Journal of Gay & Lesbian Mental Health最新文献

{"title":"Talking with Iranian trans men: Their experiences and identity development","authors":"M. Yaghoubirad, P. Azadfallah, C. Cameron, H. Farahani","doi":"10.1080/19359705.2022.2072034","DOIUrl":"https://doi.org/10.1080/19359705.2022.2072034","url":null,"abstract":"Abstract Introduction This research sought to discover the psychosocial experiences of trans men born and raised in Iran, including the cultural surround unique to Iran. Method Fifteen trans men aged from 20 to 35 narrated their lives through in-depth individual interviews. We applied Corbin and Straus’s (2015) approach to analyze the data in developing a Grounded Theory. Results Confusing Gender Identity (Core Theme) and eleven other themes, divided into (Macro/Micro) Contextual factors, Actions/Interactions, and Consequences, depicting the structures and processes in trans men’s lives. Escalations of Dysphoria within family structure and Traumatic Backgrounds represent Micro-contextual factors; Masculine Superiority and Feminine Gender Taboo are Macro-contextual factors; Insecurity in Emotional Relationships, Social Insecurity, Feminine Inferiority, Masculine Gender Envy, Discordant Self-image, and Unsupportive Systems are the Actions/Interactions, and Gray Fortunes represent Consequences. A Grounded Theory is developed from these findings that comprehensively represent the relational themes. Conclusion The findings clarify the contextual factors affecting Iranian trans men’s lives. They could be applied to improve the overall health of this population. As most studies and theories regarding the transgender population emanate from Western cultures, this research provides a new and comprehensive understanding of trans men’s psychological/social experiences in a unique cultural and political climate.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"7 1","pages":"85 - 108"},"PeriodicalIF":1.6,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75142114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telling my life: Narratives of coming out in LGB people between certainty/uncertainty and revelation/concealment","authors":"R. Baiocco, Fausta Rosati, Altomare Enza Zagaria, Jessica Pistella","doi":"10.1080/19359705.2022.2072035","DOIUrl":"https://doi.org/10.1080/19359705.2022.2072035","url":null,"abstract":"Abstract Introduction: The coming out (CO) process frequently entails moments of questioning and challenge, as well as strength and resilience. The aim of the present study was to investigate the CO process and identity development of lesbian, gay, and bisexual (LGB) people through their own life narratives. Method: Adopting a social-constructionist perspective, we administered the Life Story Interview (LSI) from the qualitative protocol of the Generations Study. In total, 64 LGB people aged 23–75 participated in the study. Interviews were analyzed using the semiotic enunciative square technique, based on discourse analysis and mitigation markers. Result: The present study highlighted how participants’ life stories were characterized by fluctuating moments lived between certainty/uncertainty, revelation/concealment, denial/non-denial (i.e., “blocked identity” vs. assertive-agent identities), and acceptance/non-acceptance (i.e., aware vs. fearful identities). Conclusion: The perspective of social constructionism was shown to be appropriate for investigating the CO process. Implications for clinical practice and future research are discussed.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"43 1","pages":"458 - 482"},"PeriodicalIF":1.6,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91101357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An interview with Joseph P. Merlino, MD, MPA","authors":"J. Drescher","doi":"10.1080/19359705.2022.2061141","DOIUrl":"https://doi.org/10.1080/19359705.2022.2061141","url":null,"abstract":"","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"141 1","pages":"109 - 116"},"PeriodicalIF":1.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89956737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and enablers to mental health help seeking of sexual, gender, and erotic minorities: A systematic literature review","authors":"T. Reynish, H. Hoang, Heather Bridgman, Bróna Nic Giolla Easpaig","doi":"10.1080/19359705.2022.2036666","DOIUrl":"https://doi.org/10.1080/19359705.2022.2036666","url":null,"abstract":"Abstract \u0000 Introduction:\u0000 Sexual, gender, and erotic minorities experience oppressions that psychologically harm and impact help seeking. The aim of this review was to integrate available evidence on the uptake, barriers, and facilitators of mental health help seeking in sexual, gender, and erotic minorities. \u0000 Method:\u0000 Systematic searches were conducted in CINAHL, Medline, and Scopus for peer-reviewed articles and in Google for gray literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published in English in Organization for Economic Co-operation and Development countries between 2008 and 2018 regarding sexual, gender, and erotic minorities older than 18 years were eligible. Quality assessments were conducted and extracted data were analyzed thematically. \u0000 Result:\u0000 Ninety documents were included in the review. Uptake is generally greater among sexual, gender, and erotic minorities, but worse in those who experience intersecting oppressions. Barriers to care manifest systemically, in services, and in individual mental health professionals (MHP) and contribute to psychological distress and impede help seeking. Protective factors (resilience, inclusion) and trained MHP counter these barriers. \u0000 Conclusion:\u0000 Despite the general prevalence and risk of mental illness among sexual, gender, and erotic minorities due to external, modifiable oppressions, opportunities for inclusive psychological care exist.