Disclosure, minority stress, and mental health among bisexual, pansexual, and queer (Bi+) adults: The roles of primary sexual identity and multiple sexual identity label use.

2021 ◽  
Author(s):  
Brian A. Feinstein ◽  
Manuel Hurtado ◽  
Christina Dyar ◽  
Joanne Davila
Keyword(s):  
Mental Health ◽  
Sexual Identity ◽  
Minority Stress ◽  
Label Use

scholarly journals “Here in the Bible Belt, It’s Predominantly Negative”: Sexual Identity Stigma in the American South, 50 Years After Stonewall

2021 ◽  
Vol 12 ◽  
Author(s):  
Joseph J. Frey ◽  
William J. Hall ◽  
Jeremy T. Goldbach ◽  
Paul Lanier
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Disparities ◽  
Sexual Identity ◽  
Minority Stress ◽  
The United States ◽  
Mental Health Disparities ◽  
Structured Interviews ◽  
United States South ◽  
The Impact

Lesbian, gay, bisexual, and pansexual (LGB+) individuals have disproportionate rates of mental illness. Minority stress and sexual identity stigma are posited as the primary social determinants of LGB+ mental health disparities. Discussions in the literature have questioned the impact of sexual identity stigma in a world increasingly accepting of sexual minorities. Additionally, the LGB+ population in the United States South is often overlooked in American research. This article details a qualitative study exploring experiences related to sexual identity stigma among adults who identify as LGB+ in the United States South. Semi-structured interviews with 16 individuals were analyzed using content analysis. Six thematic categories of stigma emerged from participants’ experiences: (a) navigating an LGB+ identity, (b) social acceptability of an LGB+ identity, (c) expectation of LGB+ stigma, (d) interpersonal discrimination and harassment, (e) structural stigma, and (f) relationship with the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Findings suggest that sexual identity stigma remains a common experience among these Southern United States participants. Further, thematic categories and subcategories primarily aligned with extant theory with one exception: Intracommunity stigma, a form of stigma emanating from the LGBTQ community, emerged as a stigma type not currently accounted for in theoretical foundations underpinning mental health disparities in this population.

Longitudinal Examination of a Bisexual-Specific Minority Stress Process Among Bisexual Cisgender Women

2018 ◽  
Vol 42 (3) ◽  
pp. 342-360 ◽  
Author(s):  
Christina Dyar ◽  
Bonita London
Keyword(s):  
Mental Health ◽  
Sexual Identity ◽  
Minority Stress ◽  
Management Strategies ◽  
Anxiety And Depression ◽  
Stress Process ◽  
Cross Sectional ◽  
Predominately White ◽  
Increased Risk ◽  
Visibility Management

Bisexual individuals experience increased risk of mental health disorders compared to lesbian, gay, and heterosexual populations. This increased risk is theorized to arise from the stigmatization of bisexuality (i.e., anti-bisexual stigma). Research has linked anti-bisexual experiences with higher internalized binegativity (i.e., internalized anti-bisexual stigma), sexual identity uncertainty, and anxiety and depression. However, researchers have almost exclusively used cross-sectional designs, limiting our ability to draw conclusions about processes through which anti-bisexual stigma affects mental health. In the current study, we longitudinally examined a proposed bisexual-specific minority stress process in a sample of predominately White (92.2%), self-identified bisexual, cisgender women. Results provide support for the proposed process, indicating that experiencing more frequent anti-bisexual stigma predicted subsequent increases in internalized binegativity and sexual identity uncertainty. In turn, these increases in internalized binegativity were associated with concurrent decreases in strength of identification as bisexual, increases in strength of identification with monosexual identity labels (i.e., heterosexual, lesbian), and changes in visibility management strategies. These changes in identification were associated with concurrent increases in symptoms of anxiety and depression, and changes in visibility management were associated with increases in anxiety. Clinicians should consider this process when treating bisexual clients who present with psychological distress arising from anti-bisexual stigma.

