Notes
1 Not only is transgenerational same-sex sexual behavior a facultative trait, for which expression depends on social and cultural input, but social disgust reactions to it are facultative as well, as is amply demonstrated in the cross-cultural literature. The dramatic shift from a half century ago, when androphilic behavior was generally seen as disgusting and revolting, to the current ease with which this behavior is accepted illustrates the facultative nature of social disgust with respect to same-sex sexual behavior. Nocebo reactions are illness responses to socially induced expectations of harm from events or substances, which themselves are not harmful in a primary sense. Currently, messages of expectations of extreme violation and harm pervade public discourse, which is nocebogenic. Iatrogenic psychological harm is injury induced from the negative expectations of helping professionals regarding patient experiences, which themselves were not harmful in a primary sense.