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Talking with Iranian trans men: Their experiences and identity development 与伊朗跨性别者对话:他们的经历与认同发展
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-06-07 DOI: 10.1080/19359705.2022.2072034
M. Yaghoubirad, P. Azadfallah, C. Cameron, H. Farahani
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.
本研究旨在探索在伊朗出生和长大的跨性别男性的社会心理体验,包括伊朗独特的文化环境。方法对15名年龄在20 ~ 35岁的跨性别男性进行深度访谈。我们应用Corbin和Straus(2015)的方法来分析发展扎根理论的数据。结果“困惑的性别认同”(核心主题)和其他11个主题,分为(宏观/微观)语境因素、行动/互动和后果,描绘了跨性别男性生活的结构和过程。家庭结构和创伤背景中的焦虑升级是微环境因素;男性优势与女性禁忌是宏观语境因素情感关系中的不安全感、社会不安全感、女性自卑、男性性别嫉妒、自我形象不和谐和不支持系统是行为/相互作用,灰色财富代表后果。一个扎根的理论是从这些发现中发展出来的,它全面地代表了关系主题。结论本研究结果阐明了影响伊朗跨性别男性生活的环境因素。它们可以用于改善人口的整体健康。由于大多数关于跨性别人群的研究和理论源于西方文化,本研究为跨性别男性在独特的文化和政治气候下的心理/社会体验提供了一个新的和全面的理解。
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引用次数: 0
Telling my life: Narratives of coming out in LGB people between certainty/uncertainty and revelation/concealment 讲述我的生活:关于LGB人在确定/不确定和揭示/隐藏之间出柜的叙述
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-06-02 DOI: 10.1080/19359705.2022.2072035
R. Baiocco, Fausta Rosati, Altomare Enza Zagaria, Jessica Pistella
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.
摘要简介:出柜(CO)的过程往往需要质疑和挑战的时刻,以及力量和弹性。本研究旨在探讨女同性恋、男同性恋和双性恋(LGB)群体的自我认知过程和认同发展。方法:采用社会建构主义的观点,采用世代研究的定性方法进行生活故事访谈(LSI)。共有64名年龄在23-75岁之间的LGB人士参与了这项研究。访谈采用基于话语分析和缓解标记的符号学表达方阵技术进行分析。结果:本研究强调了参与者的生活故事是如何在确定/不确定、揭示/隐藏、否认/不否认(即“封锁身份”与自信-代理身份)和接受/不接受(即意识身份与恐惧身份)之间波动的时刻中表现出来的。结论:社会建构主义视角适合于研究CO过程。对临床实践和未来研究的意义进行了讨论。
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引用次数: 0
An interview with Joseph P. Merlino, MD, MPA 采访Joseph P. Merlino, MD, MPA
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-05-31 DOI: 10.1080/19359705.2022.2061141
J. Drescher
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引用次数: 0
Barriers and enablers to mental health help seeking of sexual, gender, and erotic minorities: A systematic literature review 性、性别和性少数群体寻求心理健康帮助的障碍和促进因素:系统的文献综述
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-05-31 DOI: 10.1080/19359705.2022.2036666
T. Reynish, H. Hoang, Heather Bridgman, Bróna Nic Giolla Easpaig
Abstract Introduction: 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. Method: 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. Result: 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. Conclusion: 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.
摘要引言:性、性别和性少数群体经历了心理伤害和影响帮助寻求的压迫。本综述的目的是整合关于性、性别和性少数群体寻求心理健康帮助的吸收、障碍和促进因素的现有证据。方法:在CINAHL、Medline和Scopus中系统搜索同行评议的文章,在Google中使用系统评价和meta分析指南的首选报告项进行灰色文献的系统搜索。2008年至2018年期间在经济合作与发展组织(oecd)国家以英语发表的关于18岁以上的性、性别和色情少数群体的研究符合条件。进行了质量评估,并对提取的数据进行了主题分析。结果:共纳入文献90篇。一般来说,性、性别和色情少数群体的吸收能力更强,但在那些经历过交叉压迫的人群中则更差。在服务机构和个人精神卫生专业人员(MHP)中,获得护理的障碍系统地表现出来,并导致心理困扰并阻碍寻求帮助。保护性因素(弹性、包容性)和训练有素的MHP可以克服这些障碍。结论:尽管由于外部的、可改变的压迫,性、性别和性少数群体普遍存在精神疾病和风险,但包容性心理护理的机会是存在的。
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引用次数: 1
Brave is what you’re doing 勇敢是你所做的
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-04-03 DOI: 10.1080/19359705.2022.2048348
C. McIntosh
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.
