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Perceptions of Health Staff Regarding LGBTQ+ Individuals: A Systematic Review of Qualitative Evidence. 卫生人员对LGBTQ+个体的看法:对定性证据的系统回顾。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-11-13 DOI: 10.1080/00918369.2025.2579571
Phatcharaphon Whaikid, Noppawan Piaseu

Understanding health staff perceptions of LGBTQ+ individuals is crucial for improving healthcare quality and addressing health disparities. Discriminatory attitudes and lack of knowledge can negatively impact patient outcomes. This systematic review aims to gain a comprehensive understanding of the perceptions of health staff regarding LGBTQ+ individuals. The PICO framework was used to guide the search strategy. Qualitative studies were systematically searched across online databases, including PubMed, Embase, Scopus, and CINAHL. Studies published from their inception to December 2024 were included. The quality assessment of the selected studies was performed using the Joanna Briggs Institute (JBI) critical appraisal tool for qualitative research. This review protocol is registered on PROSPERO under the ID CRD420250653610. A total of eight studies were included, revealing four major themes: (1) perceptions of training gaps and structural barriers, (2) perceptions of discrimination and stigma, (3) perceptions of challenges in providing LGBTQ+ inclusive care, and (4) perceptions of LGBTQ+ workplace culture and professional support. Findings highlight the urgent need for LGBTQ±inclusive healthcare policies, comprehensive training programs, and systemic reforms to enhance cultural competency, reduce disparities, and improve healthcare experiences for LGBTQ+ individuals. Addressing these challenges is essential to fostering inclusive, affirming, and equitable healthcare environments.

了解卫生工作者对LGBTQ+个体的看法对于提高卫生保健质量和解决卫生差距至关重要。歧视态度和缺乏知识会对患者的预后产生负面影响。本系统综述旨在全面了解卫生工作人员对LGBTQ+个体的看法。采用PICO框架指导搜索策略。通过在线数据库系统地检索了定性研究,包括PubMed、Embase、Scopus和CINAHL。包括了从成立到2024年12月发表的研究。所选研究的质量评估使用乔安娜布里格斯研究所(JBI)定性研究的关键评估工具进行。本审查协议在PROSPERO上注册,编号为CRD420250653610。共纳入了8项研究,揭示了四个主要主题:(1)对培训差距和结构性障碍的看法;(2)对歧视和污名的看法;(3)对提供LGBTQ+包容性护理的挑战的看法;(4)对LGBTQ+工作场所文化和专业支持的看法。研究结果强调,迫切需要制定LGBTQ±包容性的医疗政策、全面的培训计划和系统性改革,以增强LGBTQ+个体的文化能力、减少差异并改善医疗体验。应对这些挑战对于促进包容、肯定和公平的医疗保健环境至关重要。
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引用次数: 0
A hiya Perspective on Transgender Tourists' Experiences. 跨性别游客体验的hiya视角。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-11-13 DOI: 10.1080/00918369.2025.2580495
Kyrie Eleison Muñoz, Jenitha Mansinares, Irene Francia, Mariel Almine-Catacutan

Research on transgender travelers remains dominated by Western frameworks that overlook how cultural values shape the experience of minority stress. This study extends Minority Stress Theory (MST) using hiya, a native cultural value rooted in shame, propriety, and relational accountability, as a mechanism that mediates both psychological distress and coping among transgender tourists. Drawing on interviews and focus group discussions with 35 transgender travelers in the Philippines, we show how hiya functions as both a stressor, intensifying self-surveillance, identity concealment, and travel avoidance, and a coping device that guides individuals toward affectively safer spaces where temporary self-expression becomes possible. Rather than viewing culture as background context, we argue that values like hiya actively structure how minority stress is felt, negotiated, and relieved. By theorizing hiya-informed stress and adaptation, this study offers a culturally grounded extension of MST and calls for tourism research to reframe trans travel through a non-Western lens.

