendered 109 Columbia County Longitudinal Study 211–12 coming out 306–7 committed relationships 235–6, 247–50, 261, 302, 501 Common Sense Media 157 communal behavior 502, 505 communication 183–5, 252, 371–3 community violence 433 companionate love 236 Companionship blueprint 243–4, 247–9, 262–3, 267 competition 341 compliance, of patients 400 compulsions 287

compulsive disorders 484–5 compulsory heterosexuality 305 computer skills 331 conception 79 condoms 286 confi dence, academic 328–31, 343–4 confl ict 5, 257–9, 262, 501 congenital adrenal hyperplasia (CAH) 88–90, 146–7 congenital conditions 404 Connell, R. 12, 48–9, 368–9 consciousness 469 consciousness-raising groups 487–8 conservatism 501 constructionism 32, 37–8 consummate love 236, 248 contact comfort 205 Contact (fi lm) 34 contraception 402–4 conversion disorder 452–3 Cook, E. 356 cool pose 239–40 Cooper, A. 287 coping 435–9, 448, 485 coronary heart diseases 416 corporate wives 507 correlational studies 28–30 cortisol 88, 99 Costa Rica 418 costs, for treatment 485 counterstereotypical behaviors 326 counterstereotypical information 55–7 Craft, The (fi lm) 218 crazy chick fl icks 218 creativity 183–5, 185 crime 217–21, 226, 397–8, 433 Criminal Hypnotist, The (fi lm) 480 cross-cultural comparisons 17, 65–9, 224–5, 281 cross-gender relationships 242 cross-species comparisons 281 Crow society 100 crying 210 CTE (career and technical education) 333 cultivation theory of media effects 152–3 Cult of True Womanhood 47–8, 55, 58, 68 cultural feminism 7–8 culture-bound syndromes 454–5 cunnilingus 284, 310 CVD (cardiovascular disease) 391–3, 401, 415–9 cybersex 287

Dabbs, J. 96–8 daddy track 365 Dalton, K. 90–1 Dangerous Method, A (fi lm) 481 Darwin, C. 4, 204, 224–5 data 24 date rape 220–1, 295–8 dating 235–6, 244–7, 302 Dean, C. 178 death rates and causes 390–8, 415–18

Index 525

Deaux and Lewis’s Model of Gender Stereotyping 53 decision making 253–5 Declaration on the Elimination of Violence against

Women 267 defeminization 80 degrees, college and professional 335–7 delayed ejaculation 452 denial 437 dependent personality disorder 442 dependent variable (DV) 25–6, 29 depression 310, 406, 415, 429, 432, 455; alcohol

and 448–9; gender difference and 444–7; hormonal variations and 96; social support and 436; treatment for 468–71

depressive disorders 92 descriptive research 25–9 development, stages of 124 deviant category 53, 440 Dhat syndrome 454–5 diabetes 397, 415, 418 diagnosis 439–43, 449, 473–5, 513–14 Diagnostic and Statistical Manual of Mental Disorders

( DSM; American Psychiatric Association) 92, 96, 158, 439–44, 447, 452–6

Diamond, L. 305, 311 DID (dissociative identity disorder) 451 diet, cancer and 393 dieting 408, 411–13, 504, 513 digestive tract, cancers of 393 disabilities 380, 407 discrimination 6–7, 15, 309, 417–18; career 360–4;

in education 325, 333, 337–8, 347–8, 414–15; gender 325, 363–4, 433; in health care treatment 490; mental disorders of 439; in science 22; stereotypes and 53–4, 61, 69; stress and 433–4

disembedding 179 disengagement 437 disorders of sexual development (DSD) 89–90 display rules 202–3, 222–6 dissociative amnesia 455 dissociative identity disorder (DID) 451 dissolution of relationships 261–5 distress 434 diversity 15–18; careers and 377–80; diagnosis and

454–5; in education 345–7; emotion and 224–5; gender identity and 157–9; gender stereotypes and 65–8; health and 415–8; health care treatment and 488–90; intelligence, cognitive abilities, and 191; relationships and 265–7; sexual development and 99–100; sexuality and 312–3

Division 51, Society for the Psychological Study of Men and Masculinity 12–14

Division 35, Society for the Psychology of Women 11, 14

divorce 12, 243, 249, 259–66 Doctrine of Two Spheres 47, 243, 510 “Does Gender Matter?” (Barres) 22 “Do Get Mad” (Young) 201, 213 dolls 136, 141, 176, 306 domesticity 47–8, 58, 357, 369

domestic violence 215–16, 257–9, 267, 434 dominant groups 15, 401, 442–3 Dominican Republic 99–100 double standards 284, 296, 314, 442–3 Dressed to Kill (fi lm) 451 drinking-to-cope strategy 448 drug trials 401 DSD (disorders of sexual development) 89–90 DSM ( Diagnostic and Statistical Manual of Mental

Disorders; American Psychiatric Association) 92, 96, 158, 439–44, 447, 452–6

duty-bound relationships 243 DV (dependent variable) 25–6, 29 dysthymia 444

Eagly, A. 64, 363 early schooling 326–8 earnings 360, 366–7, 504 East Asia 347 Easterbrook, G. 153 Eastern cognitive styles 191–2 Eastern Europe 417 Easy-Bake Ovens 128 eating 408–13, 419–20 eating disorders 408–15, 455 Eccles, J. 177–8 ecological model of career development 356–8 education 324–54, 501–4 Educational Testing Service (ETS) 176 EEOC (Equal Employment Opportunity

Commission) 373–6 effort, academic success and 328, 344 egalitarian gender role ideology 150 egalitarian relationships 250, 265–6, 475–8,

505, 508 egalitarian societies 210, 253 Egypt 390 ejaculation 85, 452 Ekman, P. 202, 224 electroconvulsive therapy 472–3, 490 elementary school teachers 326 Ellis, A. 470 Ellis, H. 281 embryos 79–80 emotion 201–34 emotional abuse 432 emotionality 475, 500 emotional problems 400 emotional support 436 emotional well-being 406 emotion-focused coping strategies 437–8 empirical observation 23 employment 345, 355–6, 359, 365–7, 430–1,

501–16 empowerment 477 empty love 236 endocrine glands 77–8 “End of Men, The” (Rosin) 1–3 endometrial cancer 405 England 225

526 Index

Equal Employment Opportunity Commission (EEOC) 373–6

equality 1, 7, 502, 514–16 equal rights feminism 6–8 erectile dysfunction 285–6, 452 erections 85, 406 essentialism 1–2, 10 estradiol 78 estrogens 78–85, 405, 445 ethnicity: bias and 52; body image and 409; cancer

rates and 394 ; careers and 357–9, 362–4, 377–9; diversity and 15–18, 65–8, 345–7; health care treatment and 488–9; health, fi tness, and 415–18; poverty and 435; self-esteem and 342; stereotypes of 56–7, 65–8; violent deaths and 396

ethnography 30 ETS (Educational Testing Service) 176 Europe: attitudes about masculinity in 47–9; careers

in 154; education in 324; estimates of intelligence by gender in 171; gender knowledge in 143 ; gender roles in 100; proliferation of science in 23; smoking rate in 393; stereotypes in 56, 66, 155

European Americans: friendships of 239–40; love relationships and 251; marital satisfaction and 251; mortality rates of 418; self-esteem and 342; social support and 436; stereotypes and 224; therapy and 489; violence and 396; violent deaths and 396

European Union (EU) 374 evaluative feedback 343 evangelical Christianity 13 Everybody Loves Raymond (television show) 92 evolution: aggression and 209, 225; cognitive

abilities and 186–9; gender development and 145–8; theory of 4

evolutionary biology 204 evolutionary psychology 1, 221, 246–7, 302, 508 excitement phase 289–90 exercise 413–5, 419–20, 513 Exotic-Becomes-Erotic 305–6 expansionist model 508 expectations: academic success and 327–8; careers

and 355–60; of earnings 361–2 experimental design 25–7 experiments 25 explicit attitudes 50–2, 288 exploitation 292, 295, 339, 480–4, 490 ex post facto studies 26–9 expressive behaviors 50, 222–4 external genitalia 81–6, 145 extramarital sex 282–4 extra X syndrome 87–8 extra Y syndrome 87–8

face-to-face support groups. 486–7, 491 facial expressions 185, 224–5, 260 failure, attributions for 344–5 Fallopian tube cancer 405 Fallopian tubes 80 families of choice 241

family: career and 367–9, 504–9; confl ict in 5; gender development and 148–51; roles, stress and 430–1; violence and 115, 432–3

