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A systematic review of depression and anxiety treatments for sexual minority women 性少数女性抑郁和焦虑治疗的系统回顾
IF 1.5 Q2 Social Sciences Pub Date : 2021-07-06 DOI: 10.1080/10538720.2021.1943098
Brian McGeough, N. L. Cohen
Abstract Sexual minority women (SMW) participate in higher rates of psychotherapy than their heterosexual counterparts, but little is known about how depression and anxiety interventions can meet the unique needs of these populations. This systematic review identified ten articles that focused on testing, developing, or informing depression and anxiety treatments for SMW. Adaptations to meet the needs of SMW focused on sexual orientation, gender, minority stress, and co-occurring mental health problems. Four studies included empirical evaluations of at least some elements of interventions, with only one of these studies involving a randomized controlled trial with a control group. Six articles, including study protocols and guidelines for interventions, proposed intervention strategies that have not yet been subject to empirical evaluation. The strongest evidence emerged in support of cognitive-behavioral interventions to meet the needs of SMW. Future research should empirically evaluate proposed identity-focused adaptations for treating depression and anxiety among SMW.
摘要性少数群体女性(SMW)参与心理治疗的比率高于异性恋女性,但对抑郁和焦虑干预如何满足这些人群的独特需求知之甚少。这篇系统综述确定了十篇文章,重点是测试、开发或告知SMW的抑郁和焦虑治疗方法。为满足法定最低工资的需求而进行的调整侧重于性取向、性别、少数群体压力和同时发生的心理健康问题。四项研究包括对干预措施的至少一些要素的实证评估,其中只有一项研究涉及对照组的随机对照试验。包括研究方案和干预指南在内的六篇文章提出了尚未进行实证评估的干预策略。最有力的证据支持认知行为干预措施来满足SMW的需求。未来的研究应该实证评估SMW中治疗抑郁和焦虑的以身份为中心的适应建议。
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引用次数: 2
Exploring factors contributing to care-seekers’ level of discomfort discussing a transgender identity in a health care setting 探讨在医疗保健环境中讨论跨性别身份时导致求助者不适程度的因素
IF 1.5 Q2 Social Sciences Pub Date : 2021-07-06 DOI: 10.1080/10538720.2021.1948483
D. K. Sutherland
Abstract Concealment or hiding a transgender (trans) identity from a medical professional can negatively affect the care one receives. Reluctancy to disclose may be further exasperated when interacting with an unfamiliar physician or health provider. Using the Virginia Transgender Health Initiative Study (THIS) data containing (n = 344) self-identified trans individuals, a two-step logistical regression was used to examine the relationship between demographic characteristics, experiences with discrimination, interpersonal supports, and levels of discomfort discussing a trans-identity and health needs with an unknown physician. Findings offer insight into the effects of stigma-based rejection sensitivity among trans individuals and point to the importance of establishing culturally sensitive health practices in the medical field. More broadly, I illuminate practical implications for trans care as well as highlight promising future research directions in this area.
摘要向医学专业人员隐瞒或隐瞒跨性别者的身份可能会对其接受的护理产生负面影响。当与不熟悉的医生或健康提供者互动时,不愿透露可能会进一步激怒。使用弗吉尼亚州跨性别健康倡议研究(THIS)数据,其中包含(n = 344)自我识别的跨性别个体,使用两步逻辑回归来检验人口统计学特征、歧视经历、人际支持和与未知医生讨论跨性别身份和健康需求的不适程度之间的关系。研究结果深入了解了跨性别者中基于污名的排斥敏感性的影响,并指出了在医学领域建立文化敏感性健康实践的重要性。更广泛地说,我阐明了跨性别护理的实际意义,并强调了该领域未来有希望的研究方向。
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引用次数: 5
Abuse and Violence Experienced by Gay Men living in Pakistani cultural context: An interpretative phenomenology analysis 生活在巴基斯坦文化背景下的男同性恋者所经历的虐待和暴力:解释性现象学分析
IF 1.5 Q2 Social Sciences Pub Date : 2021-07-05 DOI: 10.1080/10538720.2021.1948941
Ahtsham Pervez, S. Saleem
Abstract This study was conducted using Interpretative Phenomenological Analysis to explore and understand psychosocial issues of the gay community living in the Pakistani cultural context. Six adult gay men, aged 20–40 years, were interviewed using semi-structured interviews at their preferred locations. Thorough and in-depth analysis of the transcripts revealed two superordinate themes: (1) The experience of verbal harassment and associated emotional disturbance was universal, (2) The experience of sexual violence was universal. These themes describe participants’ experience of verbal harassment with followed emotional reaction, and experiences of different forms of sexual violence. This study helps in understanding what it means to be a gay man in Pakistan.