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"108 1","pages":"129 - 150"},"PeriodicalIF":1.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88304520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brave is what you’re doing","authors":"C. McIntosh","doi":"10.1080/19359705.2022.2048348","DOIUrl":"https://doi.org/10.1080/19359705.2022.2048348","url":null,"abstract":"It is a principal of psychotherapy that one can only change oneself, not other people. A simple concept, and yet one that at is at odds with the very human desire to influence others. This desire starts in the family with children influencing their parents with their cries, and parents influencing children with their rules. Both chafe at these bonds, these expectations of other people, and carry these sentiments into the rest of their lives. We should not be surprised that a fundamental dynamic of growing up gets reactivated in many people in a crisis, like the one the world has been dealing with since 2019. The child in us seeks protection, safety from a threat that is omnipresent and protean. The parent in us wants to do the right thing, to realize that protection, and expects other to contribute to this same project. These tensions find their way into our clinical relationships as we encounter patients who are vaccine hesitant or openly resistant. Anger arises as we consider the costs to us, our professional colleagues, and our families of preventable cases of COVID-19. We also direct anger at decisions of governments that may or may not be based on the best available science, and consider as well the effects on mental health, both of the pandemic itself and the measures used to address it. Ultimately, the ability to make change beyond our own sphere of control depends on working together and engaging with others, weaving a social fabric that lifts everybody up. That takes courage. This issue of JGLMH has a number of articles that are very relevant to mental health during the ongoing pandemic response, including a meta-analysis of studies comparing loneliness in heterosexual versus sexual minority groups, as well as a qualitative study examining COVID-19 and other stressors affecting Latino sexual minority men. We are also happy to include two more contributions to our Oral History Series, led by JGLMH’s Emeritus Editor Jack Drescher. We’d like to thank Dr. Drescher for his tremendous contributions to this important series that interviews prominent contributors to the LGBTQ Psychiatry community. We are looking for a new contributor to take over the editorial management of this ongoing series, so if this interests you, please be in touch with me at editors@aglp.org.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"121 1","pages":"111 - 111"},"PeriodicalIF":1.6,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86651779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and quality of life outcomes of gender-affirming surgery: A systematic literature review","authors":"Jaime Swan, T. Phillips, Tait Sanders, A. Mullens, J. Debattista, Annette Brömdal","doi":"10.1080/19359705.2021.2016537","DOIUrl":"https://doi.org/10.1080/19359705.2021.2016537","url":null,"abstract":"Abstract Introduction Transgender individuals experience disproportionately higher rates of mental health concerns and lower quality of life (QoL) than the general population. Gender-affirming healthcare can reduce negative mental health outcomes and improve QoL. This review explores the mental health and QoL outcomes to accessing gender-affirming surgery for transgender individuals. Method Following the PRISMA guidelines, searches were conducted using five databases for peer-reviewed articles, in English, with full-text available online published between January 2000 and August 2021. Result Fifty-three studies were included. Findings indicate reduced rates of suicide attempts, anxiety, depression, and symptoms of gender dysphoria along with higher levels of life satisfaction, happiness and QoL after gender-affirming surgery. Some studies reported that initial QoL improvements post gender-affirming surgery were not always enduring. Conclusion This review supports the need for more sustainable and accessible gender-affirming surgery as a means for improving the mental health and overall QoL among transgender individuals and indicates the need for further research with greater methodological rigor focusing on correlates of positive gender-affirming surgical outcomes. Without social, legal, and public policy responses to transgender discrimination, marginalization and exclusion, the beneficial outcomes of improved gender-affirming surgery will remain unclear.