Family Duty blueprint 243 family friendly policies 368–9 family leave 355–6, 365 family systems therapists 475 fasting 411–12 Fatal Attraction (fi lm) 218 fatherhood 204, 206–9, 355, 365 fatherlessness 150 fatuous love 236 fear 201, 211, 222, 341 feeling, as feminine 32 fellatio 284, 310–12 Felmlee, D. 253 female, category of 137, 142 female dominance 1 female-dominated occupations 333, 357–64, 370 female embryos 79–80 female husbands 100 female physiology, prenatal development of 79–83 feminazis 8–9 Feminine Mystique, The (Friedan) 14 femininity 5–6, 141, 312, 443, 502–5; anger and

210–11; conceptualizing and measuring 50–3; eating styles and 408; fear of success and 341; gender schema theory 126–9; homosexuality and 303; musical instruments and 186; patient–practitioner relationship and 399–400; rejection of 114; stereotypes of 46–76, 398

feminism 6–11, 15–17, 22–3, 38–40, 475 Feminism & Psychology 31 feminist empiricism 39–41 feminist movements, history of 6–14 feminist psychoanalytic theory 113–16, 130 feminist scholarship 221, 509–10 feminist standpoint epistemologies 38, 41 feminist therapy 475–80, 489–90 feminization 242 Femme Fatale (character) 8 fertility 83–5, 402, 405–6 fertilization 79, 84 fetal alcohol syndrome 418 fetuses 79–81, 187 Fiegl, A.: “Ladies Last” 390 15th Amendment 14 Fight Club (fi lm) 451 fi ght or fl ight reaction 437 Filipino Americans 418 Final Girls (fi lm) 218 fi nancial crisis (2008) 505 Finkelhor, D. 294 Finland 191 fi rst-born children 151 fi rst wave of feminism 6–8 First World Conference on Women 14 Fiske, S. 64 fi tness 390–428 5-alpha Reductase Defi ciency 89–90

Index 527

Five Factor Model of personality 66 fl irting 297 Flynn Effect 170 Flynn, J. 170 fMRI (functional magnetic resonance imaging) 187 focus groups 30 folk healers 488 food 408–13 foraging societies 265 forced fellatio 312 forced sex 297–8 Ford, C.: Patterns of Sexual Behavior 281 Fortune 500 CEOs 363–5 Fountain, T. 287 Fourth World Conference on Women, Beijing 14 Foxfi re (fi lm) 218 fractures 415 France 92, 304, 390 fraternity initiations 313 free experimenters 299–301, 314 free therapy 485 Freud, A. 5 Freudian theory 4–6, 10, 32–3, 40, 110–16, 130,

289, 468–9 Freud, S. 4–6, 110–16, 130, 289, 468–9, 490, 499 Friedan, B.: The Feminine Mystique 14 friendships 236–42, 436, 512–13 friends with benefi ts 299 fulfi llment 470 full-time employment 356 functionalism 3–6, 17, 508 functional magnetic resonance imaging (fMRI) 187 fungal diseases 404

Gamblers Anonymous 485 gangs 213 GAT (gender-aware therapy) 479 gay couples 256 gay fathers 150, 208–9 gay marriage 247 gay men 17, 159, 305–6, 314; discrimination in

hiring and 362; health care treatment and 489; sexual activities and satisfaction of 310–11

gay sexual orientation 158, 282–4, 303–15 Gebhard, P. 282; Sexual Behavior in the Human

Female 282; Sexual Behavior in the Human Male 282

gender: binary 90, 159; constancy 124–5, 128–30, 138–40; convergence 235, 302, 499–518; discrimination 325, 363–4, 433; dysphoria 136, 158–9; equality 1, 7, 502, 514–16; equity 325, 328; fl exibility 141–5, 152; gap 407, 415–18, 501, 514–15; harassment 373–6; inequality 210; integration 370; knowledge 140–3; labeling 123–4, 138–40; mortality and 390–8; nonconformity 136, 147, 157–8; segregation 122, 152, 239, 242, 305–6, 326, 358–9, 369–70; sex vs. 9–10, 17–18; similarities 510

gender-atypical behaviors 137, 143, 146, 306 gender-aware therapy (GAT) 479

gender bias. see bias gender development: cognitive theories of 123–7,

130; gender-aware therapy (GAT) and 479; identity and 109, 136–69; psychodynamic theory of 4–5, 110–16, 129–31; social learning theory and 116–23, 127–30, 509–10; theories of 109–35

gender difference: biology and 22, 77–108; cognitive performance and 185 ; depression and 444–7; disorders and 453 ; education and 346; emotion and 201–34; food, eating, and 408–13; gender identity and 140–1; health care treatment and 400–2, 472; intelligence, cognitive abilities, and 170–200; math scores and 36, 62–3, 171, 191; in personality disorders 442 ; physical activity and 414; psychopathology and 443–54; relationships and 235–79; self-esteem and 342–3; sexuality and 282–9, 301–3; stereotype threat and 62–3

gendered communication styles 371–3 gendered expectations 327 Gender Implicit Association Test 52 gender roles 136, 303; anger and 210–11; careers

and 357–60; child care and 208–9; coping and 439; defi ned 109; depression and 445–7; diagnosis, therapy, and 473–5, 478–80, 513–14; discrimination 364; health care and 398–402, 407–8; household labor and 255–7; in love relationships 243; stress and 429–30; traditional 12, 47–9, 149–51, 208, 368, 475, 501–7

Gender Role Strain 49 gender schema theory 126–31, 141 gender-sensitive therapies 479–80 gender-specifi c medicine 401–2 “Gender Stereotypes don’t Die Easily” (Todd) 46,

54, 58 gender-typical behaviors 137, 140–2, 146, 157, 504 generalizability 13–14 generalized adult mind 3 genetics 145–7, 445 genital herpes 404–5 genitalia, external 81–6, 145 genital lesions 405 genitals, cancer of 395 genital stage 111 genital warts 404–5 genitourinary systems 404 geometry skills 185 George, Prince 355 Germany 3, 308, 357 gestation 86 Gibson, P. 442 Gidycz, C. 297 Gilligan, C. 510; In a Different Voice 7 girls: access to education of 347; aggression and

anger in 210–14; education and 324–54; emotion expression and 223 ; friendships of 236–9; gender difference and 140–1; gender segregation and 152, 239; health care treatment and 404; mathematical performance and 174–8, 191; media portrayals of 156–7; sexual abuse of 292; son preference and 417

Give ‘Em Hell role 48–9, 58, 222, 442, 478, 513

528 Index

glass ceiling 363–4 Glass Ceiling Commission 363 glass escalator 363 Glick, P. 64, 67–8 godly manhood 13 gonadal hormones, regulation of 78 gonadal intersexuality 89–90 gonads 77–9, 83–5 gonorrhea 404 Good Men Movement 13 good ol’ boys 365 Good Provider role 243 Good Will Hunting (fi lm) 480 Gottman, J. 259–60 Graduate Record Examination (GRE) 175–6, 185 gratifi cation, delaying 326–7 Gravity (fi lm) 34 gray divorce 262 Gray, J. 77; Men Are from Mars, Women Are from

Venus 252, 514 Great Britain 155, 357 Green, R. 158 Green, S.: “The New Rules of Dating” 235–6 GRE (Graduate Record Examination) 175–6, 185 gross motor skills 238 Gross, R. 506 growth hormone 83–4 Gutek, B. 371–7

hallucinogens 447–8 Hanlon, M.: “Is the Female of the Species Really

more Intelligent than the Male?” 170 harassment 333, 339–40, 373–7 Harlow, H. 204–6, 225 Harlow, M. 205 Hasbro 128 Hatfi eld, E. 243 having it all 369, 515 hazing 313 healers, women as 400 health 390–428, 407–15 health care system 398–407 health expectancy 407 health insurance 417–18 health service jobs 364 hearing limitations 407 heart disease 391–3, 397, 416, 485 hegemonic masculinity 49 help-seeking 443–4, 479, 490 Henri, V. 171 Henry Higgins (character) 499–505 Heppner, M. 356 herbal medicine 399, 488 Herbenick, D. 285–6, 304 Herman, P. 413 hermaphroditism 89–90 heroin 448 herpes 404–5 heterosexuality 294–305 Hetherington, M. 262

high-income countries 407, 415–18, 488–90 high school 330–5 hijras 100 Hindu mythology 100 hip-hop feminism 15–16 hiring, discrimination in 360–4 Hispanic Americans: academic achievement and

