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Sexual and Gender Diverse Healthcare Navigation Model: A Community-Participatory Delphi Adaptation of the Transitional Care Model for Sexual and Gender Diverse Individuals. 性与性别多元化医疗保健导航模型:针对不同性取向和性别人士的过渡性护理模式的社区参与式德尔菲改编。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-21 DOI: 10.1080/00918369.2024.2431673
Scott Emory Moore, Braveheart Gillani, Dana M Prince, Ruthy Amkraut, Jackie Broz, Enrique Francis, Gulnar Feerasta, Phyllis Seven Harris, Laura Janine Mintz

Health care transitions, movements between providers or settings, can lead to poor outcomes, higher resource utilization, and even higher costs. Health care transitions can be complex experiences for sexual and gender diverse (SGD) individuals, especially when there is a need for ongoing health care (e.g. gender-affirming therapy, depression). Engaging new providers can lead to setbacks in trust requiring self-disclosure SGD-identities all over again. The Transitional Care Model (TCM) supports improvement of outcomes associated with health care transitions; however, it has not been tailored to address the unique needs of SGD populations. A sample of adult SGD patients (n = 17) and SGD health experts (n = 11) from across the US completed a six cycle, electronic, modified Delphi process to adapt the TCM for the SGD population. The iterative process produced a TCM for SGD populations including eight refined and renamed components with SGD-specific descriptions and exemplars. The resulting model, the Sexual and Gender Diverse Healthcare Navigation Model, provides an eight-component adaptive model of transitional care that centers SGD patients and their support systems across complex health care systems. The consensus panel provided descriptions for each of the eight resulting components-identifying three foundational components-the right staffing, awareness of needs and risks, and engaging individuals and their support systems throughout transitions in care. This model stands to support improved health outcomes among SGD through a multi-component, patient centered approach to health care navigation.

医疗保健过渡,即医疗服务提供者或医疗环境之间的流动,可能会导致不良后果、更高的资源利用率,甚至更高的成本。对于性取向和性别多元化(SGD)人士来说,医疗保健过渡可能是一种复杂的经历,尤其是在需要持续进行医疗保健(如性别肯定疗法、抑郁症)的情况下。接触新的医疗服务提供者可能会导致信任受挫,需要重新自我披露 SGD 身份。过渡护理模式(TCM)支持改善与医疗保健过渡相关的结果;但是,该模式尚未针对 SGD 群体的独特需求进行调整。来自美国各地的成年 SGD 患者(17 人)和 SGD 健康专家(11 人)完成了一个六周期的电子改良德尔菲流程,以针对 SGD 群体调整 TCM。这一迭代过程产生了适用于 SGD 群体的 TCM,其中包括八个经过改进和重新命名的组成部分,并附有针对 SGD 的描述和示例。最终形成的 "性与性别多元化医疗保健导航模型 "提供了一个由八个部分组成的过渡性护理适应模型,以 SGD 患者及其支持系统为中心,跨越复杂的医疗保健系统。共识小组对由此产生的八个组成部分逐一进行了说明,并确定了三个基本组成部分--正确的人员配备、对需求和风险的认识以及让个人及其支持系统参与到整个护理过渡过程中。该模式通过多要素、以患者为中心的医疗保健导航方法,支持改善社会弱势人群的健康状况。
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引用次数: 0
Could the State Benefit from Aristophanic Comic Relief? Philosophical Perspectives on Carnal Politics in Postcolonial Uganda. 国家能否受益于亚里士多德式的喜剧救济?后殖民时期乌干达肉欲政治的哲学视角》。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-21 DOI: 10.1080/00918369.2024.2431269
Owiti A K'Akumu

This article is a critical analysis of the anti-homosexuality legislation in Uganda, a state in East Africa. It primarily uses Plato's political philosophy as expressed in Aristophanes' speech in the Symposium. Using the Aristophanic viewpoint, the study derived six analytical concepts that structure its findings, discussion and conclusion. These are: the origin and fall of man; all sexual orientations are valid whether lesbian, homosexual or heterosexual; sexual cravings are natural phenomena whether lesbian, homosexual or heterosexual; law encumbers natural feelings of love and should not be used to prohibit any aspect of sexual orientation; homosexual (man-man) relations generate greater political benefits than the rest; scientific knowledge can be used to justify Aristophanes mythological explanations of sexual orientation. These concepts have been transformed into analytical questions in the study regarding the morality, naturality and legality of homosexuality in Uganda. This has led to several conclusions: All sexual orientations are valid whether lesbian, homosexual or heterosexual; Sexual cravings are natural phenomena whether lesbian, homosexual or heterosexual; and Law encumbers natural feelings of love and should not be used to prohibit any aspect of sexual orientation.

