In 2001, from a country long-recognized for its more tolerant acceptance of homosexuality, Theodorus Sandfort and colleagues published a study of a representative sample of the Dutch population (N=7076; aged 18-64 years), in which 5998 subjects could be classified as heterosexual or homosexual based on reported sexual behavior in the preceding year. 2.8% of men and 1.4% of women had same-sex partners. Reporting twelve-month prevalence rates, 21.1% of heterosexual men and 35.4% of homosexual men had one or more DSM diagnoses, and 22.4% of heterosexual women and 34.9% of homosexual women had one or more DSM diagnoses. Homosexual men had a higher twelve-month prevalence of mood disorders and anxiety disorders than heterosexual men. Homosexual women had a higher twelve-month prevalence of substance use disorders. Reporting life-time prevalence rates, 41.4% of heterosexual men and 56.1% of homosexual men had one or more DSM diagnoses, and 39.1% of heterosexual women and 67.4% of homosexual women had one or more DSM diagnoses. Homosexual women had a higher life-time prevalence rate of mood disorders than heterosexual women.At first glance, the evidence feels compelling, but I can think of four reasons why the evidence can be thrown out in a discussion of same-sex couples adopting.
1) It's irrelevant. It's irrelevant with regards to whether or not these couples are fit to raise children. The evidence (and subsequent arguments) do not show that couples with DSM disorders are unfit to raise children.
2) It's an argument against disorders. Surely, a couple can be tested for DSM disorders if we're concerned about the mental health and abilities of the parents.
3) It doesn't explore why these disorders came about. Consider the following. All my life, I assume myself to be a male, but one day I make the startling discovery that I'm a female. Couldn't that be cause for exhibiting existential crises and accumulating temporary mental disorders?
4) The mental disorders are undefined in the article. Consider some of the following mental disorders from the DSM-IV*:
- 625.8 Female hypoactive sexual desire disorder due to... [indicate the general medical condition]
- 608.89 Male hypoactive sexual desire disorder due to... [indicate the general medical condition]
- 302.71 Hypoactive sexual desire disorder
- 302.79 Sexual aversion disorder
- 302.72 Female sexual arousal disorder
- 302.72 Male erectile disorder
- 607.84 Male erectile disorder due to... [indicate the general medical condition]
- 302.73 Female orgasmic disorder
- 302.74 Male orgasmic disorder
- 302.75 Premature ejaculation
- 302.76 Dyspareunia (not due to a general medical condition)
- 625.0 Female dyspareunia due to... [indicate the general medical condition]
- 608.89 Male dyspareunia due to... [indicate the general medical condition]
- 306.51 Vaginismus (not due to a general medical condition)
- 625.8 Other female sexual dysfunction due to... [indicate the general medical condition]
- 608.89 Other male sexual dysfunction due to... [indicate the general medical condition]
- Sexual Abuse
- V61.1 Sexual abuse of adult
- 995.81 Sexual abuse of adult (if focus of attention is on victim)
- V61.21 Sexual abuse of child
- 995.5 Sexual abuse of child (if focus of attention is on victim)
- 302.9 Sexual disorder NOS
- 302.70 Sexual dysfunction NOS
While the article does well in controlling for the habitat (in terms of acceptance of homosexuality), it still misleads by failing to give us enough information with regards to why same-sex couples should be barred from adoption, or what disorders were exhibited by homosexual persons.
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*Codes can be found here.
Incomplete list of disorders presented above can be found here.