345–7; body image and 409; careers and 358, 362–4, 378–9; civil rights movement for 16; in college and professional school 337, 345–7, 345–8; education and 337, 345–7; feminist movement and 15–16; gender development of children and 150; health care and 489; high school graduation rates 345; infant mortality rates of 418; life expectancy of 418; machismo and 254; matriarchy and 254; mortality rates of 418; occupational representation 364; self-esteem and 342; sexuality and 297; social support and 436; stereotypes and 224; violence and 396; violent deaths and 396

histrionic personality disorder 442 HIV/AIDS 395 HIV (human immunodefi ciency virus) 310, 347,

395, 404, 417 Hochschild, A. 255, 357 Hollingworth, L. 4 Homeland (television show) 8 homemaking 356, 501–2, 512 homicide 395–8 homophobia 242 homosexuality 50, 282–4, 303–11 Hong Kong 126 hooking up 299, 501 Hopkins, A. 372 hormone production 405–6 hormone release 77–8 hormone replacement 402, 406 hormones 77–108, 145–7, 186–8, 206, 445 Horner, M. 341 Horney, K. 111–12, 130, 469 hospitalization rates 444 hostile environment sexual harassment 373–6 hostile sexism 64–9 hot fl ashes 406 household labor 255–7, 367–8, 500, 505–7 “How to End the War over Sex Ed” (Sullivan) 280 Hrdy, S. 204, 302–3 Huffi ngton Post 429 human immunodefi ciency virus (HIV) 310, 347,

395, 404, 417 humanistic therapy 469–70, 473–4, 490 human papillomavirus 395, 404 hunger 408 hunter–gatherer societies 209 Hunt, M.: Sexual Behavior in the 1970s 284 Hunt’s Playboy Foundation Survey 283–5, 313–4 Hunt, T. 32 Hyde, J. 36, 40, 174, 189, 302, 447, 510 hypermasculinity 240 hypertension 485

Index 529

hypothalamus 77–8 hypothesis, defi ned 33 hysteria 452

ICD (International Classifi cation of Diseases) 439–40

identity: ethnic 65–6; gender 109, 136–69; personal and social 476–7

Identity (fi lm) 451 illness 398 illness anxiety disorder 452–3 illusory correlation 60 imitation 205 Implicit Association Test 52 implicit attitudes 52, 61, 288 imposter phenomenon 344–5 imprints 113 impulse control 377 inactivity, cancer and 393 In a Different Voice (Gilligan) 7 incest 5, 291–4 Independence blueprint 247–9, 267 independent variable (IV) 25–9 India 16, 92, 100, 313 Indian Health Service 418 indirect aggression 210–15 individual differences, study of 4 individualism 49, 224–6, 436 industrialization 49 Industrial Revolution 47, 243 infant mortality 402, 416–8 infants 137, 207, 211, 290, 294 infatuated love 236 infectious diseases 416 information processing 127–9 in-groups 64–5 injury 399 innate differences 22, 172–3 inner labia 81 instinct 4–5, 203–9, 209 instrumental behaviors 50, 502 intelligence 4, 170–200 intelligence tests 171–3, 192 intercourse 284–6, 296–8, 302, 314, 395, 500–1 Interdependence blueprint 247–9, 267 internal reproductive system 79–80, 84–6 International Classifi cation of Diseases (ICD)

439–40 International Council of Women Psychologists

10–11 Internet: dating 245–6; pornography 285–7; support

groups 485–7, 491 interracial friendships 238 intersexuality 89–90, 99–100, 159 interviews 29–31, 282 intimacy 235–6, 239–43, 248, 263, 504, 513 intimate partner violence 215–16, 219, 251, 257–9,

267, 432–5 intimate terrorism 258 intoxication 396, 447–8

Inuit 265 involuntary treatment 489 IQ testing 170–1, 185 Ireland 374 Iron John (Bly) 14 Iroquois 265 irrational beliefs 470 ISI 324 Islamic feminists 16–17 isolation 205, 259, 310 Israel 150, 297–8, 332, 374 “Is the Female of the Species Really more Intelligent

than the Male?” (Hanlon) 170 Italy 67, 225, 256 IV (independent variable) 25–9

Jack, D. 446–7 Jacklin, C. 172–4, 184, 211; The Psychology of Sex

Differences 26 Jacobs, J. 177–8 Janus, S. and C. 285, 304 Japan 12; cognitive styles in 192; as collectivist

224–5; life expectancy in 390; sexual harassment laws in 374; stereotypes in 66–7, 155; women in workforce in 154

Japanese Americans 418 Jawbreaker (fi lm) 218 jealousy 299, 310, 501 Jenner, B. 136, 157–9 Jenner, C. 136, 159 Jocasta 115 John/Joan case 146–7 Johnson, M. 57, 115, 258 Johnson, V. 281, 289–90, 314 joint custody 12 Ju/’hoansi 265 Jung, C. 481 junior high school 328–30, 342

Kaposi’s sarcoma 395 Kaschak, E. 113–16, 130 Keen, S. 13 Keller, E. 32 Kelly, J. 262 Keraki culture 312–3 Kim, K. 154 Kimmel, M. 13–14 “‘Kinde, Küche, Kirche’ as Scientifi c Law: Psychology

Constructs the Female” (Weisstein) 10–11 kindergarten teachers 326 King, B. 502 King, R. 57 Kinsey, A. 281–4, 303, 311–4; Sexual Behavior in the

Human Female 282; Sexual Behavior in the Human Male 282

Kinsey surveys 281–5, 292, 303–4, 311–14 Klinefelter syndrome 87–8 Knowles, B. 11 Kohlberg, L. 123–5, 138 Konner, M. 1

530 Index

Korea: cognitive styles in 192; as collectivist 224; stereotypes in 67, 155; women in workforce in 154

Koss, M. 297, 432 Krisberg, K.: “Colorado Launches Man Therapy to

Break Down Mental Health Stigmas” 468 Kuwait 418

labels: diagnosis and 439; gender 123–4, 138–40; value-laden 39

labia 81 “Ladies Last” (Fiegl) 390 Lakoff, R. 371 Lakota society 100 Lang, M. 499 language: acquisition 185 ; intelligence testing and

171–4; workplace 371–3 language arts, in middle school 329 Lankarani, M. 429 Lara Croft, Tomb Raider (video game character) 182 latency state 111 lateralization 82–3 Latin America 12, 16, 454; as collectivist 224,

436; health care treatment in 488, 491; sexual harassment laws in 374

Latino/Latinas 15–16, 56, 62–3 Latvia 256 Laumann, E. 285, 304 leadership 371–3 Leaper, C. 148 learning 4, 471 learning theory. see social learning theory Lee, S. 502 left hemisphere 82–3, 187 Lepcha culture 313 Lerner, J. 201 lesbians 147, 158–9, 282–4, 303–15; careers and

362, 365; children of 150; health care treatment and 489; household labor and 256; marriage and 247; sexual activities and satisfaction of 310–11

LGBT (lesbian, gay, bisexual, or transgender) families 241

liberal feminism 6–8 life expectancy 390–8, 407, 415–20, 434, 513 lifespan: aggression over 212 ; effects of sex hormones

over 86 ; friendships over 239–41; physical activity over 415; reproductive health over 401–5; self- esteem throughout 342; sexuality over 301–2; stereotypes over 59–61

lifestyle 407–15 liking 236 Limbaugh, R. 8–9 liposuction 410 literacy 347 liver disease 418 Longest War, The (Tavris and Wade) 514 longevity 390–8 Lorber, J. 204 love 235–6, 242–61 low-income countries 324, 407, 416, 488–90

Lowry, D. 154 low-status occupations 364 Ludacris: “Battle of the Sexes” 502 lung cancer 393–4 Lysistrata (Aristophanes) 502

Maccoby, E. 172–4, 184, 211; The Psychology of Sex Differences 26

machismo 254 major depressive disorder 444 Majors, R. 239–40 maladaptive behaviors 471 Malamuth, N. 221 Malaysia: attitudes toward women in 68; cognitive

styles in 192; stereotypes in 155; women in workforce in 154

male category 137, 142 male dominance 1, 67, 265–8 male-dominated occupations 333, 341, 357–60,