关于跨性别旅行者的研究仍然被西方框架所主导,忽视了文化价值观如何塑造少数民族压力的体验。本研究利用hiya(一种根植于羞耻、礼仪和关系责任的本土文化价值)作为中介跨性别游客心理困扰和应对的机制,扩展了少数民族压力理论(MST)。通过对菲律宾35名跨性别旅行者的访谈和焦点小组讨论,我们展示了hiya如何作为压力源、强化自我监控、身份隐藏和旅行回避,以及一种应对手段,引导个人进入情感上更安全的空间,在那里暂时的自我表达成为可能。我们认为,像hiya这样的价值观积极地构建了如何感受、协商和缓解少数民族的压力,而不是将文化视为背景。本研究通过理论化hiaya告知的压力和适应,提供了MST的文化基础延伸,并呼吁旅游研究通过非西方视角重新构建跨文化旅行。
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引用次数: 0
Who Syria was Never Safe For: Displacement, Return and Queer Syrian Futures Beyond Assad. 《谁让叙利亚永远不安全:流离失所、回归和超越阿萨德的奇怪叙利亚未来》
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-11-05 DOI: 10.1080/00918369.2025.2585318
Jasmin Lilian Diab

This study explores how queer Syrian refugees in Lebanon conceptualize migration, navigate displacement, and resist dominant refugee narratives. For queer Syrians, systemic homophobia, transphobia, and stigma in Syria rendered safety unattainable even before the conflict and the fall of the Assad regime in December 2024. Drawing on qualitative interviews with fifty queer Syrian refugees in Beirut and Mount Lebanon, the study employs a trauma-informed participatory approach to center their voices. Findings reveal Lebanon as a paradoxical refuge: while LGBTQI+ organizations provide critical support, legal precarity, economic hardship, and societal discrimination persist, complicating efforts to secure dignity and stability. The research challenges assumptions that all Syrians anticipate return post-Assad, showing that queer refugees remain skeptical of societal change and instead aspire to resettlement in more inclusive contexts. Participants' accounts foreground queer futurity not as utopia but as daily, practical horizons and/or micro-choices that sustain dignity amid hostility. Lebanon emerged as the preferred regional waypoint due to existing queer civil society networks, linguistic proximity, and access to support systems, factors participants explicitly contrasted with alternatives like Jordan. Analyzing these dynamics through queer migration, intersectionality, and post-conflict frameworks, the paper calls for inclusive policies that recognize queer refugees' resilience and agency.

本研究探讨了黎巴嫩的酷儿叙利亚难民如何将移民概念化,导航流离失所,并抵制主流难民叙事。对于叙利亚的酷儿来说,叙利亚系统性的同性恋恐惧症、跨性别恐惧症和耻辱,甚至在冲突和阿萨德政权于2024年12月倒台之前,就已经使他们无法获得安全。通过对贝鲁特和黎巴嫩山的50名叙利亚酷儿难民的定性访谈,该研究采用了一种了解创伤的参与式方法来集中他们的声音。调查结果显示,黎巴嫩是一个矛盾的避难所:虽然LGBTQI+组织提供了关键的支持,但法律不稳定、经济困难和社会歧视仍然存在,使确保尊严和稳定的努力复杂化。这项研究挑战了所有叙利亚人都希望在阿萨德下台后返回的假设,表明酷儿难民仍然对社会变革持怀疑态度,相反,他们渴望在更具包容性的环境中重新安置。参与者的描述不是把酷儿的未来描绘成乌托邦,而是日常的、实际的视野和/或在敌意中维持尊严的微观选择。由于现有的酷儿公民社会网络、语言邻近和可获得的支持系统,黎巴嫩成为首选的区域路标,参与者明确地将这些因素与约旦等替代方案形成对比。本文通过酷儿移民、交叉性和冲突后框架分析了这些动态,呼吁制定包容性政策,承认酷儿难民的适应力和能动性。
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引用次数: 0
The Transition to Parenthood Through Surrogacy Among Israeli Gay Fathers: Barriers, Resources, and Formative Time Points. 以色列同性恋父亲通过代孕过渡到为人父母:障碍、资源和形成时间点。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-30 DOI: 10.1080/00918369.2025.2580498
Nati Biton

