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The mediating role of emotion regulation. Psychological Science. Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. Health Psychology. A life-course approach. Measuring sexual addiction and compulsivity: A critical review of instruments. Journal of Sex and Marital Therapy. Journal of the American Medical Association. Hypersexual disorder: A proposed diagnosis for DSM-V. What happened to hypersexual disorder? Sexual sensation seeking and sexual compulsivity scales: Validity, and predicting HIV risk behavior.

Journal of Personality Assessment. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin. Non-paraphilic compulsive sexual behavior and psychiatric co-morbidities in gay and bisexual men. Sexual Addiction and Compulsivity.

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Sexual compulsivity and HIV: Identification and treatment. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: Preliminary evidence of a syndemic in need of attention. Annals of Behavioral Medicine. Optimism and education buffer the effects of syndemic conditions on HIV status among African American men who have sex with men. Uncovering clinical principles and techniques to address minority stress, mental health, and related health risks among gay and bisexual men.

Clinical Psychology: Science and Practice. An etiological model of anxiety in young gay men: From early stress to public self-consciousness. Psychology of Men and Masculinity. A minority stress—emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men. Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic. Explanations for the origins of sexual compulsivity among gay and bisexual men. Accounting for the social triggers of sexual compulsivity.

Journal of Addictive Diseases. A psychometric investigation of the Hypersexual Disorder Screening Inventory among highly sexually active gay and bisexual men: An item response theory analysis. Journal of Sexual Medicine. Hypersexual, sexually compulsive, or just highly sexually active?


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Investigating three distinct groups of gay and bisexual men and their profiles of HIV-related risk. Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: Child Abuse and Neglect. Comprehensive Psychiatry. Report of findings in a DSM-5 field trial for hypersexual disorder. Stigma and sexual compulsivity in a community-based sample of HIV-positive gay and bisexual men. Evaluation and treatment of sex addiction.

Syndemic conditions associated with increased HIV risk in a global sample of men who have sex with men. Sexually Transmitted Infections. Psychiatry Research. Reference values for generic instruments used in routine outcome monitoring: BMC Psychiatry. The perspective of critical medical anthropology.

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Social Science and Medicine. Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context. Timeline follow-back: A technique for assessing self-reported alcohol consumption. Litten RZ, Allen J, editors. Measuring alcohol consumption: Psychosocial and biological methods. Totowa, NJ: Humana Press; Alcohol use, drug use and alcohol-related problems among men who have sex with men: Syndemic factors associated with HIV risk for gay and bisexual men: Comparing latent class and latent factor modeling.

An item response theory analysis of the Sexual Compulsivity Scale and its correspondence with the Hypersexual Disorder Screening Inventory among a sample of highly sexually active gay and bisexual men. A double-blind study of citalopram versus placebo in the treatment of compulsive sexual behaviors in gay and bisexual men. Special thanks to those men who shared their lives with me. Though we may have only known each other for a short while, I will always carry your stories with me.

Historical perspective Prostitution law Vectors of disease Trafficking hysteria Post-modern sensibilities Research praxis and recruitment activities Narrative methodology Establishing interviews Recruitment problematics Interview considerations Recruitment positionality Intersubjective interview reflections Queer sensibility Rapport building as an outsider Emotional considerations Growing Up: Diverse Commonalities Unexceptional middle class Coming out stories Lives complicated by sexual abuse Growing up in a context of poverty Youth addiction Methods of and motivations to enter the trade Social mobility or basic need Libido and pleasure Ability to work Mental health, wellness, and mindset Systemic issues Criminal justice Sex work fundamentals Intersectional sexual scripts Navigating client desires Kink and fetish Spousal issues Closeted married men Dealing with undesirability Blurred boundaries Stories of stigma Stigmatization of the sex industry Perceptions of intersectional stigma Addiction stigma Sexual abuse stigma Social class stigma Hegemonic masculinity: Sword and shield Intelligible variability The men left behind Future research Research ethics approval Recruitment poster Digital setting Contextualizing websites Contextualizing mobile applications Draft back-up interview questions The stigma of sex work research Navigating engaged anthropology and researcher stress Stories of compassion-fatigue Examples of local publicized homophobic crimes from Example of male sex survivor resources Response to gendered structural violence Plate 2: Plate 3: Plate 4: Two housing units at Limberlost, June Plate 5: A mid- to upper-middle class London neighbourhood Hyde Park , August Plate 6: Tyrell on the pole.