摘要本研究采用解释现象学分析的方法,探讨和理解生活在巴基斯坦文化背景下的同性恋群体的社会心理问题。6名年龄在20-40岁之间的成年男同性恋者在他们喜欢的地点进行了半结构化访谈。对笔录的深入分析揭示了两个重要的主题:(1)言语骚扰和相关情绪障碍的经历是普遍的;(2)性暴力的经历是普遍的。这些主题描述了参与者对言语骚扰的经历以及随之而来的情绪反应,以及不同形式的性暴力的经历。这项研究有助于理解在巴基斯坦成为一名同性恋意味着什么。
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引用次数: 0
Heterosexism and the self: A systematic review informing LGBQ-affirmative research and psychotherapy 异性恋与自我:一项为lgbq平权研究和心理治疗提供信息的系统综述
IF 1.5 Q2 Social Sciences Pub Date : 2021-07-03 DOI: 10.1080/10538720.2021.1919275
Kathleen M. Collins, H. Levitt
Abstract Heterosexism negatively impacts the mental health of sexual minorities, although the degree to which people are impacted and the nature of how they respond to minority stressors varies. In this systematic review, the authors synthesize literature on heterosexism and three psychodynamic personality factors—attachment style, defense style, and ego identity—and reconceptualize heterosexist stigma as something that not only impairs mental health but also influences personality development. The authors present a theoretical framework that outlines the bidirectional influences between sociocultural contexts and the self, which can inform future research and clinical work with sexual minority clients.
异性恋对性少数群体的心理健康有负面影响,尽管受影响的程度和对少数群体压力源的反应性质各不相同。在这篇系统综述中,作者综合了有关异性恋和三个心理动力人格因素——依恋类型、防御类型和自我认同——的文献,并重新定义了异性恋耻辱感不仅损害心理健康,而且影响人格发展。作者提出了一个理论框架,概述了社会文化背景和自我之间的双向影响,这可以为未来的性少数客户的研究和临床工作提供信息。
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引用次数: 3
More to come: Perspectives and lived experiences of adults aging with HIV 更多内容:艾滋病毒感染者老龄化的观点和生活经历
IF 1.5 Q2 Social Sciences Pub Date : 2021-07-01 DOI: 10.1080/10538720.2021.1946669
S. Cherry, K. Tyagi, J. Bailey, Bennett Reagan, Vanessa Jacuinde, Juliana K Soto, Ian A Klinger, M. Mutchler
Abstract In Los Angeles County (LAC), the population of older people living with HIV (OPLWH) is rising and psychosocial issues are largely unexplored. The Healthy Living Project hosted focus group discussions with English and Spanish-speaking gay and bisexual men, heterosexual men, transgender women, and cisgender women. Universal and group-specific concerns included: sentiments of diminished mental health, loneliness, and age-based and HIV stigma from communities and service providers; financial security, housing, social interactions, and access to care. Our findings emphasize the development of population-specific and intersectional programs and services tailored to the diverse needs of OPLWH.
摘要在洛杉矶县(LAC),感染艾滋病毒的老年人人数正在增加,心理社会问题在很大程度上尚未得到探索。健康生活项目举办了与讲英语和西班牙语的同性恋和双性恋男性、异性恋男性、跨性别女性和顺性别女性的焦点小组讨论。普遍和针对具体群体的关切包括:社区和服务提供者对心理健康状况下降、孤独感以及基于年龄和艾滋病毒的污名化的情绪;经济保障、住房、社会交往和获得护理的机会。我们的研究结果强调了针对特定人群和跨部门的计划和服务的发展,这些计划和服务适合安大略省和安大略省的不同需求。
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引用次数: 0
Homonegativity and sport: A systematic review of the literature 同质性与体育:文献的系统回顾
IF 1.5 Q2 Social Sciences Pub Date : 2021-05-26 DOI: 10.1080/10538720.2021.1927927
L. Rollé, Erika Cazzini, Fabrizio Santoniccolo, T. Trombetta
Abstract The hypermasculine subculture of individual and team sports is a context where discriminatory attitudes toward lesbian, gay, and bisexual (LGB) people can occur at a higher rate, although conflicting results emerged in the literature. In order to clarify these data, a systematic review was conducted following the PRISMA statement, with the aim to analyze the research on expressed homonegativity among athletes and the discrimination perceived by LGB people involved in sport contexts. Thirty-eight articles were included. Although half of the included research identified, mainly among younger generations, positive attitudes toward homosexuality, an adherence to an orthodox masculinity and veiled discriminatory expressions persist. In addition, several papers identified overt discrimination, and LGB athletes often perceive sport contexts as discriminatory. Even seemingly “positive,” results should therefore be interpreted with caution. Evidence suggests the connection with stereotypical requirements and a heteronormative and homonegative cultural system could be maintained in apparently innocuous behaviors and expressions. Further interventions are necessary in order to sensitize sporting contexts regarding homosexuality-related issues and to promote inclusive attitudes.