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"4 1","pages":"2 - 45"},"PeriodicalIF":1.6,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87607368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapist self-disclosure of sexual orientation revisited: Considerations with a case example","authors":"Clark Johnsen, Helen Ding","doi":"10.1080/19359705.2022.2030898","DOIUrl":"https://doi.org/10.1080/19359705.2022.2030898","url":null,"abstract":"Abstract Background Self-disclosure of sexual orientation is a topic that requires nuance and thoughfulness by therapists who work in direct client care roles. While all therapists must contend with their sexual orientation when relating to clients, lesbian, gay, and bisexual therapists often encounter a more complex calculus with regard to when, why and how they might disclose their sexual orientation to clients and manage unintentional disclosures. Case A 14-year-old girl was admitted to the inpatient psychiatric unit with a diagnosis of Conversion disorder and intractable psychogenic nonepileptic seizures. In her initial interview in the inpatient unit, in an attempt to help the client open up, a gay male medical student spontaneously disclosed his sexual orientation. Outcome The student’s disclosure led to a fruitful discussion about the client’s reticence to bring up sexual attractions toward girls to her parents, whom she feared may reject her. The client then asked the medical student to assist in coming out to her parents during her inpatient stay. Over the course of her seven-day stay on the inpatient unit, the client had no further episodes and was discharged home. Discussion Disclosure of sexual orientation can benefit the therapeutic alliance, facilitate trust and reciprocity and improve client perceptions of the therapist’s trustworthiness and empathy. However, due to a lack of recognition, training and supervision surrounding this important topic, lesbian, gay and bisexual therapists are often left with only their intuition to guide them. We discuss clinical considerations for use of therapist self-disclosure of sexual orientation in terms of setting, manner and timing and elaborate a discussion about the potential impact of such a disclosure on both the client and the therapist.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"1 1","pages":"46 - 58"},"PeriodicalIF":1.6,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83228125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does social support moderate the relationship between gender minority stress and suicide within a sample of transgender and gender diverse people?","authors":"Sarah E. Rimmer, Tracy J. Cohn, Sarah L. Hastings, Jenessa C. Steele, Charles Woods","doi":"10.1080/19359705.2021.1997855","DOIUrl":"https://doi.org/10.1080/19359705.2021.1997855","url":null,"abstract":"Abstract Introduction Transgender and gender diverse individuals experience increased suicidality in comparison to same-aged peers. Protective factors—in particular, social support—may ameliorate painful life events and circumstances. Method Using a sample of 217 adults obtained through convenience chain-sampling methods with recruitment requests posted to list-servs, distributed to organizations related to LGBTQ issues, and social media, the current study tested whether social support moderated participants’ experiences of gender minority stress and suicidality, and whether the type of social support changed the relationship between stress and suicidal ideation. Result Family and hetero-cisgender friend supports were significantly related to gender minority stress and suicidal ideation. However, neither LGBT-social support nor significant other support were found to moderate the relationship. Conclusion Translation of these findings to clinical and research settings are provided.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"52 1","pages":"284 - 303"},"PeriodicalIF":1.6,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73787374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IENE 9 project: Developing a culturally competent and compassionate LGBT + curriculum in health and social care education","authors":"A. Pezzella, Jessica Pistella, R. Baiocco, C. Kouta, Patricia Rocamora-Pérez, D. Nielsen, A. Kuckert-Wöstheinrich, V. Dudau, I. Papadopoulos","doi":"10.1080/19359705.2021.2012733","DOIUrl":"https://doi.org/10.1080/19359705.2021.2012733","url":null,"abstract":"Abstract Introduction The IENE projects (2008–2022) aim to promote a model for developing intercultural dialogue and enhance the ability to provide culturally competent and compassionate care for the health and social care professionals at national and European levels. The IENE 9 project, named “Developing a culturally competent and compassionate LGBT + curriculum in health and social care education,” builds on the work developed in the previous IENE projects and emphasizes the importance of addressing LGBT + issues in health and social care education. Method Through an innovative Massive Open Online Course (MOOC), professionals will learn the skills to work toward building an LGBT + inclusive health and social care system. Result Notwithstanding the progress made in recent years on LGBT + issues, research indicates that too little attention has been given to LGBT + needs in health and social care settings, and these remain substantial issues that are often ignored. Conclusion This letter to the editor aims to present the IENE 9 project given that greater efforts are needed to improve professionals’ skills regarding sexual and gender minority population. We strive to continue our efforts in promoting the well-being and mental health of LGBT + people in health and social care education.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"2 1","pages":"118 - 124"},"PeriodicalIF":1.6,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72924911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An interview with Ellen Haller, MD","authors":"J. Drescher","doi":"10.1080/19359705.2021.2015179","DOIUrl":"https://doi.org/10.1080/19359705.2021.2015179","url":null,"abstract":"","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"183 1","pages":"221 - 226"},"PeriodicalIF":1.6,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72725679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}