365–6, 369–72 male embryos 79–80 Male Gender Role Identity 48–9, 55, 58, 68, 222 male–male sexual behavior 282 male physiology, prenatal development of 79–83 male role models 326 Male Sex Role Identity 48–9 malignant neoplasms 393 management jobs 366 man-hating 7–9 Man Therapy TM 468, 479, 487 manufacturing jobs 364 marijuana 447–8 Marin County, CA 390 marriage 247–50, 298; arranged 243–4; career

expectations and 357; communication in 252; dissolution of 261–5; employment and 355–6, 367 ; household labor and 255–7, 367–8; love and 250–1; models of 243–4; sexuality during 300, 314; stress and 430–1; trends in 249

Married with Children (television show) 92 Martian, The (fi lm) 34 Martin, C. 8–9; Sexual Behavior in the Human

Female 282; Sexual Behavior in the Human Male 282

masculine bias 32, 38, 112 masculinity 5–6, 12–14, 17, 141, 312, 342, 478–80,

489, 502, 505; aggression, anger, and 210–11, 215; behaviorism and 4; of careers 357, 362; conceptualizing and measuring of 50–3; cool pose and 239–40; eating styles and 408; gender schema theory 126–9; health care decisions and 398–9; historical attitudes toward 48–9; homosexuality and 303; musical instruments and 186; patient–practitioner relationship and 399–400; stereotypes of 46–76, 398

masculinity–femininity (MF) scores 50–2 masculinization 80, 187 masochism 111, 452 mastectomy 394 Masters and Johnson’s approach 281, 289–90, 314

Index 531

Masters, W. 281, 289–90, 314 mastery 446 MASTERY approach 479–80 masturbation 282–6, 289–91, 294, 302, 314,

500–1 matching items tasks 181 material support 436 maternal deprivation 204–6 maternal instinct 4, 203–9, 225 maternal mortality 402 maternity leave 355, 509 math 174–8, 185, 191, 329–35, 512 math scores 36, 62–3, 171 Matlack, T. 13 matriarchy 254 Mattel Toy Company 176 maximalist theories 2, 509–10 Mayer, M. 11 McClelland, D. 340 McDowell, WV 390 McFarlane, J. 93–4 McHugh, M. 39 McKamey, C. 291 Mean Girls (fi lm) 213 mean girls movies 218 media: on battle of the sexes 502–3; on dissociative

identity disorder (DID) 451; drug advertising in 472; on feminists 8; gender development and 152–7; on high school 334; on Internet sex 287; on love and danger 250; on occupations 359–60; on overweight people 410–11; on premenstrual syndrome (PMS) 92–3; on scientists 34–5; social learning theory and 116–21; on stereotypes 46, 56–7, 67, 153–5; on therapists 480–2; on video games 182; on violence 218

medicalization 398, 402, 441 medical research 401 medical therapies 472–4, 490 Mediterranean cultures 454 memory 4, 63, 183–5, 188 Me, Myself and Irene (fi lm) 451 men: aggression and 213–16; as breadwinners

207–9, 266, 368, 501–6; careers and 355–89, 377; child care and 207–9; crime and 217–21, 397–8; dating and 244–7; death rates and causes 390–8, 417; depression and 444–7; differences between women and 1–6, 63, 190, 499–520; education and 335–40; emotion and 201–34; gender development and 109–35, 479; health care treatment and 474–80, 489; health, fi tness, and 390–428; hormones, chromosomes, and 77–108; intelligence, cognitive abilities, and 170–200; life expectancy of 390–8; media portrayals of 56–7, 153; perceptions of 54–9; privilege and 13–14; relationships and 235–79; sexuality and 280–323; as standard 15, 401, 442–3, 473–4; stereotypes and 46–76; stress and 429–35

menarche 83, 89, 92 Men Are from Mars, Women Are from Venus (Gray)

252, 514

menopause 92, 402, 405–6, 445 Men’s Fitness 235–6 men’s jobs 256, 507 men’s movement 12–14, 17, 487–8, 506 menstruation 63, 83–4, 90–6, 405 mental abilities 4 mental disorders 439–43, 449, 468–98, 513–14 mental health 429–67, 489–90 mental rotation 179–80, 185, 188 mentoring relationships 339, 366 Messner, M. 14 meta-analysis, defi ned 40 MF (masculinity–femininity) scores 50–2 Middle East 171 middle-income countries 416, 488 middle school 328–30 midwives 402 Miles, C. 50 military, integration of 370 Million Man March 14, 17 minimalist theories 2, 509–10 Minnesota Multiphasic Personality Inventory

(MMPI) 50, 68 Miss America pageant (1968) 8 Mr. Mom 507 mobility 415 modeling 117–23, 127–30, 205 mommy track 365, 515 mommy wars 356 monkey studies 205–6 monogamy 235, 299–302 moral–ethical self-esteem 342 moral standards 5 morbidity 390–1, 398, 407–8 Morris-Davis, J. 280 mortality 390–8, 402, 407 Mosher, C. 281 motherhood 113–15, 502; career expectations and

357; family leave and 355–6, 365; maternal instinct and 4, 203–9, 225

Mother Jones 109 motivation 63, 340 motive to avoid success 341 movies 155 Müllerian system 79–80 multi-dating 235 multiple-choice format tests 176 multiple personality disorder (dissociative identity

disorder [DID]) 451 multiple roles 506–9 multiple sclerosis 486 multiracial feminism 15 murder 417 muscularity 409–12, 415, 420 musical ability 183–6 Muslim countries 100 Muslim women 16–17, 67 mutual masturbation 310 My Fair Lady (play) 499 Myth of the Coy Female 302–3

532 Index

name-calling 307, 334 Namibia 265 Narcotics Anonymous 485 narratives 29 National Assessment of Educational Progress tests 174 National Black Feminist Organization 15 National Chicana Conference 16 National Coalition for Men (NCFM) 12 National Council of Women Psychologists 10, 14 National Geographic 390 National Health and Social Life Survey (NHSLS)

283–6, 304, 312–4 National Institutes of Health 401 National Organization for Changing Men 14 National Organization for Men Against Sexism

(NOMAS) 12 National Organization for Women 12–14 National Survey of Sexual Health and Behavior

(NSSHB) 283–6, 313–4 Native Americans: body image and 409; careers and

358; education and 345–7; feminist movement and 15–16; health care and 489; infant mortality rates of 418; racism, sexism, and 16; two-spirit 100; violence and 418

natural experiments (ex post facto studies) 26–9 natural laws 23 Nature 22 nature, as feminine 32 nature vs. nurture 1–4 Navajo society 100 NCFM (National Coalition for Men) 12 NCIS (television show) 34 need for achievement 340 negative androgyny 52 neoconservatism 13 Nepal 488 nervous system 82–3 Netherlands 149, 455 neurohormonal reactions 437 neurotransmitters 445 Never Talk to Strangers (fi lm) 451 New Guinea 89–90, 99–100, 225, 312–3 “New Rules of Dating, The” (Green) 235–6 New Scientist 77, 201 New York Times 250 New Zealand 374 NHSLS (National Health and Social Life Survey)

283–6, 304, 312–14 nice guys 250 Nickelodeon network 156 Nigeria 455 19th Amendment 14 Nisbett, R. 66, 191–2 Nobel Peace Prize 324 no-fault divorce laws 12 NOMAS (National Organization for Men Against

Sexism) 12 nonsexist therapy 475–80, 490 nontraditional careers 333, 357 nonverbal communication 183–5

norms 53, 312, 411, 440–3 North America: attitudes about masculinity in 47;

gender roles in 100; media in 153; smoking rate in 393; stereotypes in 65–6; women in workforce in 154

northern Albania 100 Northern Europe 224 Norton, E. 451 Norway 191, 256 No Sissy Stuff role 48–9, 58, 222 NSSHB (National Survey of Sexual Health and

Behavior) 283–6, 313–4 numbers 24–5, 29 nursing 206–7, 370 nurturance 204–9, 224–6, 502 nutritionists 399

obesity 393, 408 objectifi cation 408–12 objectivity 23–4, 32, 37–9, 440 O’Brien, K. 356 observed phenomena 24 obsessive-compulsive disorder (OCD) 432, 450, 453 Oceania 66 Oedipus complex 110–16, 130 Oedipus Rex (Sophocles) 110, 115 offenders, by gender 217 Offi ce of Research on Women’s Health 401 older adults: celibacy and 299; depression in 445;

divorce and 262–4; friendships of 240–1; gender fl exibility in 145; heath, fi tness, and 405–7, 415; homosexual 310; hormones and 85–6, 405–6; media portrayals of 57; sexual activity and 300–1; stereotyping by 61; workplace diversity and 379–80

olive baboons 313 online dating 245–6 online sex 286–7 online support groups 485–7 operant conditioning 117, 471 operational defi nitions 25 opiates 447 oppression 7, 12, 15, 478, 487–8 opting out 369 oral–genital sexuality 284–6, 297–8, 404 oral stage 110–11 Ordinary People (fi lm) 480 orgasm 282–3, 289–90, 302, 314, 452, 500–1 orthopedic problems 415 osteoporosis 415 outer labia 81 out-groups 64–5 outpatient treatment 444 ova 79, 84–6 ovarian cancer 405 ovaries 77, 80, 85 overdiagnosis 443 Overeaters Anonymous 485 overpredictions 176 overweight 409–11 ovulation 405