一个人只能改变自己,不能改变别人,这是心理治疗的原则。这是一个简单的概念,但却与人类影响他人的愿望相矛盾。这种渴望始于家庭,孩子用哭声影响父母,父母用他们的规则影响孩子。他们都对这些束缚和他人的期望感到恼火,并将这些情绪带入他们的余生。我们不应该感到惊讶的是,在危机中,许多人重新激活了成长的基本动力,就像世界自2019年以来一直在应对的危机一样。我们的孩子寻求保护,寻求安全,免受无处不在、千变万化的威胁。作为父母,我们想要做正确的事,意识到这种保护,并期望其他人为同样的项目做出贡献。当我们遇到对疫苗犹豫不决或公开抵抗的患者时,这些紧张关系就会进入我们的临床关系。当我们想到我们、我们的专业同事和我们的家庭为可预防的COVID-19病例付出的代价时,愤怒就会产生。我们还对政府的决定表示愤怒,这些决定可能基于也可能不是基于现有的最佳科学,并考虑到大流行本身和用于解决这一问题的措施对心理健康的影响。最终,在我们自己的控制范围之外做出改变的能力取决于共同努力,与他人互动,编织一个让每个人都振作起来的社会结构。这需要勇气。本期JGLMH有许多与正在进行的大流行应对期间的心理健康非常相关的文章,包括对比较异性恋与性少数群体孤独感的研究的荟萃分析,以及一项关于COVID-19和影响拉丁裔性少数群体男性的其他压力源的定性研究。我们也很高兴在我们的口述历史系列中加入另外两篇文章,由JGLMH的名誉编辑Jack Drescher领导。我们要感谢Drescher博士为这个采访LGBTQ精神病学社区杰出贡献者的重要系列节目做出的巨大贡献。我们正在寻找一个新的贡献者来接管这个正在进行的系列的编辑管理,所以如果你对此感兴趣,请通过editors@aglp.org与我联系。
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引用次数: 0
Mental health and quality of life outcomes of gender-affirming surgery: A systematic literature review 性别确认手术的心理健康和生活质量:系统的文献综述
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-02-25 DOI: 10.1080/19359705.2021.2016537
Jaime Swan, T. Phillips, Tait Sanders, A. Mullens, J. Debattista, Annette Brömdal
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.
与一般人群相比,跨性别者的心理健康问题比例更高,生活质量(QoL)更低。性别确认医疗保健可以减少负面的心理健康结果并改善生活质量。本综述探讨了跨性别者接受性别确认手术的心理健康和生活质量结果。方法按照PRISMA指南,在5个数据库中检索2000年1月至2021年8月间发表的同行评议的英文论文全文。结果共纳入53项研究。研究结果表明,在性别确认手术后,自杀未遂、焦虑、抑郁和性别不安症状的发生率降低,生活满意度、幸福感和生活质量水平也有所提高。一些研究报告称,性别确认手术后最初的生活质量改善并不总是持久的。结论本综述支持需要更可持续和更容易获得的性别确认手术作为改善跨性别者心理健康和总体生活质量的手段,并表明需要进一步研究更严格的方法,重点关注积极的性别确认手术结果的相关性。如果没有社会、法律和公共政策来应对跨性别歧视、边缘化和排斥,改进的性别确认手术的有益结果将仍然不明朗。
{"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}
引用次数: 17
Therapist self-disclosure of sexual orientation revisited: Considerations with a case example 对性取向自我表露的重新审视:以个案为例的思考
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-02-25 DOI: 10.1080/19359705.2022.2030898
Clark Johnsen, Helen Ding
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.
