Final lectures Flashcards

1
Q

Female Sexual Dysfunctions (FSDs)

A

*Forms of female sexual dysfunction (DSM-V and other diagnostic manuals):

–Hypoactive Sexual Desire Disorder (HSDD) (“asexuality)
–Female Sexual Arousal Disorder (FSAD) (“frigidity”)
–Hyper-sexuality (HS) (“nymphomania”)
–Female Orgasmic Disorder (FOD)

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2
Q

Hypoactive Sexual Desire Disorder (Asexuality)

A

A recurrent lack of sexual fantasies and desire for sexual activity, as judged by a clinician
- 1% of the population
-Is it legitimate to want a romantic relationship without sex?
- Do we as a society see it as a legitimate thing?
- In 90’s (DSM-4), this condition had to cause distress or interpersonal
difficulties → this is when it’s a disorder
- Has strain on relationships
Distress for whom? And why?
- First we should ask, how do we measure distress?
- According to DSM; the clinician is defining who is distressed
- Clinicians are a product of our own society
- Maybe distress has to do with social pressure/perceptions
- If everyone around you is telling you there is something wrong for you not
wanting to have sex; this would cause distress in itself
- 25% young adults claimed they never had a sexual partner by age 25
- Maybe we should define this as a legitimate sexual orientation, and not a mental disorder
- In this case, being gay is not a disorder/mental illness; the stress the person deals with is a product of social problems, it’s not something that needs to be treated

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3
Q

Female Sexual Arousal Disorder (“Frigidity”)

A
  • A desire for sex but an inability to become aroused OR when the genitals do not respond and sex becomes painful
  • Up to 43% of women (according to some estimates)
    • What would we not want to treat this with drugs that can help those who suffer?
  • We know viagra for men, why not have the equivalent for women?
    The problem with this, it treats women as an extension of men
  • When men cannot have an erection, it must be a physiological problem so we made Viagra
  • For women, we have a similar situation thus we must have a pharmacological approach.
  • This approach ignores that women are different in terms of factors that lead to sexual desire and attraction and women’s needs are different
    • This problem comes from the medicalization of disorders for profit
  • Campaign to recognize sexual dysfunction to be defined as a disease that requires a cure
  • We can’t treat bodies as machines; as something that needs to be fixed and not working
  • Moynihan (2005; BMJ): The medicalizaion of disorders for profit (the Proctor and Gamble campaign)
    Pharmaceutical companies focus on the body and the genitals (trying to fix them), when the problem is often social
  • Need to consider larger context of the problem (social, psychological, clinical)
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4
Q

–Alternative non-physiological explanations for “Frigidity”

A

*A dysfunctional relationship
*Body image (e.g. overweight)
- Decreases sexual desire and ability to perform sexually
*Same-sex attraction
- - Not a viable option in the social environment you were raised in so you may become uninterested in sex
*Sexual abuse
- Can’t simply fix by giving pharmaceuticals
- Once we consider the context, there are serious disagreements about the frequency and what to do about these cases
- Is this an actual problem (frigidity) or a by-product of another issue (social issue) that must be addressed for someone to be comfortable with sex

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5
Q

Hyper-Sexuality (“nymphomania”)

A

Desire to engage in sexual activity at a level that is considered abnormally high
- The history of nymphomania
–Men’s control of women’s sexuality and personal freedom

Historically, men were expected to be very sexual and always ready/looking for sex
- Problematic assumption that causes distress in men
- For women, high sexual desires were problematized
- Doctors were concerned with women who had too much sex / showed interest
- In history, mental institutions said nymphomania was a mental illness
- Victoria times, Nymphomaniacs were considered mentally ill:
- Victims of sexual assault
- Those who had illegitimate children
- Those who masturbated (“abused themselves”)
- Those considered promiscuous
These women were often forced inside mental institutions where they were
forced to have pelvic exams
- If doctors decided clitoris was too big; they would prescribe all kinds of
treatments, induced vomiting, cold showers, restricted diets, surgery to
remove the clitors
- All of these were used for methods of control - controlling women and policing
their sexuality
- All of this used to suppress women
behaviour
- Family “Honour” - fears of sexual behavior of young women
- In our society, most people do not subscribe but we still have a double standard
- When James Bond have sex with multiple women, they’re celebrated and have lots of masculinity
- A women who has sex with many partners, she’s a slut, she’s lose, nymphomania

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6
Q

Female Orgasmic Disorder (Anorgasmia)

A
  • Recurrent sufficient arousal without the ability to achieve an orgasm
  • 10%-50% (depending on definitions and diagnoses)
  • is this really a disorder? - consider non-biological factors
    – Much of the critique about the diagnosis of female orgasmic disorders, isn’t the
    idea that women are entitled to have an orgasm (of course we are), instead, the problem is that women, like men, should or must have an orgasm every time they have sex
  • Male-centric approach (our perception of sex)
  • Women’s sexuality has always been problematized (too little/too much)
  • Problematized as a tool for control
  • Male doctors, male psychiatrists/psychologists, families
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7
Q

The history of female orgasms

A

Pre-Modern Europe
- Men and women were considered to have equal amounts of sexual
desire, where women actually have a bit more
- People believed, if women wanted to become pregnant, they
had to have an orgasm during intercourse
- Here, lack of female orgasm would be considered a serious
problem

The Victoria Age (19th century)
- Perceptions completely changed
- Women were considered non-sexual creatures
- Men had all the sexual desire
- Women are expected to treat sex as a necessary evil
- Women do not have sexual desires or needs
- They were never supposed to masturbate
- Women were very repressed
- Female orgasm is now out of the question

Freud, Psychology, and Sexology
- Female orgasms started to become less controversial
- Some doctors believe that female orgasms can help solve many of their neurosis and mental problems (hysteria)

1950’s (Kinsey; Masters and Johnson)
- The Kinsey report on sexuality found that almost half the women
reached orgasm every time they had sex
- Sampling issues, not realistic numbers
- Masters and Johnson speak about women having multiple orgasms at once

The Rise of feminism
1960’s and the sexual revolution
- The idea that women are entitled to have orgasms
- With this, comes commercial interests
- Doctors, pharmacists
- Classifying non orgasms as a medical problem

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8
Q

Historical context of porn

A
  • The use of the term pornography started in Victorian Era = Prostitutes
  • In 19th century in the west, public pornography distribution was outlawed and criminalized but still was privately consumed
  • Porn films were one of the first films made when technology developed
    • In early 20th century, we see pornographic movies
  • In 1969, Denmark was first country to legalize pornography
  • Led to a big growth in pornography
  • 1-2 decades ago, it was already 10 billion dollar industry
  • 1960-1980 = Golden age of pornography
  • Mainstream people went to watch these porn movies as cultural
    phenomenon
  • Big revolution with VCR’s → Didn’t need to go to theater
  • Can watch from home in the early 80’s (end of golden age) - Then invention of internet
  • Porn channels now completely control the market
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9
Q

Pornography

A
  • the explicit description or exhibition of sexual activity in literature, films, and other media, intended to arouse erotic rather than esthetic feelings.
  • There’s a whole industry called mainstream pornography
  • We can discuss consumption in terms of prevalence to understand if something
    is normal or not
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10
Q

Prevalence

A
  • Everyone in the class has seen a pornography video
  • According to some studies, most people in North America consume porn
  • More than 70% of male internet users (under 35) visit porn sites at least once a month
  • The more secular you are, the more educated you are , the higher the rate of consumption
  • Women are not that far off
  • This class survey demonstrates that most young liberal people are not ashamed
    of seeing porn and not being afraid to hide it
    -in our society, it’s become deviant to say you’ve never watched porn
  • how normalized watching porn has become
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11
Q