Index 533

Pacifi c region 347 pair 23 chromosomes 79, 87 Pakistan 68, 191, 324 panic attacks 449–50 panic disorder 432 PAQ (Personal Attributes Questionnaire) 51–2, 68 paraphilic disorders 452–3 parasitic diseases 404, 416 parenthood 204–9; aggression and 212–13;

expectations of 327–8; gender development and 148–51; stress and 430–1

participant variable 26–7, 39 part-time employment 356 passion 235–6, 243, 248 passivity 209 paternity leave 355, 365 patient–practitioner relationship 399–400 patriarchal terrorism 115 patriarchy 253, 475 Patterns of Sexual Behavior (Ford and Beach) 281 pedophiles 294 peers 151–2, 328 penis 81, 84, 289 penis envy 110–12 Peoples, W. 15 Peplau, L. 253 performance subtests 171–2 Perry, K. 11 persistent depressive disorder/dysthymia 444 Personal Attributes Questionnaire (PAQ) 51–2, 68 personal identity 476–7 personality: development 4–5, 110–16, 129–30;

disorders 441–2, 455; psychoanalytic view of 5–6; sex differences and 33; traits 4

PET (positron emission tomography) 187 Pew Research Center 253 phallic stage 110–11, 130 pharmacists 399 phobias 449–50 phobic disorder 432 physical activity 413–5, 504 physical aggression 212–15 physical appearance: eating styles and 408; high

school and 331; media and 409–11; stereotypes and 54

physical assault 432 physical harassment 339 physical strength 510–11 physicians 400 physiology 5, 79–83, 289–90 physiology–environment interaction 445 physiotherapists 399 Piaget, J. 123, 126 Piaget’s water-level task 179–81 piety 47–8, 58 pituitary gland 77–8, 83–4 plateau phase 289–90 Playboy centerfolds 410 Playboy Foundation Survey 283–5, 313–4 Playboy script 478

Pleck, J. 48–9 plumpness 409 PMDD (premenstrual dysphoric disorder) 92–6,

441, 455 PMS (premenstrual syndrome) 90–6, 441 Pokémon cartoons 121 Poland 155 political change 476–8 Polivy, J. 413 Pomeroy, W.: Sexual Behavior in the Human Female

282; Sexual Behavior in the Human Male 282 Pope, M. 128 pornography 221, 285–7 Portugal 155 positive androgyny 52 positron emission tomography (PET) 187 possession rituals 488 postfeminism 8 post-traumatic stress disorder (PTSD) 432–3,

450, 453 poverty 326, 417–18, 434–5, 455 power: aggression and 215; coping and 435–6;

imbalance of 339; in relationships 253–9; sexual harassment and 377; workplace communication and 371–3

powerlessness 201 PowerPuff Girls, The (fi lm) 8 practical signifi cance, defi ned 33 preadolescence 85, 237–41, 294 pregnancy 84, 297–8, 402, 417; attachment and

206; breast cancer and 395; health care system and 398; progesterone and 78; teen 280, 295, 298

Preliminary Scholastic Assessment Test (PSAT) 175–6

premarital sex 282–6, 296, 500 premenstrual dysphoric disorder (PMDD) 92–6,

441, 455 premenstrual syndrome (PMS) 90–6, 441 prenatal development 79–86, 404 prenatal hormone exposure 88–90, 145–7, 187–9, 305 pre-Oedipal period 113–15 preschool 325 prescription drugs 448 preventive services 400 Price Waterhouse 372 Primal Fear (fi lm) 451 primate studies 204–6, 302–3, 313 priming studies 57 Prince of Tides, The (fi lm) 481 prisoners, expressivity of 223 privilege 13–14 problem-focused coping strategies 437 problem-solving strategies 183 professional jobs 358–9, 369–70 professional school 335–40 progesterone 78, 406 progestins 78 Prometheus (fi lm) 34 Promise Keepers 13–14 propositions, sexual 375–6

534 Index

prostate cancer 401, 405 prostate enlargement 405 prostitution 313 provocation 214 PSAT (Preliminary Scholastic Assessment Test)

175–6 psychiatric hospitals 489 psychoactive substances 447–9, 472, 490 psychoanalysis 4–6, 17, 468–9, 475, 482, 490 psychoanalytic model 508 psychoanalytic theory 439, 473–5 psychodynamic theory 4–5, 110–16, 129, 130–1 Psycho (fi lm) 451 psychology 3–6, 10–11, 17, 38 psychology journals 31 Psychology of Sex Differences, The (Maccoby and

Jacklin) 26 Psychology of Women Quarterly 31 psychopathology 5–6, 443–54, 513–14 psychosexual stages 110 psychotherapeutics 448 PTSD (post-traumatic stress disorder) 432–3,

450, 453 puberty 79, 83–6, 290 punishment 117–19, 471–2 purging 411–13 purity 47–8, 58

qualitative research 24, 29–31, 38 quantifi cation 24, 173 quantitative performance 174–8 quantitative research 24–33, 38, 262 Queen Bees and Wannabes (Wiseman) 213 quid pro quo sexual harassment 373–6 Quindlen, A. 250 Quran 16–17

race 4, 13–14 racial difference 238 racism 7, 15–17, 64, 433–4 radical feminism 7–8 Raising Cain (fi lm) 451 rape 219–22, 295–8, 432 Rapson, R. 243 rational–emotive dichotomy 201 rational–emotive therapy (RET) 470 rationality 32 rats, as subjects 4 reading skills 185, 328 recruitment, discrimination in 360 reinforcement 117–21, 129, 471–2 relational aggression 210, 215, 218 relationships 235–79, 504 religion 437 Remer, P. 478 representative samples 281, 285 repression 469 reproduction 85, 395 reproductive health 401–5, 419 reproductive organs 79–84, 402–5

reproductive tract, cancer of 395 research: bias in 32–40; on dissociative identity

disorder (DID) 451; on employment of women 359; on gender convergence 503; on high school harassment 334; on the Internet 287; on love and danger 251; on media 9, 57, 121; methods 24–31; on premenstrual syndrome (PMS) 93; psychology 10; on sexual exploitation 481–4; standards 15, 401, 442–3, 473–4; on video games 182–3; on violent crime 219; women in psychology and 10–11

reservations, Native American 418 resolution phase 289–90 RET (rational–emotive therapy) 470 Rhett Butler (character) 250 rhyming tasks 188 Riessman, C. 262, 265 Riggs, B. 502 right hemisphere 82–3, 187 risk factors 392, 406, 431 Riter, R. 394–5 ritual dramas 488 Rivers, C. 499; Same Difference 510 rod-and-frame test 179, 192 Rogers, C. 469 role, defi ned 109 role expansion model 508 role fl exibility 141–5, 152 role models 326, 339 romance culture 338–9 romantic love 235–6, 239, 242–4, 251 Romeo and Juliet 243 Roommate, The (fi lm) 218 Roseanne (television show) 92 Rosenkrantz, P.: “Sex-Role Stereotypes and

Self-Concepts in College Students” 58 Rosin, H. 140; “A Boy’s Life” 136; “The End of

Men” 1–3 rumination 434, 446 Russia 192, 240, 417 Russo, N. 17

sadism 452 sadness 202–3, 222 Saint, The (fi lm) 34 salaries 360–3, 366–7 Sambia culture 100, 312–3 Same Difference (Barnett and Rivers) 510 same-gender friendships 236–9, 242 same-gender sexual harassment 333 same-sex orientation 50, 282–4, 303–11 Sandler, L. 116, 121; “Code Pink” 109 Sandusky, J. 294 SAT (Scholastic Assessment Test) 172–6, 185 Satyarthi, K. 324 Saudi Arabia 56, 100 Scandal (television show) 8 Scandinavia 395 schema 126–9 Schiebinger, L. 38–9 schizophrenia 450–5, 455, 468