This study explores the experiences of Israeli gay fathers who became parents through transnational surrogacy, focusing on the transition to parenthood. Using a qualitative narrative approach, 14 fathers aged 32-51 participated in in-depth interviews about their parenting journeys. Findings reveal two types of barriers that delayed parenthood: personal barriers, including concerns, traumatic past events, and a lack of family support; and structural and social barriers, reflecting restrictive laws, high costs, and prejudice toward gay fathers. The findings highlighted three crucial resource types that enabled the start of the surrogacy process: emotional resources, including support from the spouse and the family; psychological resources, including positive personality components; and behavioral practice, including gradual exposure to children and families. It emerged that the transition to parenthood is a dynamic and fluid process that varies from person to person and occurs at different time points in their lives. The findings expanded the concept of "transition to parenthood" and challenged traditional parenting models according to which parenthood begins immediately after birth. The findings also highlighted the need for comprehensive help and support for gay fathers who are undergoing transnational surrogacy, comprehensive therapeutic training for therapists, and political legislation.

本研究探讨了以色列同性恋父亲通过跨国代孕成为父母的经历,重点是向父母的过渡。采用定性叙事的方法,14位年龄在32-51岁的父亲参与了关于他们养育子女历程的深度访谈。研究结果揭示了延迟生育的两种障碍:个人障碍,包括担忧、创伤往事和缺乏家庭支持;以及结构性和社会障碍,反映了限制性法律、高昂的成本和对同性恋父亲的偏见。研究结果强调了促成代孕过程开始的三种关键资源类型:情感资源,包括配偶和家庭的支持;心理资源,包括积极人格成分;和行为实践,包括逐渐暴露于儿童和家庭。研究表明,向为人父母的过渡是一个动态的、流动的过程,因人而异,发生在人生的不同时间点。这一发现扩大了“向为人父母过渡”的概念,并挑战了传统的育儿模式,即从出生后立即开始为人父母。研究结果还强调,需要对正在进行跨国代孕的同性恋父亲提供全面的帮助和支持,对治疗师进行全面的治疗培训,以及政治立法。
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引用次数: 0
"Yeah, I'm Gay": What Can Queer and Trans Young People Teach Us About Queer Joy Studies in Schools? “是的,我是同性恋”:酷儿和跨性别年轻人能教给我们关于学校酷儿快乐研究的什么?
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-30 DOI: 10.1080/00918369.2025.2580485
Melissa Keehn

This study explores how queer and trans youth construct their lives in relation to narratives of crisis and resiliency in schools. It seeks to contribute to the emerging field of queer joy studies, which challenges portrayals of queer and trans individuals as subjects of adversity. I facilitated two participatory collage-making workshops and two focus group interviews with four queer and trans students from a rural high school in New Brunswick, Canada, to learn more about how these young people shape and were shaped by their school's constructions of them. Through their collages and conversations, the youth resisted simplistic celebrations and alarmist constructions of themselves-foregrounding ambivalence and active social lives while challenging normative constructions of gender and sexuality within their school. My work with these young people suggests that educational policy and practice have overdetermined what life looks like for young queer and trans people in New Brunswick schools. Further, I argue that queer joy can emerge as a powerful framework for understanding and teaching when it foregrounds the everyday and often contradictory realities of 2SLGBTQIA+ life.

本研究探讨了酷儿和跨性别青年如何在学校的危机和弹性叙事中构建他们的生活。它试图为新兴的酷儿快乐研究领域做出贡献,该领域挑战了将酷儿和变性人描绘为逆境主体的形象。我组织了两次参与式拼贴制作工作坊,并组织了两次焦点小组访谈,对象是来自加拿大新不伦瑞克省一所农村高中的四名酷儿和跨性别学生,以更多地了解这些年轻人是如何塑造他们的,以及他们是如何被学校对他们的建构所塑造的。通过他们的拼贴和对话,年轻人抵制简单化的庆祝活动和对自己的危言耸听的建构——在挑战学校性别和性行为的规范建构的同时,突出矛盾心理和活跃的社会生活。我对这些年轻人的研究表明,教育政策和实践过度决定了新不伦瑞克省学校里年轻的酷儿和变性人的生活。此外,我认为酷儿的快乐可以成为一个强大的理解和教学框架,当它突出了2SLGBTQIA+生活的日常和经常矛盾的现实。
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引用次数: 0
All My Satisfaction was at Home, and All the Disappointment was Outside: LGBT Parenting in Heteronormative Slovakia. 我所有的满足都在家里,所有的失望都在外面:异性恋斯洛伐克的LGBT父母。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-27 DOI: 10.1080/00918369.2025.2570430
Lucia Hargašová