Anti-pornography perspectives

A
  • Porn promotes abuse and violence against women
  • Porn is misogynistic in its nature
  • Large majority of videos out there (mainstream) are abusive to women and promote negative opinions and violence against women
  • Porn as sex ed is a terrible idea
  • It’s actually terrible sex education
  • Porn teaches unrealistic sexual practices and produces unrealistic expectations
  • Porn is harmful for romantic relationships
    Also harmful because many men and some women become addicted to
    porn
  • It also means they’re less interested in having sex in actual relationships
  • Their partners don’t compare well to the unrealistic performers in porn
  • In terms of how they look and what they’re willing to do
    • Like any addiction, it only gets worse with time - Over time, the effect decreases
  • So men need more and more; more extreme porn acts
  • Porn exploits and abuses (female) performers
  • Porn is a capitalist enterprise
  • Performers don’t make that much many and are taken advantage of
  • Producers make the money
  • In the end, performers end up broke and are stuck with stigma that follows them for a long time and it makes it difficult to find other jobs
  • Argument: Develop feminist porn
  • More realistic bodies/acts and focus on women’s pleasure
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12
Q

Functionalist Perspective (POV)

A
  • It’s about finding the beneficial and functional parts of porn
  • Porn teaches and educates people about sexual practices
    • Helps releasing sexual urges (catharsis) and reducing sexual frustrations
      (reducing sexual assaults)
  • Helps in maintaining marriages (less infidelity?)
  • Masturbating instead of cheating - Provides many people with a good living
  • For people who work in the industry
  • Porn is seen as much better than regular prostitution
  • Only dark regimes outlaw porn
  • The countries that outlaw porn today; communist russia, nazi germany, north korea etc.
  • Porn is fictional enjoyable entertainment
  • Similar to other fictional entertainment that’s enjoyable to watch like action
    movies (so porn is seen as not harmful) Quite a few people disagree and think porn IS harmful
  • Religious people - Conservatives
  • Feminists
  • For religious leaders, most christian/muslim/jewish leaders speak strongly against porn
  • See it as a major sin & social problem - both the industry itself and the act of watching it
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13
Q

Porn facts

A
  • Age where a typical boy in our society is exposed to the first adult video?
    10 years old
  • Most boys and girls are exposed to sexually explicit material at even a much younger age
  • Exposed to porn through peers & access
  • How often does the average man watch porn?
  • 3 times a week
  • 40 minutes a week
  • Every other day
  • Are relationships watching porn? Majority do
  • Do women watch porn? Yes
  • Women make up 35-40% of all porn viewers
  • In some countries, 50%
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14
Q

The negative effects of porn

A

Direct effects:
- sexual aggression
- rape is encouraged more/always non-consensual?

Indirect effects:
-Fostering ideologies seeing women as sex objects and justifying their humiliation
–The sexual needs of men as more important
–Decoupling of sexual relations and emotional intimate relations

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15
Q

The positive effects of pornography

A
  • mystify the misconception that women are not as sexual as men
  • celebrates women’s sexuality/freedom
  • Porn as more realistic sex education - primary source to learn about sex
    (Might be better than traditional media (Hollywood))
  • Helped self-confidence - already knew something about sex going into sex
  • Helps sexual minorities explore their sexuality and see representations of marginalized sexualities
  • People are capable of separating porn from real life
  • Depictions of graphic violence in specific cultures don’t lead to higher rates of rape
  • say problem is not the practice but the stigmatizing label
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16
Q

Recent research findings on Porn (Shor and Seida 2021

A

CONTENT ANALYSIS OF ~600 POPULAR PORNOGRAPHIC VIDEOS (PORNHUB)
- The large majority of popular videos are not violent
Lack of consent is rare
–Affection and passion are much more common than violence
–Is porn becoming “harder and harder”?
Because viewers (mostly men) become addicted and desensitized to it then need more extreme content to get aroused
larger share of videos include spanking = aggression?
Choking becomes more common
–Is porn just “violence of men against women”?
Prefer videos of women showing pleasure
Dont prefer nonconsensual violence
- compare heterosexual and non-heterosexual videos (more violence in male on male)

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17
Q

Recent research findings (Shor 2022)* Interviews with 300+ pornography viewers

A
  • Most prefer videos with no aggression/little aggression
  • Many would like to see less aggression in mainstream
  • Violence is about dominance/humiliation/being put in their place
  • In terms of aggression - more women said they had a preference for aggression in porn
  • About losing control - all day is making decisions - after a long day someone else tells you what to do
  • pleasure/pain argument
  • Enjoyed watching it but wouldn’t want to try it
  • Fantasy based
  • Both men and women cared more about women’s pleasure and climax - what they wanted to watch
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18
Q

Authenticity in Pornography

A

Argument its too authentic - portrays sexual abuse

Argument its too inauthentic - doesn’t show us what it looks like

What is authentic?

Giving verbal consent
Do women enjoy the act? = If women is demanded to show pleasure when she doesn’t really feel it - is this genuine - fair to demand they show enjoyment?
More details of performers full body
Fewer scripts and more naturalistic production values
Showing what should be or showing what is?

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19
Q

Categories of sex workers

A

*Adult film performers (porn “stars”)
*Strippers (exotic dancers)
*Telephone sex operators
*Prostitutes, call-girls and gigolos–
-Independent escorts
–Escort agencies
–Brothels (massage parlors; saunas)
–Bars and Casinos–Streetwalkers

Most in-person forms have been replaced by online services

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20
Q

Social worker approach

A
  • shown in “somebody’s daughter” video
  • says sex workers are people who have been corrupted
  • being one is shameful and they need to be saved/salvaged
  • People who use their services should feel ashamed/embarrassed about it
  • represents a view of many feminists/social welfare people
  • The hot girls documentary also comes from same approach
  • No one in their right mind would want to do this
  • most girls last a year at best in the industry
  • teen is most searched word on sites

Ex- difference between stripping and modeling
- Modeling vs stripping is about the framing
- Why do we as a society make these judgements when professionals have overall similarities - service in exchange for money, not always wanting to do it, might find it intimate or degrading,

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21
Q

why do people enter the sex trade?

A

The happy hooker myth: a liberated free-spirited woman who chooses to work in the industry, enjoys her work, and makes great money
- Better than being homeless, living in poverty, abusing drugs
- Story often told in tv and movies
- Do 96% of workers choose this profession?
- Less than 4% of sex workers in Canada are forced (railroaded) to become sex workers

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22
Q

Facts about women in the sex industry

A

*Coming from a lower socio-economic status
*Disproportionally ethnic minorities and immigrants
*A history of early sexual activity
*Sexual abuse
*Life course discontinuity
*Running away from home

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23
Q

What is the process of becoming a sex worker?

A

Hell - learning theories come into play

Sometimes secrets of the profession are transmitted by someone already involved in the trade: The madame is the teacher
- Obtain and retain clients
- Need to understand how to be careful not get hurt/catch stds etc
- Learn techniques (performing acts)
- How to hustle to maximize profit
- What language to use
- Learn how to deal with stigma
- Learn proper etiquette (exploit client because client is exploiting workers)
- Justifications

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24
Q

Prostitution and the Law

A

Common legal modes for prostitution:

Prostitution is legal in many countries - pay a licence for a brothel
- Issues with having to obtain a licence
the weakest of sex workers (poorest, immigrants) are usually not able to get into legal businesses and get a licence making them work illegally

Prostitution is legal but pimping is not - providing sexual services is legal but pimping is not

Prostitution is illegal - punishment is lighter

Providing sexual services is legal - but illegal to purchase them
- Public comms, purchasing, pimping (illegal)
- Charges client instead of worker

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25
Q

Criminalizing clients

A
  • rarely enforced in Canada - but forced to still work in unsupervised spaces (leading to greater risk of violence/mispractice) as clients need to be made anonymous/cant be traced
    -Gives police a lot of power to extort/abuse sex workers
  • Makes sex work less safe - protection from std’s - proven to not reduce/deter prostitution even when there is a severe punishment
  • How are they supposed to advertise services if being a client is illegal and procuring is illegal
  • Unable to work in the street or unable to sustain a home - must work in isolated locations
  • Need to pay a fine after being caught
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26
Q

Should policies be determined by a moral argument?