Index 535

schizotypal personality disorder 441 Scholastic Assessment Test (SAT) 172–6, 185 school 324–54, 501–4 Schraudner, M. 38 Schwartz, P. 253, 310–11, 508 science 22–31, 32–40, 328–35 science wars 22–3, 32 scientifi c method 23 scrotum 81 Scully, D. 220–1 SDN (sexually dimorphic nucleus) 83 seat belt use 396 secondary sex characteristics 83–5 second-born children 151 second marriages 265 Second Sex, The (Beauvoir) 14 Second Shift 255 second wave of feminism 6–8, 15 sedatives 447 selective perception 470–1 self-concept, distortions in 469–70 self-confi dence 328–31, 341–4 self-discipline 327 self-enhancement 470 self-esteem 155, 306–7, 341–4 self-handicapping behaviors 341 self-help movement 484–8, 491 self-perceptions 177–8 self-presentation 344 self-rating 329 self-reports 28, 222–6, 288–9 self-segregation 236–9 self-selection 281 self, sense of 113, 123–6 self-silencing 446–7 self-starvation 412–13 Sell, R. 304 semen 312 seminal vesicles 80 Seneca Falls women’s rights convention 14 September 11, 2001 201 serial monogamy 299–300 serotonin 99, 445 service jobs 358–9 sex: gender vs. 9–10, 17–18; health care and 401–5;

researching of 22–45 sex chromosomes 86–8 sex continuum 90, 311 sex differences 4–10, 17–18, 33, 77–108 sex education 280, 295–6 sexism 12, 15, 433; ambivalent 65; benevolent 64–9;

in diagnosis and therapy 473–5, 479–80, 490, 513–14; feminist empiricism and 39; hostile 64–9

sex offenders 293 sex reassignment 146–7, 159 Sex Roles 31 sex role spillover 371–3, 377 “Sex-Role Stereotypes and Self-Concepts in College

Students” (Rosenkrantz, Vogel, Bee, Broverman, and Broverman) 58

Sex Role Strain 49 sex surveys 281–9 sex traffi cking 313 sexual abuse 283, 290–4, 314, 432–3, 482 sexual activity 281, 289–90, 301–3 sexual attitudes and behavior 286, 298–303, 395,

500, 504 Sexual Behavior in the Human Female (Kinsey,

Pomeroy, Martin, and Gebhard) 282 Sexual Behavior in the Human Male (Kinsey,

Pomeroy, Martin, and Gebhard) 282 Sexual Behavior in the 1970s (Hunt) 284 sexual development 86–90 sexual differentiation 79–90 sexual dimorphism 79, 83 sexual dysfunctions 452–3 sexual exploitation 480–4, 490 sexual fetishes 159 sexual fl uidity 311 sexual harassment 333, 339–40, 373–7 sexual interest 85 sexuality 280–323, 501 sexually dimorphic nucleus (SDN) 83 sexually transmitted diseases (STDs) 280, 295–8,

404–5 sexual orientation 294, 303–15; discrimination in

hiring and 362; eating disorders and 412–13; health care treatment and 489; as subject variable 26–7

sexual selection 204 sexual violence 218–22, 432 Shakespeare, W.: The Taming of the Shrew 502 shaman 488 Shanghai: diagnosis in 455 Sherif, C. 9–10 Shumaker, E.: “White Men have Less Life Stress,

But are more Prone to Depression because of it” 429

siblings: gender development and 148–51; homosexuality and 305

sickness 398 side effects 473 signifi cance, statistical and practical 33 “Signs of Détente in the Battle between Venus and

Mars” (Cohen) 499, 514 Silencing the Self Scale 446–7 Simon, T. 171 single-sex classrooms 328 sissies 48, 49, 58, 140–1, 326 situational couples violence 258 skills training 471 slasher movies 218–19 sleep, exercise and 415 Snodgrass, S. 185 sobriety 254 social aggression 210–13 social anxiety disorder 449, 485–6 social factors 4, 22, 49, 115, 116–23, 440–1; sexual

orientation and 305–6 social identity 476–7

536 Index

social infl uence: behavior and 4; gender differences and 77

socialization view of coping 438–9 social learning theory 116–23, 127–30, 509–10 social phobia 449–50 social sciences 23 social sensitivity: stereotype threat and 63 social support 436–9, 485, 513 social system 7 social well-being 406 Society for the Psychological Study of Men and

Masculinity 12 Society for the Psychology of Women 11 socioeconomic class 7, 345–6; body image and 409;

coping and 435–6; diagnosis across 455; eating disorders and 412

socioeconomic status: academic achievement and 326 somatic symptom disorder 452, 453 son preference 121, 417 Sophocles: Oedipus Rex 110, 115 South Africa 171, 374 South America 66 South Asia 347, 454–5 South Carolina 280 South Pacifi c 225 Soviet Union 417 Spain 56, 58, 256 spatial ability 173, 185–8 spatial perception 179–80, 184 spatial performance 178–83, 187, 192 spatial skills, video games and 182–3 spatial visualization 179–80, 185 spatiotemporal ability 180, 185 speaking behavior 174 special education services 327 specifi c phobias 449–50 Spellbound (fi lm) 481 sperm 79, 84, 86 Spielrein, S. 481 Spinney, L.: “Venus and Mars Collide” 77, 96 split personality 451 Sprecher, S. 253, 261 stability of relationships 259–61 stages of development 124 stalking 432 standardized tests 174–6 Stanford-Binet test 171, 185, 192 statistically signifi cant results: defi ned 33 statistical tests 33 status: in high school 331; nonverbal communication

and 184–5 stay-at-home fathers 365 STDs (sexually transmitted diseases) 280, 295–8,

404–5 Steele, C. 61–2, 188 Stereotype Content Model 54 stereotypes: careers and 355–63; cognitive

developmental theory and 125; dating and 235; education and 324–35; emotion and 201–4,

222–4, 224, 400, 475; gender schema theory and 127–31; measures of 50–3; media and 46, 56–7, 67, 153–5; men and 46–76; negative effects of 61–5, 68; occupational 364; process and implications of 53–65; self-perceptions about abilities and 178; social learning theory and 116–23, 130; women and 46–76

stereotype threat 61–4, 69, 188–9 Sternberg, R. 235–6, 239, 243, 248, 261, 267 steroid hormones 77–8 sticky fl oor 360, 364, 379 stigma: of diagnostic labels 439; discrimination and

434; health care treatment and 468, 489; of rape 220; support groups and 485

stimulants 448 straight edge (sXe) movement 13 strain 446 strength 510–11 stress 415, 429–67; menstrual cycle and 95 stroke 391–3, 397 Strong but Silent script 478 structuralism 3, 6 structural view of coping 438–9 student achievement 325 Sturdy Oak role 48, 49, 58, 398, 402 subjectivity 29–32 subject variable 26–7, 39 submissiveness 47–8, 58, 440 sub-Saharan Africa: death rates and causes in 417;

female college students in 335; school enrollment in 347

subservience 7 substance abuse 432, 485 substance-related disorders 447–9 success: academic 326–8, 344; attributions for

344–5; fear of 341 Suffrage Movement 8, 12 suicide 395–8, 397, 397, 413, 432; testosterone and

445; treatment for 468 Sullivan, A.: “How to End the War over Sex Ed” 280 Summers, L. 22, 32, 36, 39–40 support groups 395 surgency 286 Surgeon General’s Workshop on Self-Help and

Public Health 484 surveys 27–30 survival advantage 417 Sweden 12; household labor in 256; traditional

gender roles in 149; workplace gender integration in 370

Switzerland: stereotypical gender differences in 225 sworn virgins 100 sXe (straight edge) movement 13 Sybil (fi lm) 451 symphony orchestras: sex ratios of 370 symptoms, perceptions of 399 synthesized realism 153 syphilis 404 systematic observation 24

Index 537

Taiwan: stereotypes in 155; women in workforce in 154

Taliban 324 talk-based treatment 469, 472, 490 Taming of the Shrew, The (Shakespeare) 502 Tannen, D. 252, 510; Talking from 9 to 5 371; You

Just Don’t Understand 514 “Target, The” (Brenner) 324 Tavris, C. 341; The Longest War 514 Taxi (television show) 92 teachers 325–8 technology 23, 329–30, 402 teen pregnancy 280, 295, 298 Teen Talk Barbie 176 television 153–7 temperament, gender differences in 326–7 tend and befriend reaction 437 Terman, L. 50, 171 terminology: sex vs. gender 9–10, 17–18 terrorism 201 testes 77–80, 85 testicular cancer 405 testosterone 78–88, 314; aggression and 96–9;

depression and 445; prenatal exposure to 146–7, 187–9, 305; supplements 406; violence and 445

