Monday, November 10, 2014

Medicalization of Homosexuliaty


Medicalization of Homosexuality
            Binary terms such as healthy and diseased, normal and pathological offer grounds for discrimination of those individuals who do not strictly fall into one of the two categories. Scientists who seek to study etiology of an individual’s sexual identity, often will describe non-heterosexual individuals as different, even claiming that this condition has an “abnormal” underlying neurological basis. By categorizing people into sexual groups, medical society develops an authority over sexual minorities. This practice leads to medicalization of behavior, which implies an understanding of a sexual identity in a medical frame. Medicalization of homosexuality hints at the danger of treating homosexuality as a disease, which by definition should be cured.  Carl Friedrich Otto Westphal, a 19th century German neurologist was first to describe homosexuality as a psychiatric condition (Foucault 1978).  However, in 1973 as a result of gay liberation movement, homosexuality became demedicalized, and consequently it was taken out of Diagnostic and Statistical Manual of Mental Disorders (Conrad, 1992). However, there is a threat that novel research, carried in the field of neuroscience, might prompt the medicalization of homosexuality.
In 21st century, modern scientists try to explain a sexual identity of an individual, in terms of physiological differences. In other words, they are seeking a specific mechanism to explain a behavior. The question becomes; could we face a threat that ongoing scientific research might bring us back to a framework of treating homosexuality as a medical condition? Previous research has pointed out the differences in the functioning of brain regions of heterosexuals vs. non-heterosexuals. For example, Savic et al. conducted a study, which showed differences in cerebral asymmetry and functional connectivity between heterosexual and homosexual participants (2008). The research concluded that heterosexual males and homosexual women have asymmetrical volumes while no cerebral asymmetry was shown in heterosexual women and homosexual men. When comparing the functional connectivity in amygdala region Savic et al. found that in homosexual males, the connections were more widespread from the left amygdala, while in homosexual women from the right amygdala. The study also showed cerebral connections with the contralateral amygdala, the anterior cingulate, the subcallosum, and the hypothalamus in both homosexual men and heterosexual women. However, the same pattern was not observed in homosexual women, as they displayed no connection with the contralateral amygdala (Fig.1).


Fig.1. The MR image shows the sexual dimorphism in hemispheric asymmetry and functional connections from the left and the right amygdala, in heterosexual men and women and homosexual men and women. 

Neurological studies on the topic of sex and gender indicate that sexual orientation is related to dichotomy in brain function. At this stage, it is important to ask what is the purpose of carrying out research, which aims to determine the etiology of non-heterosexuality. Will the data obtained form scientific experiments be used to help individuals with Gender Identity Disorder or will it be used to find a quick “fix” for their non-heterosexual identity? The scientific language used in the science journal articles might also be abusive of sexual minorities. This prompts scientific society to develop gender-neutral language in which words such as abnormal could be changed to different.
The history of homosexuality shows us that non-heterosexuals were first accused of immorality however, afterwards they became “not bad but mad”(Hart et al. pg. 897). In the 20th century there was an attempt to treat the “deviance” in sexual behavior of non-heterosexuals. In the 21st century trying to “treat” and “help”, could modern research lead to not only stigmatization but also illegitimate abuse of sexual minorities? Again, it is important to answer this question before scientists dwell into research regarding the etiology of homosexuality.

Bibliography

Conrad, P. (n.d.). Medicalization and Social Control. Annual Review of Sociology, 19, 209-232.
Foucault, M. (1978). The History of Sexuality (Vol. 78, pp. 1-133). United States of America: Random House.

Hart, G., & Wellings, K. (n.d.). Sexual behavior and its medicalization: In sickness and in health. British Medical Journal, 324, 896-900.

Savic, I., & Lindstrom, P. (2008). PET and MRI show differenced in cerebral asymmetry and functional connectivity between homo- and heterosexual subjects. PNAS, 105(27), 9403–9408-9403–9408.








What’s Happening to us in Art Exhibits?


Viewing and contemplating visual artworks has been a leisure activity as well as a scholarly undertaking for centuries. In addition, processing the aesthetics of our surroundings is a part of our everyday experience. Considering how common the viewing and processing of visual art is in our society, very little is known about the neural mechanisms that differentiate the cognitive processing of visual art from all other visual stimuli or how this this processing differs across the sexes. However, some neuroscientists have begun to explore and speculate about the neural pathways involved in viewing a work of art.
Changeux’s (1994) review article, that compiled various studies speaking to this process, states that when looking at a painting or other work of visual art, multiple brain areas are involved in taking information from the visual field to be further analyzed and synthesized into an integrated whole. The eyes capture the colored surface and the light radiations the surface gives off. This data is converted into electrical impulses that travel to the brain (Changeux, 1994). This is a relatively passive process that happens at the level of perception. This perceptual information about the visual artwork is passed from the occipital lobe to the neurons in brain areas like the temporal lobe, which makes it possible to recognize specific objects or people, or to the parietal lobe, which can define the spatial relationship between these figures or objects and understand their movements (Mishkin et al. 1983). These brain structures can then connect the information to the prefrontal cortex and other higher level cortexes which engage in the synthesis of the artwork’s form, distribution in space and movement (Changeux, 1994). Synthesis is an active focus of the viewer's attention that allows for an inner representation of the painting, to take shape (Changeux, 1994).