A

Moral objection - means normalizing sex work to decriminalize it

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27
Q

Decriminalizing sex work

A
  • NZ decriminalized sex work - reduced the harm to the sex workers the most
  • Safest policy
  • Worked with sex workers to develop policies
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28
Q

Homosexuality is deviant?

A

Religious arguments
- based on scripture and convictions

Biological/evolutionary arguments
- Mixed with moral arguments

  1. Heterosexual relationships are needed for reproductions (necessary for reproduction of the human race)
    Counterargument: Why do we need more people (overpopulation)
    You can still have kids in a homosexual relationship
    Why is sex linked to reproduction - many reasons why
  2. unnatural - Errors of nature (no gay animals)

Counterargument: why does natural mean good?

Not true! - animals be gay
How can ideologies shape science? For the last decades, zoologists ignored/underreported homosexuality in animals (believing behaviour does not exist or should not exist)
Aside from morals - arguments like Animals cant be homosexual like people are because they don’t have self-identity/culture
Animals aren’t homophobic - a uniquely human trait
Most of our beliefs are culturally conceived

  1. Universality
    - Nothing universal about rules and norms against homosexuality
    - Sex was not considered sinful in many Indigenous communities
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29
Q

Becoming Gay

A

How do we develop sexuality?

From a religious point - sin
but we can help them choose differently
by limiting certain factors

Biological perspectives: genes, brain structures, chromosomes, parental hormones
- The biological claim has support among gay rights activists - “Remove choice” - it is something innate
- Evidence is inconclusive
- To date: not one simple biological cause
No specific gene
- Doesn’t mean biology has nothing to do - hormone composition can be evidentiary

Psychological perspectives
Freud - believed it was a biology/problem in the process of sexual development
Did not believe tendencies could be changed by treatment

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30
Q

Adrienne Rich: Compulsory Heterosexuality

A

The argument is that; if our erotic bond (first one) is to our mother; the natural sexual orientation of both men and women is - we are all naturally attracted to women (bond with our mothers)
- Based on Freud’s psychology
- Mother is caregiver/nurturer

  • Compulsory heterosexuality – the idea that heterosexuality is the only normative/viable practice (for both men and women)

*The lesbian existence – A broad spectrum of women’s relationships with other women
- She talks about it in historical context, the continuous creation of it and repression of it

*The lesbian continuum – the realization that lesbianism is about more than just sexuality. It also includes erotica, comradeship, compassion, etc.
- She’s saying, a woman doesn’t need to identify herself as
lesbian or engage in sex with women to feel a sense of natural closeness to other women which is part of this continuum

  • The most important point is this questioning of heterosexuality being the natural way of being
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31
Q

3 dimensions of sexuality:

A

Behavior:
100% of sexual acts with same sex → 0% with same sex

Orientation:
100% of fantasies involve same-sex→ 0% involving same sex - Can be anywhere in between

Identity:
100% self defined “Homosexual” → 100% self defined “heterosexual” -

You’re near the middle if you’re bisexual
- Often there’s a correlation between the 3 behaviors - Can also be independent

  • Don’t need to be dichotomous
  • You could identify as heterosexual, have 50% of fantasies of
    members of your own sex and occasionally have sex with people of
    your own sex
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32
Q

Identity and sexual encounters

A

“Straight all” (OkCupid: 250,000 profiles)

Study shows lack of correlation between identity, fantasies, behavior
- Study asks, have you ever had a sexual encounter with someone of the same sex?
- 66% of straight men said no and I would never
- Different for straight women: More than half either had or would like to have sex with another
women
- “Bisexual - both men and women”
- Only 23% send messages to both men and women
- Most who identify as bisexual only send messages to one gender or
another
- This is discrepancy between self identity (bisexual) and behaviors
- These studies show how people self identify, what kind of fantasies (sexual orientation) and how they actually behave in their real life

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33
Q

The Dimensions of Sexuality Reading: Laud Humphreys - Tearoom Trade

A
  • There is difference between self-identity (heterosexual) and behavior (having sex with men - homosexual)
  • Almost half the people who participated in these sex trades did not self-identify as homosexual, not even bisexual; they had self-identity of heterosexual and yet they engaged in homosexual behaviour
  • Discrepancy between identity & behavior as well as identity & orientation
  • It’s hard for people to accept this continuity and different dimensions of homosexuality
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34
Q

Tea room trade issue:

A

Subjects did not know they were being studied → Deception - No consent
- He was following people home
- He tracked down their license plates, found out their addresses,
went to their homes, knocked on the door, and pretended to be
doing a survey on health

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35
Q

Sociological perspective critiques

A
  1. Dichotomization of sexuality
    - Oversimplify complex behaviours (gay, straight, bi, etc)
  2. No recognition of various dimensions
    - Much more fluid
    - Not simple explanation (complex)
  3. The assumption of hetero-normativity
    - Homosexuality is deviant and needs to be explained (assumption)
    - This implies we don’t need to explain heterosexuality and it’s just already there
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36
Q

Hetero-normative Mechanisms

A

Religion
- Grew up surrounded by religious ideas where homosexuality is considered a sin
Language
- “Husband & Wife” “King and queen”
- Homosexual slurs “That’s so gay”
Psychology
- Up until 1988, homosexuality was considered a mental disorder in the DSM
Science and the education system
- Elimination of gays and gay practices from history books
- Homosexual practices in animals was completed eliminated from biology and zoology books
The mass media
- Disney movies; princess and prince
The legal system (gay marriage)
- Challenges to gay marriage, adoption
- Early legislation that had punish for homosexuality (other countries still
punish for being gay)
Politics
- - Still relatively few gay politicians
- Being a good family man is a precondition in US
Health care
- Discrimination in medical treatments for gay/bisexual people
Sports
- “Manly non gay masculinity sports stars”

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37
Q

Adrienne Rich - Critiques

A
  1. The vilification of heterosexuality and of men:
    - There is also a beautiful, soft, non repressed version of heterosexuality - Not all women are repressed by men
    - History of heterosexuality is not only about exploitation and power relations
  2. Essentialist assumptions
    - You assume all women have lesbian feelings - repressive assumption
    - We shouldn’t go to the other extreme and present homosexuality and lesbianism as natural
    - The assumption that lesbianism and male homosexuality is essentially different is also problematic
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38
Q

How do we know someone is gay in the media?