Texas Chainsaw Massacre, The (fi lm) 218 theory of evolution 4 therapy, approaches to 468–75 thinness 408–15, 419–20 third sex 90, 99–100 third wave of feminism 8 Third World Women’s Alliance 15 30 Rock (television show) 8 Thompson, B. 15 Thor: The Dark World (fi lm) 34 thought processes 470–1 Three Faces of Eve, The (fi lm) 451 Time Atlantic 280 time blind 357 time-limited tests 176 Tin Cup (fi lm) 481 Title IX of the Education Amendments of 1972 325,

333, 337–8, 347–8, 414–15, 420 Title VII of the 1964 Civil Rights Acts 373 tobacco 393, 417, 447 Todd, D.: “Gender Stereotypes don’t Die Easily” 46,

54, 58 toddlers 137–8 tokens 365–6, 370 Tolman, D. 296 tomboys 88, 140, 142, 147, 152 Tough Guy script 478 toys 120–2, 137, 146, 176, 306 traditional gender roles 12, 47–9, 149–51, 208, 368,

475, 501–7 traffi c fatalities 396 transgendered individuals 136, 159 transsexual 159 transvestism 159

triangular model of relationships 235–6, 239, 243, 248, 261, 267

tribal societies 265–7 trichomonia 404 tropic hormones 83–4 truthfulness, survey research and 282 tumors 405 Turkey 154, 256 Turner (Turner’s) syndrome 87–8 Twelve Monkeys (fi lm) 481 Twitter 32, 92 two-dimensional measurement approaches 51 two-parent families 150 two-spirit people 100

Ulrich, C. 434 unconscious 110, 469 underdiagnosis 443 underprediction 176 underweight 410 undifferentiated category 51 undifferentiated external sex organs 81 Unger, R. 4, 9–10, 15–16 unidemensional measurement approaches 51 unintentional injuries 395–8 United Kingdom: diagnosis in 455; health care

treatment in 472; poverty in 434; sexual harassment laws in 374

United Nations 347 United Nations Decade for Women 14 United Nations General Assembly 267 United States 3–5, 332; Attitudes Toward Women

Scale (AWS) and 55, 58; careers in 357, 369, 377–80; cognitive styles in 192; death rates and causes in 390–8, 415–8; education in 324, 345–7; estimates of intelligence by gender in 171; gender roles in 149–50; health and fi tness in 393–4, 415–18; health care treatment in 472, 488–91; household labor in 255–7; as individualistic 224–6, 436; poverty in 434–5; premenstrual syndrome (PMS) in 92–3; sexual harassment laws in 373–6; stereotypes in 59, 65–7, 155, 202–4, 224; violence in 219

United States military, integration of 370 unmarried couple households 248 unwanted sexual attention 375–6 urethra 404 urination 405 U.S. Congress 280 U.S. Constitution 14 Ussher, J. 93 U.S. Supreme Court 372–6 uterine lining 405 uterus 80, 84 Utku Eskimos 225

vaccines 404 vagina 80, 404 vaginal cancer 405

538 Index

vaginal intercourse 285–6, 297–8, 404 vaginal opening 81 vaginal orgasm 289–90 Valentine messages 251 validation procedures 50 Vanatinai 225 Vancouver Sun 46 Vanity Fair 324 variables 25, 28–30 vas deferens 80 Venezuela 265 “Venus and Mars Collide” (Spinney) 77, 96 verbal aggression 212 verbal performance, tests of 171–4, 184–8 Veteran’s Administration 448 vibrators 284 victimization 219–20, 293, 432–3 Victorian era 47–8, 68, 113, 303, 510 video games 182–3 violence: aggression and 213–16, 226; community

433; family 115, 432–3; intimate partner 215–16, 219, 251, 257–9, 267, 432–5; media and 212–13; mental illness and 451; poverty and 434–5; in relationships 257–9, 267; sexual 218–22; stress and 432–3; testosterone and 97–9, 445; in video games 182

violent deaths 395–8, 416–9 viral diseases 404 Virginia Longitudinal Study of Divorce and

Remarriage 262–4 virginity 47 vision limitations 407 visual–spatial ability 327 vocational education 333 Vogel, S.: “Sex-Role Stereotypes and Self-Concepts

in College Students” 58 Voices Within: The Lives of Trudi Chase (fi lm) 451 voting rights 6–7, 14 voyeuristic disorder 452 vulvar cancer 405

Wade, C.: The Longest War 514 wages, gender gap in 360–7 Washington, DC 390 waves of feminism 6–8, 15 wayfi nding 183–5 wealthy countries 415–18 Wechsler, D. 171 Wechsler tests 171–3, 185, 192 weight, eating and 408, 412–14 weight loss 410–11 Weisstein, N. 509; “‘Kinde, Küche, Kirche’ as

Scientifi c Law: Psychology Constructs the Female” 10–11

Welfare Reform Act (1996) 280 well-being 406 Wells, J. 304 Western cognitive styles 191–2 Western cultures 455

Western Europe 395, 491 Western medicine 488–9 what questions 25 white-collar jobs 360 “White Men have Less Life Stress, But are more Prone

to Depression because of it” (Shumaker) 429 Whites 4, 13, 17; academic achievement and 62,

345–6; balance of power in couple’s relationships and 254; careers and 364, 377–9; in college and professional school 337, 345–8; division of household labor and 256–7; education and 337, 345; friendships of 240; high school graduation rates 345; infant mortality rates of 418; life expectancy of 390–1, 418; love relationships and 251; marital satisfaction and 251; marriage and 251; in media 56–7; occupational representation 364; self-esteem and 155; sexuality and 297; stereotypes and 62–3, 66, 189; therapy and 489; violent deaths and 418

WHO (World Health Organization) 439, 489–90 “Why Can’t a Woman Be More Like a Man?”

(song) 499 why questions 25 William, Prince 355 Williams, J. 357, 512, 515 Winner script 478 Wiseman, R.: Queen Bees and Wannabes 213 Wisniewski, N. 297 Witt, S. 148 wives 507 Wolffi an system 79–80 womanless psychology 4–6 womb envy 112 women: aggression and anger in 210–16; careers

and 355–89; crime and 218–19, 397–8; dating and 244–7; death rates and causes 390–8, 417; depression and 444–7; differences between men and 1–6, 63, 190, 499–520; education and 335–40; emotion and 201–34, 400; gender development and 109–35, 479; health care treatment and 472–80; health, fi tness, and 390–428; hormones, chromosomes, and 77–108; intelligence, cognitive abilities, and 170–200; life expectancy of 390–8; media portrayals of 56–7, 153–5; perceptions of 54–9; privilege and 13–14; relationships and 235–79; sexuality and 280–323; stereotypes and 46–76; stress and 429–35

women of color 15–17 Women’s Health Initiative 401, 406 women’s language 371 women’s rights movement 475–7 women’s studies 6–14 women’s work 256 Woolley, H. 4 work-based friendships 240 work, gender issues and 369–77 working memory 63, 188 workplace communication 371–3 workplace fatalities 396

Index 539

work schedules, fl exible 369, 515 world exploration 49 World Health Organization (WHO) 439, 489–90 writing skills 185, 328 Wundt, W. 3 Wypij, D. 304

X chromosomes 79, 82, 86–90 XX chromosome pattern 79, 86 XY chromosome pattern 79, 86 X0 syndrome 87–8

Yahoo 11 Yanomamo 265

Y chromosomes 79, 82, 86–90, 186 Yolmo Sherpa 488 YouGov survey 304 You Just Don’t Understand (Tannen) 514 young adults: divorce and 264; friendships of 241 ;

sex hormones and 86 ; sexual activity and 300 ; stereotyping by 61

Young, E.: “Do Get Mad” 201, 213 Yousafzai, M. 324 “You’ve Come a Long Way, Baby” (Balkissoon) 355