在个人和团队运动的超男性亚文化中,对女同性恋、男同性恋和双性恋(LGB)人群的歧视态度可能发生得更高,尽管文献中出现了相互矛盾的结果。为了澄清这些数据,我们在PRISMA声明之后进行了系统的回顾,旨在分析运动员中表达的同性恋消极情绪和LGB人群在体育环境中感受到的歧视。共纳入38篇文章。尽管其中一半的研究表明,主要是在年轻一代中,对同性恋的积极态度、对正统男子气概的坚持和含蓄的歧视性表达仍然存在。此外,有几篇论文指出了明显的歧视,LGB运动员经常认为体育环境具有歧视性。因此,即使是看似“积极”的结果,也应该谨慎解读。有证据表明,在明显无害的行为和表达中,与刻板要求和异性规范和同性消极的文化系统的联系可以维持。进一步的干预是必要的,以便使体育环境对与同性恋有关的问题更加敏感,并促进包容的态度。
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引用次数: 9
Treating incarcerated lesbian couples with the Tadros Theory of Change 用塔德罗斯改变理论治疗被监禁的女同性恋伴侣
IF 1.5 Q2 Social Sciences Pub Date : 2021-05-11 DOI: 10.1080/10538720.2021.1921649
Eman Tadros, Lauren C. Smithee
Abstract Incarceration is a major systemic issue in the United States. Many couples undergo multifaceted, complex changes in their relationship due to incarceration. The purpose of this paper is to explore the usage of the Tadros theory of change, an integrative approach to couple and family therapy, to treat incarcerated lesbian couples. A case application is provided utilizing this integrated family therapy model with a lesbian couple experiencing sexual and relational issues as well as offering clinical implications for future usage. This case emphasized how client’s narratives change over time, how the systems in their lives change simultaneously, and the impact of LGBTQ + stigma on couple functioning as they navigate the criminal justice system aids in the exploration of a client’s story. Thus, gaining an in-depth understanding of the intersection between complex issues. This paper advocates for the usage of this theory with lesbian couples within the incarcerated context to better treat this underserved population.
监禁是美国一个重大的制度性问题。由于监禁,许多夫妻的关系经历了多方面的、复杂的变化。本研究的目的是探讨如何运用Tadros的改变理论(一种夫妻与家庭治疗的综合方法)来治疗被监禁的女同性恋伴侣。本文提供了一个案例应用,利用这种综合家庭治疗模式,一个女同性恋夫妇经历性和关系问题,并为未来的使用提供临床意义。这个案例强调了客户的叙述是如何随着时间的推移而改变的,他们生活中的系统是如何同时改变的,以及LGBTQ +耻辱对夫妻关系的影响,因为他们在刑事司法系统中导航,有助于探索客户的故事。因此,深入了解复杂问题之间的交集。本文提倡将这一理论应用于被监禁的女同性恋伴侣,以更好地治疗这一服务不足的人群。
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引用次数: 2
“I don’t think you belong in here:” The impact of gender segregated bathrooms on the safety, health, and equality of transgender people “我认为你不属于这里:”性别隔离浴室对跨性别者的安全、健康和平等的影响
IF 1.5 Q2 Social Sciences Pub Date : 2021-05-07 DOI: 10.1080/10538720.2021.1920539
Jenifer K. McGuire, Sloan Okrey Anderson, C. Michaels
Abstract The current study presents reflections from transgender youth regarding experiences with toilet access, both in isolated gender-neutral facilities and standard gender segregated facilities in North America. Transgender youth experience barriers to bathroom access that can contribute to negative mental health outcomes, impede educational functioning, and threaten physical safety. Recommendations are made for gender inclusive designs that diminish the isolation of gender-neutral designs and preempt the backlash inherent in existing gender segregated practices. Gender inclusive bathrooms, in addition to the benefits to transgender people, could also contribute to better quality of life for parents of small children, people with disabilities and their caregivers, and other marginalized individuals.