A
  • Various cues like higher voice, sassiness, showing emotion
  • Homosexuality is gender non-conforming (anything that is not masculine enough)
  • Today, it’s mostly about being more like a woman and being
    feminine
  • Gayness is a discourse of deviance from normal feminine/masculine
  • Gay bashing is not actually about sexual preferences; it’s more about finding a victim that’s not manly enough
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39
Q

Homosexuality as gender nonconformity

A

We can think about homosexuality as a modern witch-hunt
- Men constantly have to prove that they’re not gay (not a witch), especially during adolescence and in certain social groups
- There’s a continuous test and you can never fail it
- Constantly doing impression management on others and yourself
- ou can never really prove that you’re not gay
- Not even by getting married or having children
- Because it could always be what Freud called reaction formation
- If you’re an out of the closet gay, it’s a form of liberation in some ways
- You can let go of some of these defenses and try to prove all the time that you aren’t gay even though you really are

Seinfeld: On one hand, there’s nothing wrong with being gay, on the other hand, men are scared as being perceived as gay/feminine/non-masculine

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40
Q

The damages of Homophobia

A
  1. Emotional constipation:
    - Unable to express feelings even in their families
    - Need to explain and justify yourself
    - Gay bashing
    - Fear of violence
    - Knowing people don’t accept who you are
    - Fear of coming out
    - Legal discrimination; workplace discrimination
    - Homophobia is harmful not just for gay people but also for straight men
    - Not showing pain or fear towards family
  2. Avoiding friendships with other men
  3. Avoiding “girly” activities
  4. Constantly demonstrating (hetero)sexual libido
    - Chasing women
    - Always wanting to have sex (always ready)
    - Performing in a manly dominant way
    - Not trying too hard in school because it’s gay to be a good student
  5. Actively engaging in unhealthy and risky behaviour
    - Overdrinking
    - Not wearing a seatbelt in the car (don’t show weakness)
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41
Q

Homophobia is also affecting women

A
  • All women need to police themselves so they’re not seen as “too manly” or “not feminine enough” = gender non-conforming
  • Pressured to fulfill “good wife/mother” roles
  • Avoiding taking charge or speaking out because that’s not feminine
  • Being careful about not being too aggressive
  • Follow feminine ways: grooming, makeup etc.

Toxic masculinity has to do a lot with the conflation of sexuality and gender

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42
Q

An age of sexual inclusion?

A

Video: Love has no labels: “I can’t change, even if I tried, even if I wanted to”
- Rethink bias
- Certain relationships are changing from the realm of deviant to the realm of being normal
- Love is love and it has no boundaries… to an extent
- Canadian census
- There is an option for relationships with different genders, but not an option for have multiple partners

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43
Q

Universal incest:

A

Some forms of incest (sex between mother and son) are considered deviant in virtually every culture
- There is still alot of cultural variability in the definition of incest

44
Q

Cultural Diversity in Incest Definitions

A

Monarch sibling marriages: ancient Egypt, Inca Peru, Japan, Burma, Korea, Hawaii, and Early modern Europe

  • Siblings having sex and children were accepted and sometimes
    encouraged
  • Ancient China: First cousins with different surnames were permitted and sometimes encouraged to have sex (but with the same surname; not allowed)

19th century England: Cousin marriages
- Charles Darwin and his wife Emma
- Cousin marriages were quite common; the norm

In some Middle Eastern societies: 30% of all marriages today are cousin marriages
- To this day, some cousin marriages are encouraged in these societies

45
Q

Legal Status of Incest

A

Canada
- Legal definition: Having a sexual relationship with a sibling (including a half-sibling), child/parent, or grandchild/grandparent while knowing the
existence of the blood relationship
- Punishment: Up to 14 years in prison

US
- Legal definition: Also includes aunts/uncles
- Punishment: Up to life in prison
- In most European countries, there are laws against incest, but it’s usually not enforced when the relationship is between two consenting adults

46
Q

The Westermarck Hypothesis

A

Edward Westermarck (The History of Human Marriage; 1889)

  • “There is an innate aversion to sexual intercourse between persons that grew up together”
  • The key factor is close association during childhood

there’s an obvious problem with testing this: Social taboo exists
- We always heard that incest is something we shouldn’t even think about

47
Q

Support for Westermarck

A
  1. Ethological Studies
    - Inbreeding avoidance (no breeding at all) and reduced inbreeding in animals (that grew up together)
  • Problem: Concluding animals and comparing it to humans experience
  1. Anthropological/natural experiments
    - Taiwanese “MinorMarriages”
    - taiwanese “Minor Marriages”
    - Families that adopted a daughter to be the future wife of the son

Wolf (1966) found that:
- Higher divorce rates
- Higher infedelity rates
- Lower fertility rates
- All a result of sexual aversion

Israeli Kibbutzim
- Rural collective communities with a combined Zionist and Marxist ideology
- Joint ownership of property, and cooperation in production and
consumption
- Until the late 1980s: Cooperative education system that created a
sibling-like setting for child rearing
- Children of Kibbutz
- Very few resulted in marriages

48
Q

Problems with the natural experiments: (Westermark hypothesis)

A
  1. Operationalization of aversion: Marital rates ,divorce rates ,infidelity rates, fertility rates
    - Not asking how these people are feeling
  2. A leap of logic: From less attraction to sexual aversion
49
Q

Shor’s findings on the kibbutz

A

Only 2 interviewees (both women) described something close to sexual aversion

  • Almost half of the interviewers said they felt indifferent
  • About half of them reported moderate or strong attraction towards peers who grew up together

Avoidance of Actual Relationships
- There was clearly a negative message; someone felt it would be
incestuous even though they’re not related and just grew up closely together
- Negative messages about relationships between same-group peers

Fear of rejection
- Not being willing to deal with the consequences
- One of the strongest explanations was apprehension of hurting the
group’s integrity
- This explains why the few relationships that did happen, happened after the group dynamic dissolved

Conclusion of Shor’s study

This study does NOT provide support for Westermarck’s “Aversion Hypothesis”

  • Substantial support for sociological theories emphasizing the roles of group cohesion and individual cost-calculations
  • Incest avoidance has many reasons, beyond just the lack of basic attraction; it has to do with incest taboo, not wanting to hurt the family, and age differences.
50
Q

3 main arguments against legalizing incest

A

Morality
- Offensive - not right

Biology
- Health problems in offspring
40% of children born from incest might suffer from some birth defect - 10% mild to severe cognitive issues

Psychology
- Uneven power relationships/room for abuse
- Most powerful argument
- The danger of history - relations (grooming etc)
- Consider many couples are subject to these same issues
- Concrete examples of siblings meeting and having a family - state intervened

51
Q

Pedophilia

A

Sexual urges/fantasies

  • Doesn’t have to be behavioural
  • Indication of a disorder is when they act on sexual urges
52
Q

What percentage of pedophiles?

A

Studies survey
- Young college men - 10% said young people were interesting to them
- 10% said thoughts about teenagers
- 40-80% of men experience arousal when shown pictures of young women

53
Q

Common explanations for pedophilia

A

sickness/evil
- lack of morality - no need to try and understand beyond that

Psychological approaches: contagion - the “vampire syndrome”
- If you’ve been abused you will go on to become an abuser
- Maybe higher likelihood - not systematic studies - how to definitively prove it happened
- Hard to show causality - what about other variables?
- Also stigmatizes victims - many survivors feel they are now contaminated

Biological approaches
- an inborn sexual orientation - incurable and intractable
- Caused by genes?
- Some case studies support this

Suffer from severe epilepsy
- damages brain - caused appetite for food/sex
- Was arrested and syndrome was brought up
- Can have ethical and legal repercussions
- Can have some biological causes
- Some research suggests that some people are born as pedophiles

Sociological approaches:
- historical context, cultural context, definitions, and the dimensions of sexuality

54
Q

Pedophilia historically

A
  • Historically not always as negative as it is today
  • Ancient greece: pederasty
  • Was normal behaviour for men and young boys
  • Historical and cultural diversity

The sambia in the 1970s
- Expected to give oral to older men by young boys
- Part of sexual training
Most said it was fine

Many developing societies - women are forced to marry at a young age - have sex with husbands (not considered deviant)

Western culture
- 19th century europe - foucault wrote his book on sexuality
- Said age of consent was 12
Victorian era feminists fight child prostitution
- 1977 - french intellectuals signed a petition that children are able to give consent to sexual relationships
- Many philosophers - supported by mainstream newspapers