Zagor, K. 255 Zimbabwe 155 Zuni society 100

  • Cover
  • Title
  • Copyright
  • Brief Contents
  • Contents
  • Preface
  • Acknowledgments
  • About the Author
  • 1 The Study of Gender
    • Headline: “The End of Men,” Atlantic Monthly, July/August, 2010
    • History of the Study of Sex Differences in Psychology
      • The Study of Individual Differences
      • Psychoanalysis
    • The Development of Women’s Studies
      • The History of Feminist Movements
      • Sex or Gender?
      • Women in Psychology
      • The Appearance of the Men’s Movement
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 2 Researching Sex and Gender
    • Headline: “Does Gender Matter?” Nature, July 13, 2006
    • How Science Developed
    • Approaches to Research
      • Quantitative Research Methods
        • Experimental Designs
        • Ex Post Facto Studies
        • Surveys
        • Correlational Studies
      • Qualitative Research Methods
        • Interviews
        • Ethnography
        • Focus Groups
      • Researchers’ Choices
    • Gender Bias in Research
      • Sources of Bias
      • Ways to Deal with Bias in Science
        • Advocating Transformation
        • Decreasing Bias
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 3 Gender Stereotypes: Masculinity and Femininity
    • Headline: “Gender Stereotypes Don’t Die Easily” Vancouver Sun, June 27, 2013
    • History of Stereotypes of Women and Men
      • The Cult of True Womanhood
      • Masculinities
    • Conceptualizing and Measuring Masculinity and Femininity
      • Explicit Measures of Stereotyping
      • Implicit Measures of Stereotyping
    • The Process and Implications of Stereotyping
      • Stereotyping, Prejudice, and Discrimination
      • Perceptions of Women and Men
      • Stereotypes over the Lifespan
      • Negative Effects of Stereotyping
        • Stereotype Threat
        • Benevolent Sexism
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 4 Hormones and Chromosomes
    • Headline: “Venus and Mars Collide” New Scientist, March 5, 2011
    • The Endocrine System and Steroid Hormones
    • Sexual Differentiation
      • Chromosomes
      • Prenatal Development of Male and Female Physiology
        • The Reproductive Organs
        • The Nervous System
      • Changes during Puberty
      • Changes during Adulthood
      • Variations in Sexual Development
        • Variations in Number of Sex Chromosomes
        • Problems Related to Prenatal Hormone Exposure
    • Hormones and Behavior Instability
      • Premenstrual Syndrome
      • Testosterone and Aggression
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 5 Theories of Gender Development
    • Headline: “Code Pink” Mother Jones, September/October, 2009
    • The Psychodynamic Approach to Gender Development
      • Freud’s View of Gender Identity Development
      • Horney’s Theory of Gender
      • Contemporary Psychodynamic Theories of Gender Development
        • Chodorow’s Emphasis on Mothering
        • Kaschak’s Antigone Phase
    • Social Learning Theory and Gender
    • Cognitive Theories of Gender Development
      • Cognitive Developmental Theory
      • Gender Schema Theory
    • Which Theory is Best?
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 6 Developing Gender Identity
    • Headline: “A Boy’s Life” The Atlantic, November 2008
    • Gender Identity Development
      • Development during Childhood
        • The Sequence of Childhood Gender Role Development
        • Differences between Girls and Boys
      • Later Development
    • Influences on Gender Identity Development
      • Biological Factors and Gender Development
      • Family Environment and Gender Development
      • Peers and Gender Development
      • The Media and Gender Development
        • Gender Bias in the Media
        • Children and Media
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 7 Intelligence and Cognitive Abilities
    • Headline: “Is the Female of the Species Really More Intelligent Than the Male?” The Telegraph, July 17, 2012
    • Cognitive Abilities
      • Verbal Performance
      • Mathematical and Quantitative Performance
      • Spatial Performance
      • Other Cognitive Abilities
    • Source of the Differences
      • Biological Evidence for Gender Differences in Cognitive Abilities
      • Evidence for Other Sources of Gender Differences
    • Implications of Gender-Related Differences
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 8 Emotion
    • Headline: “Do Get Mad” New Scientist, February 9, 2013
    • Gender in the Experience and Expression of Emotion
      • The Myth of Maternal Instinct
        • Maternal Deprivation and Its Consequences for Nurturing
        • Gender and Caring for Children
      • The Prominence of Male Aggression
        • Anger and Aggression
        • Developmental Gender Differences in Aggression
        • Gender and Aggression during Adulthood
        • Gender and Crime
        • Sexual Violence
    • Expressivity and Emotion
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 9 Relationships
    • Headline: “The New Rules of Dating” Men’s Fitness, February, 2013
    • Friendships
      • Development of Styles
      • Friendships over the Lifespan
      • Flexibility of Styles
    • Love Relationships
      • Dating
      • Marriage and Committed Relationships
        • Concepts of Love and Marriage
        • Communication between Partners
        • Balance of Power
        • Division of Household Labor
        • Conflict and Violence
        • Stability of Relationships
    • Dissolving Relationships
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 10 Sexuality
    • Headline: “How to End to War over Sex Ed,” Time Atlantic, April 6, 2009
    • The Study of Sexuality
      • Sex Surveys
        • The Kinsey Surveys
        • Hunt’s Playboy Foundation Survey
        • The National Health and Social Life Survey
        • National Survey of Sexual Health and Behavior
        • Gender Differences (and Similarities) in Sexual Attitudes and Behavior
      • Masters and Johnson’s Approach
    • Childhood Sexuality: Exploration and Abuse
    • Heterosexuality
      • During Adolescence
      • During Adulthood
    • Homosexuality
      • During Adolescence
      • During Adulthood
    • Bisexuality
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 11 School
    • Headline: “The Target,” Vanity Fair, April, 2013
    • The School Experience
      • Early Schooling
      • Changes during Middle School
      • High School
      • College and Professional School
    • Achievement
      • Achievement Motivation
      • Fear of Success
      • Self-Esteem and Self-Confidence
      • Attributions for Success and Failure
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 12 Careers and Work
    • Headline: “You’ve Come a Long Way, Baby,” Canadian Business, October 13, 2013
    • Careers
      • Career Expectations and Gender Stereotyping
      • Career Opportunities
        • Discrimination in Hiring
        • Barriers to Career Advancement
        • Balancing Career and Family
    • Gender Issues at Work
      • Gender Segregation on the Job
      • Gender, Communication, and Power in the Workplace
      • Sexual Harassment at Work
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 13 Health and Fitness
    • Headline: “Ladies Last,” National Geographic, April, 2013
    • Mortality: No Equal Opportunity
      • Cardiovascular Disease
      • Cancer
      • Violent Deaths
    • The Health Care System
      • Gender Roles and Health Care
        • Gender and Seeking Health Care
        • Gender and Receiving Health Care
      • Reproductive Health
      • Gender and Healthy Aging
    • Gender, Lifestyle, and Health
      • Eating
        • Body Image
        • Eating Disorders
      • Exercise and Fitness
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 14 Stress, Coping, and Psychopathology
    • Headline: “White Men Have Less Life Stress, But Are More Prone to Depression Because of It,” Huffington Post , September 23, 2015
    • Stress and Coping
      • Sources of Stress for Men and Women
        • Family Roles
        • Violence
        • Discrimination
        • Poverty
      • Coping Resources and Strategies
        • Social Support
        • Coping Strategies
    • Diagnoses of Mental Disorders
      • The DSM Classification System
      • Gender Inequity in the Diagnosis of Mental Disorders
    • Gender Comparisons in Psychopathology
      • Depression
      • Substance-Related and Addictive Disorders
      • Anxiety Disorders
      • Other Disorders
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 15 Treatment for Mental Disorders
    • Headline: “Colorado Launches Man Therapy to Break Down Mental Health Stigmas” Nation’s Health, October 2012
    • Approaches to Therapy
      • Psychoanalysis
      • Humanistic Therapy
      • Cognitive Therapy
      • Behavior Modification
      • Medical Therapies
      • Accusations of Gender Bias in Therapy
    • Gender Issues in Therapy
      • Feminist Therapy
        • Principles of Feminist Therapy
        • Clients of Feminist Therapy
      • Therapy with Men
      • Gender-Sensitive Therapies
    • Sexual Exploitation in Therapy
    • The Self-Help Movement
      • Online Support Groups
      • Gender Issues in Self-Help
    • Considering Diversity
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • 16 How Different?
    • Headline: “Signs of Détente in the Battle between Venus and Mars,” New York Times, May 31, 2007
    • What do Women Want? What do Men Want?
      • Have Women Become More Like Men?
      • Why Can’t a Man Be More Like a Woman?
    • Multiple Roles Have Become the Rule
    • Where Are the Differences?
      • Differences in Ability
      • Differences in Choices
    • Is a Peace Plan Possible?
    • Summary
    • Glossary
    • Suggested Readings
    • Suggested Websites
    • References
  • Index