性取向的自我表露是一个需要治疗师进行细致入微和深思熟虑的话题。虽然所有的治疗师在与客户打交道时都必须与他们的性取向作斗争,但女同性恋、男同性恋和双性恋治疗师通常会遇到一个更复杂的计算,即他们何时、为什么以及如何向客户透露他们的性取向,并管理无意的披露。一名14岁的女孩被诊断为转化障碍和难治性心因性非癫痫性发作而入院精神科。在住院部的初次面谈中,为了帮助客户敞开心扉,一名男同性恋医学生自发地透露了他的性取向。结果:该学生的披露导致了一场富有成效的讨论,即客户不愿向父母提起对女孩的性吸引力,因为她担心父母会拒绝她。病人随后要求医学生在住院期间协助她向父母出柜。在住院的7天里,病人没有再发作,出院回家了。性取向的披露有利于治疗联盟,促进信任和互惠,提高来访者对治疗师可信赖性和共情的感知。然而,由于缺乏对这一重要话题的认识、培训和监督,女同性恋、男同性恋和双性恋治疗师往往只能凭直觉来指导他们。我们讨论了治疗师在设置、方式和时间方面自我披露性取向的临床考虑,并详细讨论了这种披露对来访者和治疗师的潜在影响。
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引用次数: 0
Does social support moderate the relationship between gender minority stress and suicide within a sample of transgender and gender diverse people? 在跨性别和性别多样化人群样本中,社会支持是否调节了性别少数派压力与自杀之间的关系?
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.1997855
Sarah E. Rimmer, Tracy J. Cohn, Sarah L. Hastings, Jenessa C. Steele, Charles Woods
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.
与同龄个体相比,跨性别和性别多样化个体的自杀率更高。保护性因素——尤其是社会支持——可能会改善痛苦的生活事件和环境。方法采用便利链抽样的方法,对217名成人进行问卷调查,并将招募启事发布到list-servs、分发到LGBTQ相关组织和社交媒体上,考察社会支持是否能调节参与者的性别少数派压力和自杀倾向,以及社会支持类型是否改变压力与自杀意念的关系。结果家庭和异性朋友支持与性别少数派压力和自杀意念有显著相关。然而,无论是lgbt社会支持还是其他重要的支持都没有被发现对这种关系起到调节作用。结论本研究为临床和研究提供了依据。
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引用次数: 2
IENE 9 project: Developing a culturally competent and compassionate LGBT + curriculum in health and social care education IENE 9项目:在保健和社会关怀教育中制定具有文化竞争力和富有同情心的LGBT +课程
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.2012733
A. Pezzella, Jessica Pistella, R. Baiocco, C. Kouta, Patricia Rocamora-Pérez, D. Nielsen, A. Kuckert-Wöstheinrich, V. Dudau, I. Papadopoulos
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.
IENE项目(2008-2022年)旨在促进一种发展文化间对话的模式,并增强在国家和欧洲各级为卫生和社会保健专业人员提供具有文化能力和富有同情心的护理的能力。IENE第9个项目名为“在健康和社会关怀教育中开发具有文化竞争力和同情心的LGBT +课程”,以IENE之前的项目为基础,强调了在健康和社会关怀教育中解决LGBT +问题的重要性。方法通过创新的大规模开放在线课程(MOOC),专业人士将学习为建立一个包容LGBT +的健康和社会保健系统而努力的技能。尽管近年来在LGBT +问题上取得了进展,但研究表明,卫生和社会保健机构对LGBT +需求的关注太少,这些仍然是经常被忽视的实质性问题。鉴于需要做出更大的努力来提高专业人员在性和性别少数群体方面的技能,这封致编辑的信旨在介绍IENE 9项目。我们将继续努力,在健康和社会关怀教育中促进LGBT +人群的福祉和心理健康。
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引用次数: 3
An interview with Ellen Haller, MD 对医学博士Ellen Haller的采访
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.2015179
J. Drescher
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引用次数: 0
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Journal of Gay & Lesbian Mental Health
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