55
Q

Modern treatment of pedophilia

A
  • Sexual puberty - can be varied between children
  • Age of consent is defined as 18 in many countries
    In canada - 16
    In Us between 16-18

Pedophilia - a makeover of children’s products to be more sexualized
Children in ad campaigns/TV shows
Women blur boundaries trying to look underage

Gender roles - older women and younger men

Heterosexuality is treated differently than homosexuality

Media blurs these boundaries
How about younger children? 6/7/8 year old

56
Q

3 dimensions of Sexuality

A

Behaviour:
Orientation:
Identity:

On a scale

Some say they mostly have sex with adults and only sometimes with children

True for half of cases of pedophilia
Had relations with a child - but mostly don’t
Or say they don’t have fantasies about children (say it is an exception)
Never attempt to have sexual relationships with children
Even those who acknowledge attraction to kids

Small minority abuse children
Some don’t but would like to - think about norms and laws

Those who are attracted to kids but would never act on it are highest percentage
- Most try to hide it from themselves or others
- Try to hide it from those around them

Celibate pedophiles believe in public sentiments - kids cant give consent
If they do - should be punished
Argue that it is not a choice

Some don’t have psychological help or other venues to express how they feel

57
Q

What should be done about pedophilia?

A
  • As a venue for self-expression
    1. Books
    2. Computer generated
    3. Internet Group
    4. Studies show that pedophiles often experience fantasies before acting out on urges

Catholic priests watch porn before engaging in pedophilia
- In states where pornography became more available - no increase but a decline in sex crimes
- Pornography does not necessarily increase behaviours

1996 - makes illegal to create or possess even if not real children
- Possible that there is a causal relationship
- should limit production and distribution of some materials
- But a lot of media contains questionable subject material already

58
Q

Why should we GAF about pedophiles?

A

Typical abusers - more than 90% are someone the child already knows (older children or other family members)

Priorities should be - how do we protect children

What happens if they have no one to talk to - or therapy groups to discuss the issue

  • Mental health professionals show very little willingness to treat people with pedophilic tendencies
  • Shows no compassion for people
  • Do you want them to be able to get help
59
Q

Paranoid schizophrenia

A

A man who is very suspicious. He doesn’t trust anybody and he’s sure that everybody is against him. Sometimes he thinks that people he sees on the streets are talking about him or following him. A couple of times now, he has beaten up his wife terribly and threatened to kill her, because he said, she was working against him too, just like everyone else.

60
Q

Simple schizophrenia

A

A young woman in her twenties. She hasn’t had a job, and she doesn’t seem to want to go out and look for one. She is a very quiet girl, she doesn’t talk much to anyone except her own family, and she acts like she is afraid of people, especially young men her own age. She won’t go out with anyone and when someone comes to visit her, she stays in her own room until they leave. She just stays by herself and daydreams all the time, and shows no interest in anything or anybody.

61
Q

Anxiety disorder

A

A man who has a good job and is doing pretty well at it. Most of the time he gets along all right with people, but he’s always very touchy and he always loses his temper quickly if things aren’t going his way or if people find fault with him. He worries a lot about little things, and he seems to be moody and unhappy all the time. Everything is going along all right for him, but he can’t sleep at night, brooding about the past and worrying about things that might go wrong

62
Q

addiction/alcoholism

A

A man who never seems to be able to hold a job very long because he drinks so much. Whenever he has money in his pocket, he goes on a spree; he stays out till late hours drinking, and never seems to care what happens to his wife and children. Sometimes, he feels very bad about the way he treats his family; he begs his wife to forgive him and promises to stop drinking, but he always goes off again.

63
Q

Depression

A

A 50-year old woman who lives with her husband. The neighbors remember her as someone who was happy and took good care of her husband and family. Her three sons have already completed their studies and are married. Though living in different places, they visit on occasion. She appears different over the last several years in that all she does is stay home. She speaks slowly and cries, eats and sleeps little, and appears to be very unhappy.

64
Q

A (Short) History of Mental Illness

A

In 1950’s people were introduced to sample populations and asked what they thought was a mental disorder

■ 75% of people thought paranoid schizophrenia
■ 18% for anxiety disorder
■ 29% for alcoholism
■ Nothing on depression studies
○ In ’50s, only 18% of people thought anxiety was a mental disorder
■ Drastic change compared to today
○ Change is also reflected in the range of conditions in DSM-5

65
Q

DSM-5 (2013)

A

As norms change in society, so do the categories of mental illness
○ Like how the DSM has changed over time- incorporating more criteria for mental illnesses

66
Q

History of mental illness

A

Ancient times: A theological/demonological approach
○ Madness was common
○ Spiritual being: gods/devils possessing the body and influencing the person
○ Idea of the “born criminal” and “madman”
■ They thought disease is due to physical cause
■ Burning at the stake!

Classical Greece: A medical model (Hippocrates - bodily humors)
○ First time there was medical model
○ Madness is a result of imbalance of bodily humours
■ Today, we would say mental ilness is chemical imbalance in the brain

Medieval Europe: The Theological model returns
■ Similar to Ancient times
■ “All diseases including madness is being sent by God”

The Age of Enlightenment: The medical model and the “great confinement”
○ Convergence of all models
■ Michelle Foucault: “Madness and Civilization” (1961)
■ Theological + Medical = Age of Enlightenment
○ This did not really approve the treatment for people with mental illness
problems
● There’s no longer public executions

67
Q

Michelle Foucault: Madness and Civilization (book)

A

For Foucault, this era (age of Enlightenment) had a lot to do with the “great
confinement”

In 17th century, Foucault calls it great confinement era
- Society replaced the practice of capital punishment (death penalty) with the imprisonment of people deemed deviant or insane, in prisons and asylums

○ Leader of post-modernist movement
○ Most cited scholar in sociology and humanities
○ Foucault believed that the confinement of the mentally ill was a result of a
a society that placed a high value on labour and viewed idleness as the chief sin

What do we mean by saying Foucault is a postmodernist?
○ Failures of modern society
○ He talks about how these can be addressed and what to do moving
forward
○ Moving away from theological model and towards medical model is a
positive thing

Book follows the history of madness in the west before the middle ages
○ Example of witches burning at the stake
■ A Lot of it had to do with the church → theological model

68
Q

Era of great confinement

A

○ Many people were put into prisons
○ Others were sent to mental institution
■ Since these people are “mad” they should be locked up and treated like animals
● Foucault wrote about how to discipline bodies is an important component in how to deal with the “mad” and “useless”
● New society: How can we maintain order & use capitalism to do it
○ “Sent to institution if you won’t cooperate in society”
○ If you’re deviating by the norm and don’t abide by order - you are useless
and will be put into institution
Profits were made - capitalizing this
○ Benefiting the “crazy” people from housing them and charging them for it
● Categories in each of these eras were fluctuating and this list of “crazy people”
grew significantly
A lot of people became mentally ill because there was research being done in
prisons and they used inmates for tests

69
Q

transition away from theological towards scientific model -

A

Scholars considered this a great improvement (moving to a more
scientific model for classifying the mentally ill) because we’re pushing
theological ideas away and bringing in doctors etc.
○ Foucault claimed the medicalization of mental illness did not provide a means for better treatment
■ He believed the new treatments were even less humane and more humiliating than the previous ones
○ Same argument for prisons: It’s not helpful to just put labels on inmates and diagnose them but not actually help them

70
Q

Movie: Quills

A

● Paris, 1794
● Mademoiselle is about to get decapitated
● The Charenton Asylum for the mad
● Contention between religious ministers and science doctors
○ Science won in terms of how to treat the mentally ill