Slovakia is one of the countries with the lowest rates of LGBTQ+ acceptance and high rates of hostility in the EU. LGBTQ+ people report stress from rejection and fears for their safety. Slovakia lacks legal recognition of same-sex marriage, partnerships, or kinship rights for sexual minorities. The aim of this study was to explore the lived experiences of LGBT parents and children raised by LGBT parents in Slovakia. Specifically: (1) their perceptions of the societal context and (2) the identity maintenance strategies they use to navigate both LGBT and parental identities. Thirty-two parents and four (former) children participated in either semi-structured interviews or focus groups. Data were analyzed using thematic analysis and interpreted through Social Identity Theory. Participants described frequent instances of heteronormativity, both from outgroups and ingroups, which presented barriers either to starting a family, or to conducting family life. Strong identification with the parental identity contributed to overcoming heteronormative barriers. Mostly participants used strategies of social comparison, such as reframing the basis of comparison or the comparison group. Strategies of social mobility were experienced negatively, and strategies of social competition reflected the agency in reducing obstacles.

斯洛伐克是欧盟对LGBTQ+的接受度最低、敌视率最高的国家之一。LGBTQ+人群报告了来自拒绝和对安全的担忧的压力。斯洛伐克缺乏对同性婚姻、伴侣关系或性少数群体亲属权利的法律承认。本研究的目的是探讨斯洛伐克的LGBT父母和由LGBT父母抚养的孩子的生活经历。具体来说:(1)他们对社会背景的认知;(2)他们在处理LGBT和父母身份时使用的身份维护策略。32名家长和4名(前)子女参加了半结构化访谈或焦点小组。数据分析采用主题分析,并通过社会认同理论进行解释。参与者描述了来自外部群体和内部群体的异性恋现象,这对组建家庭或管理家庭生活构成了障碍。对父母身份的强烈认同有助于克服异性恋障碍。大多数参与者使用社会比较策略,如重新构建比较基础或比较组。社会流动策略被体验为负向,社会竞争策略反映了减少障碍的代理。
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引用次数: 0
Unpacking the Roles of Psychological Distress and Social Well-Being in Minority Stress: Everyday Discrimination and Life Satisfaction among Sexual- and Gender-Minority Adults. 揭示心理困扰和社会福利在少数民族压力中的作用:性少数和性别少数成年人的日常歧视和生活满意度。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-27 DOI: 10.1080/00918369.2025.2573452
Zhiqi Yi, Nancy Jo Williams, Sarah Jen

While many sexual- and gender-minority adults experience significant rates of everyday discrimination, less is known about how it shapes life satisfaction and the psychosocial mechanisms involved. Using three waves of nationwide data on 612 sexual- and gender-minority adults in the United States from the Generations study, we analyzed the relationships between everyday discrimination, psychological distress, social well-being, and life satisfaction. Structural equation modeling was conducted in R to test separate and chain mediation models. Everyday discrimination (T1) is significantly related to life satisfaction (T3) (β = ‒0.226, p = 0.019, 95% CI: [-0.414, -0.039]). In two separate mediation models, psychological distress (T2) mediates the relationship between everyday discrimination (T1) and life satisfaction (T3) (β = ‒0.084, p = 0.004, 95% CI: [-0.14, -0.027]). Social well-being (T2) also mediates this relationship (β = ‒0.034, p = 0.034, 95% CI: [-0.065, -0.003]). In the chain mediation model, social well-being is a preceding indicator of psychological distress and life satisfaction (β = ‒0.012, p = 0.043, 95% CI: [-0.023, -0.0004]). These findings suggest that social well-being is a proximal indicator that both reflects and transmits the effects of minority stress to worse mental health and well-being. Future research is recommended to position social well-being more centrally to examine its protective role in the impacts of minority stress.

