The Medical Center for Federal Prisoners in Springfield, Mo., receives all effeminate homosexuals who are incarcerated in the Federal prison system, so that they may receive psychiatric supervision and custodial control. Their effeminacy makes it impossible for them to live in regular prisons because of (1) the danger of their being sexually assaulted, and (2) the tension they create among other inmates who vie for their favors. They are easily recognized because of their effeminate mannerisms (walk, gestures, speech), stylized dress (pressed clothes, open shirt necks, rolled sleeves and pant cuffs), and personal grooming (plucked eyebrows, waved hair). Their incidence is about 1.6 per thousand; that it, about 40 of them are selectively segregated from a total Federal prison population of 25,000.Fifty subjects (33 white, 17 Negro) were interviewed, using a prepared questionnaire as a guide; about 140 questions requiring a yes-no or a numerical answer were asked,
MILLER PR. The Effeminate Passive Obligatory Homosexual. AMA Arch NeurPsych. 1958;80(5):612–618. doi:10.1001/archneurpsyc.1958.02340110082014
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