71
Q

Marxist → Rise of industrial capital complex

A

○ What came off of this? Massive institutionalization & imprisonment
○ New jobs were created to help build this prison
■ Doctor, psychiatrist…. All fairly new professions
○ Highlights Foucault’s point → This didn’t improve the treatment for patients
in mental hospitals

Perception of madness = lack of reason / rationality
○ Those who suffer from lack of rationality are a kin to animals

State is a key player
○ The state controls so many facets of our lives because there’s profit there
● Back in the day, unusual behaviors/preferences were considered to be a mental illness
○ Even today; kinks, pedophilia, incest ■ Socially described
● These things might be legal in one country and not in the other

72
Q

Late 19th century: the psychological model

A
  • Largely influenced by Freud, who looked at Hysteria (mostly women, but also in
    men)
  • People with Hysteria suffered from insomnia, cramps, emotional outbursts, etc
    (missed some here)… it was thought to be physical symptoms but with
    psychological roots
  • It was thought to be due to sexual tension, so a treatment was to masturbate the
    women until they orgasm – to lead to sexual release
  • By the early 20th century, the number of women with hysteria declined, and now it
    is no longer considered a disorder (split into different disorders, such as
    depression, anxiety, epilepsy and other physical disorders…)
  • Had something to do with the sexual revolution, feminist movements etc.
73
Q

Freud and the structural model of personality

A

Freud attributed much of mental problems to societal repression
- This is the first time that mental illness is not seem as something that comes from within the body (ex. a demon or phlegm) but is to do with the world around
- Also allows for more minor forms of mental disorders that also need attention and treatment

74
Q

20th century

A
  • Influence of psychology continues to grow
  • Medical-physical model continues to be dominant as well
  • Treatments include:
  • Electroconvulsive therapy (ECT) – common in 40s and 50s, where an electric
    shock was passed through the brain, not painful but led to some memory loss
    and neurological damage, and may not actually be effective
  • Lobotomy – common in the US in 40s and 50, where you remove connecting part
    of the brain, used to treat mental disorders, has effective results where patients became more quiet and less violent but also stopped doing other things and 15% of people who received these would die after the procedure
  • Drug therapy – used in 40s, 50s, and 60s to treat disorders, continued to be used and now considered the major treatment for many mental disorders although does draw critiques
  • Rise of pharmaceutical companies, attempts to medicalize sadness, madness and sexuality (ex. Viagra)
75
Q

Late 20th century: the sociological model

A
  • Psychiatric model is still dominant, but sociologically informed psychologists
    started to criticize medical models in the 60s, and the dichotomy between
    normal and abnormal
76
Q

Scasz (1960): the myth of mental illness (sociological model)

A
  • idea that mental illness is a myth and symptoms can be explained in different ways (ex. hearing voices might be communicating with ancestors, rather than schizophrenia)
  • believed that symptoms were real, but he challenges causes and explanations - He believed that mental illness is a social construct
  • He says that a disease is what you have, but a behavior is what you do
  • Labelling and power relations: idea that women are labelled with hysteria if they
    are not behaving to men’s liking
    • Drapetomania: a medicalization of people who want to escape their masters
      (people who wanted to escape slavery)
  • Also believes that psychiatry is a pseudoscience, pretends to be scientific (ex.
    heart break and heart attack are similar but one is a metaphor and one is an actual scientific condition)
77
Q

Goffman (1961): “Asylums” (sociological model)

A
  • based on peer observation in a mental institution
  • total institution: here people are cut off from rest of the world, live together with formal rules and staff that regulates life (ex. an asylum, prison, boarding school, convent, military, Victorian orphanages, some retirement homes,
    work/concentration camps)
    • Inmates in an asylum are taught the role of the good patient, which is being dull,
      harmless, inconspicuous
  • However, this role leads to a continued stay here
  • Disculturation: they start to look at themselves as pathological, rather than being
    improved or cured, they become less capable at dealing with the outside world
    and are not being reintegrated into the world
  • This model assumes that you can take broken people out of the environment, fix
    them and then return them, which isn’t true, ends up being more harmful
78
Q

Rosenham (1973): “being sane in insane places” (sociological theory)

A
  • He took 8 people, had them pretend they had a mental health condition to be institutionalized
  • these people reverted back to normal behaviors one they were institutionalized - but the label schizophrenic stuck to them, and it took months to be released
  • even then, they were labelled schizophrenic in remission
  • it’s hard to remove these labels, and people are treated differently based on
    labels in and out of institutions
  • in another experiment, he sent over 100 patients to an institution who had previously had disorders, and because doctors were now suspicious of him, they
    only diagnosed 3⁄4 of them
  • this shows how diagnoses can be inaccurate and biased
79
Q

Kendall et al. (1971): cultural differences in diagnoses

A
  • There were many diagnosis differences across western cultures, and even larger
    variation comparing western to non western
  • In one study, about 85% of American psychiatrists diagnosed someone, but only
    like 7% of British psychiatrists did
    • The power of labelling: people forget how important labelling is in people’s
      behavior
  • Assumption of intrinsic illness: people ignore how institutions shape people, and
    assume the sickness is inside people rather than outside
80
Q

Cahalan: “the great pretender” – critiqued Rosenhan

A
  • Said that one of Rosenhan’s patients actually had a positive experience in the
    institution, and wasn’t included in the experiment
  • Good reason to believe that Rosenhan may have made up some of the cases
    • Cahalan also had a hospitalization for Bipolar disorder, but found that doctors
      treated her differently once they discovered neurological issues (physical illness - more real) than for when they thought it was just mental illness
    • This stigma doesn’t just impact the patient, but also health professionals
  • Can affect the patient – may remove some of the responsibility for their actions
    but may also lead them to withdraw from society more (ex. schizophrenia
    diagnosis)
81
Q

Is mental illness fiction?

A
  • Normal vs abnormal
  • The sane are not sane all the time – all of us loose our temper sometimes that seems like for no good reason, do irrational things, have periods of depression and anxiety etc.
    • The criteria for diagnosis are not present most of the time for most people though - If someone has a hallucination because they took a drug, we wouldn’t deem this
      a problem, but we would if they have a random hallucination that we cannot find
      an explanation for
  • So, what is the threshold that pushes someone from sane to insane? Where does
    someone need to be to be mentally ill? Who gets to decide this? Is it based on
    objective criteria? No.
    • The criteria we use are based on the subjective interpretation of the diagnostician
      of the things the patient also subjectively tells them
  • There are differences in cultures – people may think and communicate differently
    in ways that a white western doctor might not see or understand
82
Q

1950s onward

A
  • Tendency to institutionalize people in asylums was greatly reduced by almost 90%
  • This happened in much of the Western world and also many non western countries
  • Main reasons for this:
  • Academic critiques, especially in sociology: politicians actually listened to
    sociologists
    • Drug therapy: many advances, solid breakthroughs (ex. SSRIs), which allowed
      people to regulate their problems and stay in the community
  • The civil rights movement: idea that we shouldn’t institutionalize people against
    their will
  • Economic considerations: allowing people to stay in society stops draining so
    many governmental resources etc.
  • Deinstitutionalization has had many benefits, but also problems
    • In the US, they didn’t really account for the impact of suddenly releasing people
      from institutions (ex. they were released without proper resources or support)
  • Many of them ended up homeless, no money for treatment, etc.
  • About 1 third of homeless people in the US are people who were released from institutions
83
Q

Debates on drug policies

A

illegality:

Opioids, cocaine, amphetamines, methamphetamines are called Schedule 1 of
the Canadian Control Drugs & Substances act
- You can go to jail for possessing or using drugs (even if it’s first time)

Potential future policies
- Toughen up punishments
- Making some drugs that are currently legal - illegal
- New Zealand will outlaw cigarettes under age of 20 by 2028
- Keep things as they are now
- Reduce/decrease punishment for consumption
- But not for distribution

Decriminalize consumption

  • Remove sanctions under the criminal law and moving towards
    treating drugs as a public health issue
  • BC’s model
  • In principle, drugs are still illegal
  • No one goes to jail for consuming drugs but you face consequences for distribution
  • Legalize

Removing all the legal prohibitions on drugs, including on producing and selling

  • All drugs
  • Both consumption and distribution are permitted
84
Q

What is a drug?