虽然许多性少数和性别少数的成年人在日常生活中遭受的歧视比例很高,但人们对它如何影响生活满意度以及所涉及的社会心理机制知之甚少。利用来自“世代”研究的美国612名性少数和性别少数成年人的三波全国数据,我们分析了日常歧视、心理困扰、社会福祉和生活满意度之间的关系。在R中进行结构方程建模,对分离和链式中介模型进行检验。日常歧视(T1)与生活满意度(T3)显著相关(β = -0.226, p = 0.019, 95% CI:[-0.414, -0.039])。在两个独立的中介模型中,心理困扰(T2)在日常歧视(T1)和生活满意度(T3)之间起中介作用(β = -0.084, p = 0.004, 95% CI:[-0.14, -0.027])。社会幸福感(T2)也起到中介作用(β = -0.034, p = 0.034, 95% CI:[-0.065, -0.003])。在链式中介模型中,社会幸福感是心理困扰和生活满意度的先行指标(β = -0.012, p = 0.043, 95% CI:[-0.023, -0.0004])。这些发现表明,社会福利是反映和传递少数民族压力对更差的心理健康和福祉的影响的最接近指标。未来的研究建议将社会福利放在更中心的位置,以检验其在少数民族压力影响中的保护作用。
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引用次数: 0
Streaming Exclusion: Digital Media, Conservative Muslim Rhetoric, and LGBTQ+ Politics in Kerala. 流媒体排斥:喀拉拉邦的数字媒体、保守的穆斯林言论和LGBTQ+政治。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-24 DOI: 10.1080/00918369.2025.2570431
Visakh Viswambaran

This study analyses how conservative Muslim speakers in Kerala, India, use YouTube to produce and circulate anti-LGBTQ+ discourse. Through a qualitative content analysis of 15 Malayalam-language videos posted after India's 2018 decriminalization of same-sex relationships, the research identifies a multi-stage "architecture of digital exclusion." This rhetorical system is built from four discursive repertoires that guide audiences from moral-theological certainty to a populist moral panic. It launders religious objections into the language of science and frames LGBTQ+ identities as an existential threat, weaponizing Kerala's partial state-led inclusion policies as proof of a hostile, Western-backed "gender ideology." The findings show how digital platforms are used to amplify exclusionary religious narratives and mediate anxieties about social change. The study contrasts this with the "architecture of resilience" constructed by queer Muslims, who use the same digital platforms to forge alternative, queer-affirming communities and theologies.

本研究分析了印度喀拉拉邦的保守派穆斯林如何利用YouTube制作和传播反lgbtq +话语。通过对印度2018年同性关系合法化后发布的15个马拉雅拉姆语视频进行定性内容分析,该研究确定了一个多阶段的“数字排斥架构”。这一修辞体系是由四个话语库构建而成的,这些话语库引导观众从道德神学的确定性走向民粹主义的道德恐慌。它将宗教反对洗白为科学语言,并将LGBTQ+身份定义为一种生存威胁,将喀拉拉邦部分国家主导的包容政策武器化,作为西方支持的敌对“性别意识形态”的证据。研究结果表明,数字平台如何被用来放大排他性的宗教叙事,并调解对社会变革的焦虑。该研究将这与酷儿穆斯林构建的“弹性架构”进行了对比,酷儿穆斯林使用同样的数字平台来打造另类的、肯定酷儿的社区和神学。
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引用次数: 0
Violence Knows No Boundaries: A Systematic Review of LGBTIQA+ Violence Processes in Relationships and Social Spaces Among People Who Self-Identify as LGBTIQA. 暴力无国界:LGBTIQA+暴力过程在自我认同为LGBTIQA人群中的关系和社会空间的系统回顾。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-21 DOI: 10.1080/00918369.2025.2573808
Wilson Albornoz, Marcelo Nvo-Fernandez