Figure 1. Stimuli processing tasks that are impaired by lesions in particular brain regions from Mishkin et al.’s (1983) study. A: displays impairment in object discrimination present in monkeys who have a lesion in their temporal lobe. B: displays impairment in landmark discrimination present in monkeys with parietal lobe lesions.
Changeux states that physically, “a painting can be defined as a differentiated distribution of colors on a flat surface (1994, pg. 189).” However, many mechanisms in the brain may make the reception of visual artwork different than our reception of other stimuli. Changeux describes this difference in processing. He states that the representation of an object or a natural happening is created by experience and is coherent, universal and revisable (1994). However, a work of art differs because of its dual function as an image and a symbolic function. Underlying knowledge, which is the expression of a particular culture, is required to access the second, symbolic function of the artwork (Changeux 1994). Changeux’s theory on the differences between visual stimuli and visual art does not begin to explain the neurological processes that are possibly involved in these differences. As of now, there is little evidence supporting that our brains know to process an artistic representation of color, space, form, or movement differently than how we process these same characteristics in reality. However, one aspect of human perception that may be involved in the further synthesis of a painting is the perception of color stability.
Zeki’s (1984) study provides evidence for a mechanism involved in how we mentally maintain the stability of stimuli in an artwork, specifically color, even when its visual input is being manipulated by external effectors, specifically outside light. By incorporating an internal understanding of color stability, the human brain can change the reflections of the light it is viewing to disregard the external light variability that is affecting the colors on the painting. Zeki’s (1983) study on monkeys suggests that they do not respond to the light wavelengths that vary as the light changes throughout the day. This study suggests that colors are instead coded in the brain to be perceived as an existing understanding of that color. So, the processing of color by the brain can be related to the qualitative state that philosophers have referred to as qualia (Changeux, 1994). The qualia, or individual, subjective experience of the whole color stimuli, is then thought to possess meaning or effective qualities beyond the accumulation of responses to neural mechanisms that transduce the sensory input.
Even with these recognized gaps between the subjective experience and the visual perception of color, the field of neuroaesthetics has created some backlash due to the controversial reduction of the human experience of art to a mere commutation of neural mechanisms. Relating an experience as subjective as the cognitions that are involved in the viewing of art, to physiological mechanisms is particularly controversial. Critics of the neuroaesthetics discipline want to emphasize the distinction between the subjective experience of the mind and the physical mechanisms of the brain. Alva Noë, the author of the blog post, Art and the Limits of Neuroscience, points out that neuroscientists have yet to find all-encompassing evidence for the causal link between the physical brain and the subjective, cognitive experiences of humans.
Interestingly, our perception of art is even more complex than we might imagine.  Even among the general population, there is evidence that males and females differ on various levels of their perception of art but it is an area that needs to be further explored. There may be both physiological sex differences and socially learned gender differences in how art is perceived and later interpreted. It is reasonable to assume that there are sex differences in the perception and interpretation of artworks because the more elemental processes that make up the higher level synthesizing of an art work have been shown to display sex differences. For example, various research has demonstrated that males display better performance on mental rotation and other spatial tasks than women (eg. Lippa et al. 2010). Women perform better on matching similar, visual stimuli out of a group of stimuli (Kimbra 2002). Males also have shown a stronger orientation toward objects while women show a stronger orientation toward people (Beltz et al. 2011).  These cognitive differences may have direct or indirect effects on sex differences in the perception and synthesization of visual art.
There is some research that has scratched the surface of the differences in men and women’s interpretations of color categories. Swaringen et al.’s (1978) study looked at the male and female responses to an unrestrained-choice color-naming task. This study found the number of color categories females used to divide 21 colored chips was significantly greater than the number of categories males divided them as. The study went on to rate males and females’ amount of leisure activities that involved color. They found that the color in leisure activities rating was positively correlated with the number of color categories used to divide the chips and was also correlated with gender. Swaringen et al. (1978) suggests that these differences in color categorizations are a product of differences in learning that occurred from gendered socialization. This finding has been replicated in other studies and is a good example of one gender difference possibly involved in the reception of visual artwork. An individual’s life experience (like the amount of color exposure during leisure activities) contributes to their experience of an artwork. Whether there are other systematically different life experiences of most men and women that would contribute to predictable responses to an observed art piece is within the realm of possibility. However, because few studies have been done on the interpretation of art pieces, studies that address how life-experience effects these interpretations are also rare.
The new field of neuroaesthetics has an understanding of the pathways involved in viewing an art work, yet the differences in neuro processing that may distinguish the reception of visual art from other visual stimuli is still being explored. More elemental and basic perception tasks have begun to illuminate the art interpretation mechanisms in the brain and how they might be different for men and women. Some of the studies mentioned above on sex differences in the more basic and elemental processes of visual perception and visual interpretation may be the most appropriate way to begin studying the differences in the neural mechanisms involved in viewing art.
-Jessica Flannery

Beltz, A.M., Swanson, J.L., & Berenbaum, S.A. (2011) Gendered occupational interests: Prenatal androgen effects on psychological orientation to Things versus People. Hormones and Behavior, 60, 313–317.

 Changeux JP (1994) Art and Neuroscience. Leonardo, Art and Science Similarities, Differences and Interactions. 27: 189-201.
Kimura, D. (2002) Sex differences in the brain.  Sci Am, 2002, 32-37.

Lippa, R.A., Collaer, M.L., & Peters, M. (2009) Sex Differences in Mental Rotation and Line Angle Judgments Are Positively Associated with Gender Equality and Economic Development Across 53 Nations. Arch Sex Behav, 39, 990–997.

Mishkin M, Ungerleider LG,  Macko K, (1983) Object Vision and Spatial Vision: Two Cortical Pathways. Trends in Neuroscience 6: 414-417.
Swaringen S, Layman  S, Wilson A (1978) Sex Differences In Color Naming. Perceptual and Motor Shills 47:440-442.
Zeki S, (1984) The Construction of Colours by the Cerebral Cortex.  Proceedings of the Royal Institute of Great Britain 56:231-258.