A

Ray (1983): Any substance that alters (normal) interior structures or functions in a living organism

  • Under this definition we would consider cold showers, perfume… all as drugs → not precise enough
  • A substance consumed for medical or recreational needs
  • This could be fruit, orange, chocolate → not precise enough
  • Dictionary.com: A habit-forming medicinal or illicit substance, especially a narcotic
  • Could be alcohol, nicotine …
85
Q

Labelling theory (drugs):

A

Any substance that has been defined by certain segments of society as a drug
- The only thing that all drugs have in common that distinguishes
them from a non-drug is that someone labelled it a drug
- Which drugs are considered deviant, also depends on social norms
- In India, consuming alcohol is illegal
- But have having hash is often encouraged

86
Q

Substance abuse:

A
  • When certain substances, which we have named drugs, are used for non-medical purposes
    • Also a problematic definition
  • Most of us don’t consider drinking coffee in the morning to be drug abuse
  • We tend to think about drugs as illegal but most of the drugs we use around the world are fully legal
    • Many are consumed for purposes of improving our health
  • We are a chemical using civilization
  • We use drugs for pain for everyday life
  • Health is not the absence of illness; we consume lotions, vitamins, teas, vaccines and other products that promise longevity, good performance, good health
  • Drugs are actually very common and normal part of our daily lives
  • Millions of drugs are sold for cosmetics, hormones, hair
  • Legal drugs: Caffeine, nicotine, alcohol
87
Q

Why are some drugs illegal?

A

Marxist: The drugs that increase productivity are legal
- Dangerous ones are illegal

Pharmaceutical qualities?
- There’s no single quality that all illegal drugs have, and all legal drugs do not, and vice versa

Damage to health?
- Illegal drugs are dangerous to you

Data: Before the recent spike in overdose due to fentanyl, 5-6 years ago, more than 1⁄2 of deaths in the US were from abusing the prescription drug and overdosing

    • There’s a good argument that alcohol causes the most problems than any other drug (DUI)
88
Q

Do drugs lead to criminal activities?

A
  • Drugs make you a criminal
  • Claim: Illegal drugs are most associated with criminal activities
  • Well actually, it is true but only if we include trafficking, selling, and possession of drugs

If we focus on use of drugs, does that increase crime?
- There is minimal evidence for direct relationship between illegal drugs and committing violent crimes
- Drug abuse could lead to poverty which leads to increased crime
- But there’s controversial evidence about the direct effects of drug
abuse and criminality
- Alcohol is responsible for more interpersonal violence and associated with
more criminal acts than any other drugs combined
- In US, half the people arrested for violent crimes, have been
drinking

Research tells us that top 5 most addictive drugs: nicotine, caffeine, opioids, cocaine, and alcohol
- Many argue that nicotine is at the top

89
Q

Socio-historical reasons for drug legality

A

Most the distinction between legal/illegal has to do with socio-historical reasons

Alcohol
- In Canada, alcohol is consumed the most in Quebec
- Rate is stable except for teenagers (15-20) where you see a decline in the last decade

Why is alcohol legal?
- It causes psychological, physiological, and social issues
- Although it’s highly associated with violence, accidents, and health problems, it doesn’t mean it’s a direct cause of these problems
- Drinking in small amounts is fine
- Our behaviour, is largely affected by social and cultural expectations, even
more than the physiological effects of the drug on our body
- This is why, some societies consume very large amounts of alcohol and
their behaviours are moderately affected
- In Nigeria, they respect the ability to appear sober, despite heavy drinking
- - In some cultures, it’s okay to become very happy/euphoric but any
sexual/aggressive behaviors are not acceptable so you see much less of it
- In our society, how you behave following alcohol consumption really changes
depending where you are
- Drunken behaviors are learned behaviors and they’re very sensitive to cultural context

90
Q

Prohibition

A
  • Import, export, selling, consuming alcohol was illegal in US between 1920-1933
  • And for shorter periods in Canada in the 20’s
  • Prohibition was largely promoted by religion and movements that were a “moral” way of life
    • Prohibition was a complete failure
  • Illegal alcohol selling flourished
  • Criminal organizations got rich
  • Tens of thousands of clubs were still selling alcohol
  • Public opinion shifted rapidly and people were against prohibition
  • In 30’s, alcohol became legal again, despite all the damage it causes

The campaign for prohibition was against immigrants who disrupt/corrupt the US
- Right-wing groups played a big role like KKK
- Immigrants consuming alcohol were seen as criminals

91
Q

Opiates

A
  • Includes opium, heroine, morphine, fentanyl - Some are more potent
  • Fentanyl is 50x more potent than heroin
  • Morphine is more used in medical settings
  • 1 shot thing
  • You take the drug once and you’re addicted
  • It’s true that these drugs are very addictive, psychologically and physiologically,
    but almost never with one time use
  • Varies for different users
  • Some get addicted much faster
  • Prevalence: About 10% “ever tried”, around 10% are regular users
  • Unlike what we see in the movies, most of the people who try opioids once do not become addicts
  • Many people have a drug habit without losing control
  • Some people lose control
  • Opiates are one of the most harmful drugs that causes damage
  • Very dangerous; regular users die
  • Groups most likely to use
  • Younger people
  • Males
  • People living in urban settings
  • Minority groups
  • In Canada; Indigenous people - People in the medical profession
  • About 5% of physicians are regular users of narcotics - What are the physical effects of opioid use?
  • Relaxing, euphoric, warm/fuzzy, pain relief, sleepy
92
Q

Synthetic Opioids

A
  • Fentanyl crisis in North America
  • Around 3-5,000 overdoses 10 years ago to now over 100,000 overdoses
    in US today
  • May be worse in US than Canada because no health insurance in US and need to relieve pain
  • Synthetic opioids are more potent (Fentanyl is 50x more potent than heroin -
    more addictive and will more likely lead to overdose) - Cheaper to produce
  • To make effects last longer of fentanyl, suppliers start cutting it with other drugs
  • Most common is cut with benzodiazepines

Horrific health effects even without overdose
- Loss of limbs
- “Zombie” drug

  • Hundreds of websites legally sell chemicals from which you can make fentanyl
    and benzo and xylazine
  • Relatively easy to purchase
93
Q

History of Opiates

A
  • Used for more than 5,000 years, mostly, for medical purposes

19th century: Opium wars
the combination is even more dangerous

Early 20th century: Anti-opioid crusades
- In the 20th century, different groups started a crusade against opium

94
Q

Anti-Opium crusades

A
  1. Economic interests
  • Moral panic over Asian immigration in Canada
  • fear and opium coming to NA in large amounts with immigrants
  • Objection to East Asian immigrants coming to Canada
  • 1908 - The government of Canada adopts the opium act; criminalizing the use and sale of opium

“TheBlackCandle” (JudgeEmilyMurphy)
- She writes a book where she warns about the dangers of drugs
- When you read the book you get that; the perception of drug addiction is a problem which is influenced by racism
- She would see too many Chinese people in her courtroom
- Was concerned with the sexual exploitation of drunk white
girls by Chinese men
- Similar to others, they used these racist arguments to argue for legislation against drug use