Research on violence within LGBTIQA+ communities is scarce despite sizable prevalence. Map concepts and methods used to study intracommunity violence. PRISMA-guided search (Scopus/Web of Science/SciELO) plus snowballing identified 50 studies (2003-2024). We conducted a social-constructionist, semantic, deductive-inductive Reflexive Thematic Analysis and assessed methodological quality with the NIH tool. Evidence from 19 countries shows good-to-fair methodological quality overall, but heavy reliance on cross-sectional self-report. Three themes emerged: 1) heterocisnormative intimate partner violence; 2) social media reproducing intraminority stigmas; 3) symbolic violence against feminized bodies. LGBTIQA+ intracommunity violence is structural, with internalized heterocisnormativity. Critical methodological gaps require new instruments capturing gender performativity, corporeality, and power dynamics.

尽管LGBTIQA+社区的暴力现象相当普遍,但对其的研究却很少。地图概念和方法用于研究社区内暴力。prism引导的搜索(Scopus/Web of Science/SciELO)加上滚雪球确定了50项研究(2003-2024)。我们进行了社会建构主义、语义、演绎-归纳的反身性主题分析,并使用NIH工具评估方法质量。来自19个国家的证据表明,总体上方法质量良好,但严重依赖横断面自我报告。出现了三个主题:1)异性恋规范的亲密伴侣暴力;2)社交媒体复制少数群体内部的耻辱;3)针对女性化身体的象征性暴力。LGBTIQA+社区内暴力是结构性的,具有内化的异性恋规范性。关键的方法差距需要新的工具来捕捉性别表现、形体和权力动态。
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引用次数: 0
H(a)unting Grounds: Exorcising the Queer Ghosts of Metronormativity. H(a)狩猎理由:驱除都市规范的古怪幽灵。
IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-10-21 DOI: 10.1080/00918369.2025.2569361
Damon Mitchell Gage Darling

This essay examines the myth of metronormative safety through the metaphor of the hunting grounds, exploring how queer bodies navigate violence across rural and urban landscapes. First, the author lays out the theoretical frameworks of queer ruralism and metronormativity to analyze how violence against queer individuals is recorded and understood. Rather than treating the archive as a passive record, this method reanimates queer experiences, transforming them into active, embodied acts of remembrance.Second, the paper articulates the use of performative archival methods that challenge traditional, static approaches to documenting queer histories. Third, tracing these histories across geographic landscapes, this work reveals how violence often perceptually begins in rural spaces and shifts-sometimes intensifying, sometimes transforming-as queer individuals move to metropolitan areas. Finally, this work examines what remains of the queer self in these encounters with violence, considering the lasting effects of being both haunted and hunted. By intertwining these threads, this work challenges dominant narratives of queer identity, offering a more complex understanding of queer time, space, and survival.

这篇文章通过狩猎场的隐喻来审视都市规范安全的神话,探索酷儿身体如何在农村和城市景观中应对暴力。首先,作者梳理了酷儿乡村主义和超规范主义的理论框架,分析了针对酷儿个体的暴力行为是如何被记录和理解的。这种方法不是把档案当作被动的记录,而是让酷儿经历重新活跃起来,把它们变成积极的、具体化的记忆行为。其次,本文阐明了使用表演档案方法来挑战传统的、静态的方法来记录酷儿的历史。第三,通过在地理景观中追踪这些历史,这项工作揭示了暴力通常是如何在感知上始于农村空间,并随着酷儿群体搬到大都市地区而发生变化——有时加剧,有时转变。最后,这部作品考察了在遭遇暴力时酷儿自我的残余,考虑到被困扰和被追捕的持久影响。通过将这些线索交织在一起,这个作品挑战了酷儿身份的主流叙事,对酷儿的时间、空间和生存提供了更复杂的理解。
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引用次数: 0
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Journal of Homosexuality
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