摘要当前的研究反映了跨性别青年对上厕所经历的反思,无论是在北美的独立性别隔离设施还是标准性别隔离设施中。跨性别青年在上厕所方面遇到障碍,这可能会导致负面的心理健康结果,阻碍教育功能,并威胁人身安全。对性别包容性设计提出了建议,以减少对性别中立设计的孤立,并先发制人,消除现有性别隔离做法中固有的反弹。包容性别的浴室除了为变性人带来好处外,还可以提高幼儿父母、残疾人及其照顾者和其他边缘化个人的生活质量。
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引用次数: 9
Exploring the lived experiences of rural LGBTQ + youth: Navigating identity and authenticity within school and community contexts 探索农村LGBTQ +青年的生活经历:在学校和社区背景下导航身份和真实性
IF 1.5 Q2 Social Sciences Pub Date : 2021-04-27 DOI: 10.1080/10538720.2021.1911902
Joseph J. Rand, Megan S. Paceley
Abstract Research with rural LGBTQ + youth suggests their experiences of stigma and victimization, as well as related health concerns, may be greater than that of urban LGBTQ + youth. Regional differences may also affect their experiences, yet we lack research on the nuanced contextual factors affecting LGBTQ + youth in the rural Midwest. This study examined the lived experiences pertaining to community and school environments among LGBTQ + youth in rural Minnesota (N = 7). Specifically, we aimed to understand how youth navigated their gender and sexual identities, including authenticity, within these contexts. Semi-structured interviews were conducted with LGBTQ + youth and then analyzed using thematic analysis. Findings include three themes: (1) school-related hostility and challenges; (2) community intolerance affecting personal authenticity; and (3) affirming environments, support, and authenticity. The findings indicate rural LGBTQ + youth in Minnesota have difficulty accessing inclusive resources and navigating rural environments; also highlighting the resiliency of youth and their ability to identify people and spaces that provided opportunities to practice authenticity and wholeness.
对农村LGBTQ的抽象研究 + 年轻人表示,他们遭受耻辱和伤害的经历,以及相关的健康问题,可能比城市LGBTQ更严重 + 青年地区差异也可能影响他们的经历,但我们缺乏对影响LGBTQ的细微背景因素的研究 + 中西部农村的年轻人。这项研究调查了LGBTQ与社区和学校环境有关的生活经历 + 明尼苏达州农村的年轻人(N = 7) 。具体而言,我们旨在了解年轻人如何在这些背景下驾驭自己的性别和性身份,包括真实性。对LGBTQ进行了半结构化访谈 + 然后运用主题分析法对青年进行分析。研究结果包括三个主题:(1)与学校有关的敌意和挑战;(2) 影响个人真实性的社区不容忍;以及(3)肯定环境、支持和真实性。研究结果表明,农村地区的LGBTQ + 明尼苏达州的青年难以获得包容性资源和驾驭农村环境;还强调了年轻人的弹性以及他们识别人和空间的能力,这些人和空间为实践真实性和完整性提供了机会。
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引用次数: 4
The Objectification and Blame of Sexually Diverse Women who are Revenge Porn Victims 性取向多样化女性复仇色情受害者的客观化与指责
IF 1.5 Q2 Social Sciences Pub Date : 2021-04-20 DOI: 10.1080/10538720.2021.1911901
Christine R. Serpe, Chris Brown
Abstract Research informs that bisexual women face harsher sexual stereotypes than lesbian and straight women. We, therefore, explored the relationship between objectification and victim blame in cases of revenge porn in which the victims were sexually diverse women (i.e., bisexual, lesbian, straight). Using vignettes, we hypothesized that bisexual women would be more objectified, and conversely blamed more, than the straight and lesbian victims. Adult men and women who self-identified as straight and cisgender (N = 359) completed and online survey. Findings revealed that objectification and victim blame were significantly correlated. No significant differences were found between bisexual, lesbian, or straight victims on objectification or blame measures. Men participants were found to assign greater victim blame to the victims than were women participants. This study has important implications for targeting sexual violence advocacy efforts, and implications for training future mental health professionals to enhance their advocacy efforts.
摘要研究表明,双性恋女性比女同性恋和异性恋女性面临更严厉的性刻板印象。因此,我们探讨了报复性色情案件中对象化和受害者指责之间的关系,在这些案件中,受害者是性多样的女性(即双性恋、女同性恋、异性恋)。使用小插曲,我们假设双性恋女性会比异性恋和女同性恋受害者更被物化,反过来也会受到更多指责。自认为是异性恋和顺性别的成年男性和女性(N = 359)完成的在线调查。调查结果显示,客观化和受害者指责显著相关。双性恋、女同性恋或异性恋受害者在客观化或指责措施上没有发现显著差异。研究发现,男性参与者比女性参与者将更多的受害者责任归咎于受害者。这项研究对针对性暴力的宣传工作具有重要意义,对培训未来的心理健康专业人员以加强他们的宣传工作也具有重要意义。
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引用次数: 4
期刊
JOURNAL OF GAY & LESBIAN SOCIAL SERVICES
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