Chinese Immigration Act of 1923 gave police unlimited power
- whenever there was suspicion that there could be drugs
- No warrant needed

Bureaucratic mechanisms (James Giffen)
- -He wrote a book
- Says legislation continues to expand because it’s in the best interest of bureaucratic and officials
- Justifies more spending on the problem and expansion of bureaucratic mechanisms
What are the results of this criminalization?
- Trading opium went overwhelming into the hands of professional lawbreakers:
The Mafia
- Created huge problems in trafficking and selling - Just like the prohibition of alcohol in the 20’s

95
Q

The History of Cocaine (Crack)

A
  • Cocaine was used by people who were well off because manufacturing cocaine
    is expensive

Early 1900s: First criminalization
- At this time, there was manufactured moral panic about black people
- Story: Black people use cocaine, get violent, and commit crimes
- This legislation was relatively mild

1960’s and 1970’s: Reduced punishments for stimulants in the US
- Heavier sanctions were placed on depressants including opioids - Use of cocaine was illegal but not severely punished
- Around 1980 cocaine became much cheaper and more available when crack became a thing
- Crack is much cheaper to produce
- Cocaine also became cheaper
- Cocaine became a drug used by lower classes
- Specifically, minority groups
- This is where the war on drugs began

1980’s: The introduction of Crack and the “War on Drugs”
- American prisons got flooded with urban blacks
- Explosion of inmates and building of new prisons
- Didn’t help at all in reducing the number of users

96
Q

The history of marijuana

A

Marijuana remains to be illegal in many places

  • Use of marijuana causes way less health and social damage than
    alcohol/nicotine and other legal drugs
  • Prevalence: About 45% of Americans and Canadians have tried a product of
    Cannabis
  • High rates of regular users (25%)
97
Q

Why is marijuana still illegal in some places?

A
  • This seems to be supported by the fact that many heavy drug users report that at some point in their lives, they used marijuana - including alcohol and nicotine etc.
  • ## Most marijuana users do not progress to cocaine or heroin
98
Q

So why is marijuana illegal? Historical circumstances

A
  • Criminalization of marijuana is tied to power relations in fear of ethnic and immigrant groups

1920: Moral panic: Mexican immigrants and Marijuana (William Randolph Hearst)
- - Williams was billionaire who did a campaign
- He wanted to rename it with spanish j in the middle to emphasize
the cultural connection
- Marihuana ⇒ Marijuana
- In 1930’s, newspapers in US published hundreds of articles detailing the horrors of marijuana
- “The green monster of destruction”
- “Leads to violence/madness”
- By mid 30, marijuana was illegal in the US and Canada

Starting in the 1960’s: Usage grows rapidly
- Was around 15% then but by the beginning of the 80’s: 1⁄3 of Americans had tried the drug
- The fact that certain drugs are illegal has nothing to do with the qualities, it has to do with historical development, power relations, racism, anti-immigration, and class

99
Q

Documentary: “The Union” (Canada, 2007)

A
  • Up until 1883, Hemp (from marijuana) was one of largest growing fields - Most textiles were made from hemp
  • Cannot get high from industrial hemp
  • Articles depicted blacks and mexicans as devils smoking marijuana
    and playing music
  • They realized it doesn’t actually make you violent, it does the opposite
  • So they outlawed it for the opposite reasons that they used in the first place
  • BC Mayor: “Prohibition has never worked”
  • Prohibition does not stop people from using
  • Whether the drug is criminalized or decriminalized - does not affect the rates of consumption
  • Prohibition strengthens organized crime
100
Q

Study: Marijuana kills brain cells

A
  • They suffocated the monkeys and deprived them of oxygen and associated it with cannabis use
  • Studies have shown no signs of brain cell damage
  • In 2005, a study said marijuana can stimulate brain cell growth
  • This study did not nearly get as much attention
  • Another spoof: Cannabis causes lung cancer
  • Elements in tobacco smoke do cause cancer but not marijuana
  • It’s impossible that marijuana is worse than tobacco
101
Q

Decriminalization vs Legalization

A

Decriminalization:
Removing sanctions under the criminal law and moving toward treating drugs as a public health issue

Legalization:
Removing all the legal prohibitions on drugs, including on producing and selling

102
Q

Should all drugs be legal?

A
  • Marijuana should be legal everywhere but too much isn’t good
  • Even for junk foods and snacks, having a lot of it is bad
  • Obesity causes more health problems than marijuana
  • No one talks about making junk food illegal

What about hard drugs?
- Most support decriminalization
- Argument objecting to legalization: If we’re saying something is legal -
normalization - what message is that sending?
- Right now, drugs are criminalized - how well does it work?
- As we saw in the documentary, criminalization is a failure
- Studies show that harsher punishments on drugs do not reduce the
rate of drug users, including with hard drugs

103
Q

War on Drugs

A
  • Rates of imprisonment for drug use tripled since the ’80s
  • US has 5% of the world’s population and 25% of its prisoners
    • Argument Michelle book; US criminal justice system used war on drugs to enforce traditional and new systems of minority aggression
  • 1⁄3 of all black men today will spend time in jail during their lives
  • Mostly for drug offences
  • Michelle makes argument that it’s a new way of social control
  • It enforced racial segregation and brings it back to how it was before 1964
    (civil rights act)
  • Implication?
  • Once you’re incarcerated, you lose your voting rights for life
  • 5 million in US are prevented from voting because they are felons
  • How can those who were in jail reintegrate into society and find a job?
  • There are also other consequences for the war on drugs
  • Drug users face a harsh stigma
  • Harder to reintegrate into society
  • So much money spent on police force, prisons

War on Drugs results
- Did not reduce number of drug users
- Resulted in organized crime flourishing

104
Q

Alternative approaches to drugs

A

Take all the resources, add taxation on drugs, and invest the money in educating people about the social/health costs of using drugs
- Improve services for those who have drug problems
- Work to reduce poverty and discrimination which are highly associated with drug use
- It would be a wiser investment of our money than punishing these
people and sending them to jail
- In the Netherlands, they decriminalized marijuana in 1976 and it did not lead
to increased drug use
- Uruguay legalized marijuana
- In Portugal, 2001, all drugs were decriminalized
- The result: less drug abuse, fewer drug related deaths, more people seeking help, drop in HIV infections
- Legalizing something doesn’t mean we have to endorse it or recommend it
- Example: Cigarettes
- They’re legal
- In last decade, there’s a huge campaign against it
- Has been successful in younger people
- Smoking rates continue to drop
- We use unrealistic scare tactics: Use ecstasy once and you’ll be a junkie in the
street
- Wouldn’t it be better to have a more realistic education about the real harms
of drug use and how to minimize harm
- There’s also the argument about public health and how to improve it

105
Q

Legalization of Drugs

A
  • Legalization can reduce health risks
  • There are advantages to legalization
  • Because many of the health risks from drugs result from the fact they are illegal
  • User cannot know the quality or quantity of materials in the substances
  • People overdose by accident
  • We have evidence from Switzerland; that addicts can start to get out of addiction with
    such programs that supervise drug use
  • You need social housing, mental treatment, and help finding a job, it’s all very
    expensive
  • If drugs are legal and supervised, that could improve control of substance use
  • Legalization can reduce drug-related criminality and harm’
  • Prices of drugs would be substantially reduced or provided free of charge under supervision instead of trafficked by criminal organizations
  • Many people who die - don’t actually die from drug use, they die from drug wars or police interventions
  • In places like Mexico and Columbia, and other developing countries, we see drug cartels that run the countries and create social problems
106
Q
A