Geography, Minority Stress, and Mental Health Among LGB Adults

2014 ◽  
Author(s):  
R. Wyatt Evans ◽  
Michael A. Richards ◽  
Jennifer B. Clark ◽  
Theodore P. Beauchaine ◽  
Kimberly F. Balsam
Keyword(s):  
Mental Health ◽  
Minority Stress

The Role of Resilience in Sexual and Gender Minority Mental Health

2020 ◽  
pp. 428-442
Author(s):  
Dawn M. Szymanski ◽  
Kirsten A. Gonzalez
Keyword(s):  
Mental Health ◽  
Minority Stress ◽  
Quantitative Research ◽  
Social Stigma ◽  
Therapeutic Interventions ◽  
Future Research ◽  
Minority Mental Health ◽  
And Gender ◽  
Structural Levels

Many lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons are able to persevere and flourish despite pervasive social stigma and minority stress based on their sexual orientation and gender identity. This chapter reviews the research on LGBTQ resilience that can occur at individual, interpersonal/family, community, and contextual/structural levels. The authors describe qualitative research that has examined pathways to resilience and positive LGBTQ identity. The authors also review quantitative research on LGBTQ resilience via mediator, moderator, and moderated mediation models. Variables are described that have been found to explain or buffer the links between external and internalized minority stressors and mental health outcomes. The authors review the small but growing body of research that has begun to examine the efficacy of therapeutic interventions aimed at promoting LGBTQ resilience. Limitations are discussed and directions for future research are suggested.

Transference and Countertransference Dynamics in a Multifamily Group for Transgender Adolescents

2021 ◽  
Vol 108 (4) ◽  
pp. 457-474
Author(s):  
Nicolas Rabain
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Sexual Identity ◽  
Adolescent Psychiatry ◽  
Care Setting ◽  
Child And Adolescent Psychiatry ◽  
Consultation Service ◽  
Free Associate ◽  
Transference And Countertransference

This article is an account of a pioneering multifamily group for transgender adolescents. Meetings were conducted in a Sexual Identity Consultation Service in a Child and Adolescent Psychiatry Department in Paris. In addition to enabling both teenagers and their parents to escape a certain form of isolation, this novel mental health care setting also reinforced the ability of participants to free associate and to cathect substitute objects. The author highlights specific characteristics of transference movements and countertransference reactions of the therapists in this framework. An additional goal is to promote these innovative groups and to recommend similar groups for transgender adolescents and their parents.

Critical issues in cognitive behavioural therapy (CBT) with gender and sexual minorities (GSMs)

2022 ◽  
Vol 15 ◽  
Author(s):  
Sérgio A. Carvalho ◽  
Paula Castilho ◽  
Daniel Seabra ◽  
Céu Salvador ◽  
Daniel Rijo ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Minority Stress ◽  
Sexual Minorities ◽  
Clinical Work ◽  
Behavioural Therapy ◽  
List Type ◽  
Cognitive Behavioural ◽  
Critical Issues ◽  
Societal Structure

Abstract In a cisheteronormative culture, gender and sexual minorities (GSMs) may experience additional challenges that get in the way of a meaningful life. It is crucial that clinicians are mindful of these challenges and cognizant about the specificities of clinical work with GSMs. This article points out how societal structure interferes with mental health, and clarifies what clinicians must take into account when using affirmative cognitive behavioural therapy (CBT) interventions. Knowledge of up-to-date terminology and use of affirmative language are the first steps that contribute to clients’ experience of respect, which is paramount for the development of a good therapeutic relationship. Considering a conceptual framework of minority stress to understand vulnerability in GSM, specificities in formulation and key psychological processes are discussed. Moreover, guidelines and practical tools for intervention are presented within a CBT approach. Some reflections on therapists’ own personal biases are encouraged, in order to increase the efficacy of interventions. Key learning aims After reading this article you will be able to: (1) Recognize the uniqueness of gender and sexual minorities (GSM) stressors in broad and specific contexts, and their impact on mental health. (2) Identify the underlying key processes and specificities in therapeutic work with GSMs, from a CBT perspective. (3) Recognize the importance of a culturally sensitive approach in affirmative CBT interventions.

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