Plate 7: Screengrab from www. Plate 8: Plate 9: Local secondary school, homophobic graffiti, April Plate Local hate-based vandalism, cigarette burnt pride flag July Drafted back-up interview questions Screengrab from the SACL website for male survivors In , three sex workers from Ontario, Terri-Jean Bedford, Valerie Scott, and Amy Lebovitch, began a Charter challenge to strike down prostitution legislation that they believed violated their constitutional rights by creating unsafe work conditions that facilitate such crimes Pivot Legal Society The Supreme Court of Canada eventually did agree that the laws that criminalized aspects of adult prostitution were unconstitutional, giving the federal government until change them to comply with the Charter of Rights and Freedoms.

This appeal to work safety reflected a change in thinking using labour studies to frame prostitution as a type of labour, instead of an association with deviance, crime, or epidemiology Parent and Bruckert The term sex work itself was popularized by activist Carol Leigh in and used with the intention of reducing negative connotations of other terms such as prostitute cf. Walby ; Bindman Prostitute as a social category excluded women from mainstream society, treating them as outcasts, brandishing them with stigma, and denying them same rights as average citizens Pheterson In contrast, lobbying by the anti-prostitution movement intensified against this discourse.

These included, 1 one sponsored by the RCMP n. London is a mid-sized Southwestern Ontario city located km between Toronto and Detroit along the Quebec City — Windsor transportation corridor see Figure 1.

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With a metropolitan population of close to half-a-million people, it is the eleventh most populous municipality in Canada Statistics Canada As a self-labelled abolitionist organization, LAWC takes a stance that argues that prostitution is inherently exploitative, the ultimate expression of the inherent patriarchal violence of society cf. The term abolitionist indexes the anti-slavery movement of the nineteenth century where the abolition of African-American slavery was a push for equality in law, self-ownership, and freedom of body and mind DuBois Equating prostitution with human trafficking, men are accused of imposing sexuality, sexual violence, and slavery upon women and girls Dorais Trafficking and recommended that prostitutes be considered exploitation victims under this paradigm.

She then established the Joy Smith Foundation Inc. The London police reported close to incidents of prostitution per year during the same time, though in only 3 charges were laid. Yet by , police-reported violations of trafficking had risen to for that year alone representing the paradigm shift. Despite this, between and there were only fifty-three completed adult criminal court cases, with over half of them stayed or withdrawn Karam By not including how many of these police charges lead to convictions these oft quoted statistics do not necessarily mean that these rates reflect actual crime rates; instead they are manipulated for the purposes of fear mongering.

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Map of downtown London relative to Southern Ontario Many groups like LAWC acted as de facto amici curiae in Ottawa for developing the new prostitution law, taking part in round table discussions and consultations, speaking as experts Goldenberg et al. I began to wonder how exactly a gay man sexually exploits a woman.

While I do not deny that there is a problem of misogyny among gay men and that some gay men can and do benefit from systems that privilege the male gender, this is different from sexual exploitation. As Patrick Strudwick elaborates: Are gay men responsible for producing and consuming pornography Do gay men stalk women, troll women or follow women down the street, shouting abuse, or shouting obscenities from car windows… Is it gay men forcing women and girls into marriage What about men who sell sex and female clients?

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What about those outside of the gender binary involved in the industry? What about non-heterosexuality? Though this 4 2 months before the federal election, the LAWC, in a photo op with Justice Minister Peter MacKay C , a local Member of Parliament C , the Salvation army, and the London Police Service, announced that they will be receiving close to a million dollars to help women involved in prostitution as part of the December government decision to criminalize the purchase of sexual services in the PCEPA. This clearly shows the conflict of interest they had in acting as amici curiae and their public campaigning for the law change.

If an appeal to patriarchy is inadequate on it own because of these realities, what can we learn about sex work if we include these voices? What stories are not being listened to? Have there been consequences for this exclusion? Introduction The phenomenon of sex work is diverse, encompassing activities related to the exchange of intimate services for some sort of payment.

This can include, but is not limited to: Pressing at the edges of commercial sex are informal hookups for small cash gifts or bar-tabs, and sugar-relationships Mitchell There are distinctive sub-cultural norms, patterns, and behaviours within each sector and the constraints of law and order, public attitudes to sex work, sexuality, and safe-sex vary between time, geographical locations, and other structural conditions Gozdiak Research into the sex industry in Canada and beyond largely focusses on women and the interrelationships between sex work and violence, poverty, crime, and disease i.

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