本文对东非国家乌干达的反同性恋立法进行了批判性分析。文章主要运用了柏拉图在阿里斯托芬《座谈会》中的演讲所表达的政治哲学。利用亚里士多芬的观点,本研究得出了六个分析概念,这些概念构成了研究结果、讨论和结论的结构。这六个概念是:人类的起源和堕落;无论女同性恋、男同性恋还是异性恋,所有性取向都是有效的;无论女同性恋、男同性恋还是异性恋,性渴望都是自然现象;法律妨碍了自然的爱的感觉,不应被用来禁止性取向的任何方面;同性恋(男人与男人)关系比其他关系产生更大的政治利益;科学知识可以用来证明阿里斯托芬神话中对性取向的解释是正确的。在关于乌干达同性恋的道德性、自然性和合法性的研究中,这些概念被转化为分析问题。由此得出了几个结论:无论是女同性恋、男同性恋还是异性恋,所有的性取向都是有效的;无论是女同性恋、男同性恋还是异性恋,性渴望都是自然现象;法律妨碍了自然的爱的感受,不应用来禁止性取向的任何方面。
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引用次数: 0
Navigating Queer Narratives: Student Teachers' Perspectives on LGBT+ Picture Books. 在同性恋叙事中航行:学生教师对 LGBT+ 图画书的看法》(Navigating Queer Narratives:学生教师对 LGBT+ 图画书的看法。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-21 DOI: 10.1080/00918369.2024.2428261
Evan McCormick

This study employs a queer theoretical framework to explore three student teachers' interpretations and perceptions of two LGBT+ picture books, including their considerations on integrating these texts into classroom pedagogy. The participants are nearing completion of their initial teacher training at a university in the northern part of England. The picture books that are the focus of the study were purposefully selected owing to their exploration of varied queer themes. Discussion is anchored in metaphor of picture books functioning as either "window" or "mirror," depending on children's individual experiences or identities, therefore necessitating acknowledgment of children's potential future queerness. Through semi-structured interviews and thematic analysis, the study uncovers multifaceted perspectives. Participants respond positively to both texts and express interest in incorporating these into their teaching practices. However, they additionally demonstrate awareness of potential limitations and complexities, including negative reactions from stakeholders and promoting heteronormativity. Uncertainty is expressed around navigating these issues within existing curriculum and policy frameworks. The study concludes by advocating for enhanced exploration of these difficulties in initial teacher training and early career stages, if aiming to adequately support these emerging educators in effectively promoting LGBT+ inclusivity in their future classrooms.

本研究采用同性恋理论框架,探讨三位学生教师对两本 LGBT+ 绘本的解读和看法,包括他们将这些文本融入课堂教学法的考虑。参与者即将完成在英格兰北部一所大学的初始教师培训。之所以特意选择这些绘本作为研究重点,是因为它们探讨了各种同性恋主题。讨论以图画书作为 "窗口 "或 "镜子 "的隐喻为基础,这取决于儿童的个人经历或身份,因此必须承认儿童未来潜在的同性恋。通过半结构式访谈和主题分析,本研究发现了多方面的观点。参与者对这两本书都做出了积极回应,并表示有兴趣将其纳入教学实践。然而,他们也意识到了潜在的局限性和复杂性,包括利益相关者的负面反应和异性恋的推广。他们对如何在现有课程和政策框架内解决这些问题表示不确定。研究最后主张,如果要充分支持这些新兴教育工作者在未来的课堂上有效促进 LGBT+ 的包容性,就应在初始教师培训和早期职业生涯阶段加强对这些困难的探索。
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引用次数: 0
Psychometric Validation of LTiLE: A Critical Reflection. LTiLE 的心理测量验证:批判性反思
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-21 DOI: 10.1080/00918369.2024.2431277
Supianto

This commentary critically examines the psychometric validation of the "LGBTIQ+ Themes in Literature Education" (LTiLE) scale, a tool developed by Ortega-Sánchez to measure attitudes toward integrating LGBTIQ+ themes in literature education. It highlights challenges in measuring these attitudes, and underscores the urgent need to address the implications of gender-based score disparities. The commentary advocates for a mixed-methods approach to enhance understanding and underscores the necessity for ongoing exploration of LGBTIQ+ representation in literature education, advocating for more inclusive pedagogical practices considering diverse perspectives.

本评论批判性地研究了 "文学教育中的 LGBTIQ+ 主题 "量表(LTiLE)的心理测量学验证,该量表是奥尔特加-桑切斯开发的一种工具,用于测量将 LGBTIQ+ 主题纳入文学教育的态度。评论强调了衡量这些态度所面临的挑战,并强调迫切需要解决基于性别的分数差异所带来的影响。评论主张采用混合方法来加深理解,并强调有必要不断探索 LGBTIQ+ 在文学教育中的代表性,倡导考虑到不同观点的更具包容性的教学实践。
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引用次数: 0
A Critique of the GPSQ-2 Questionnaire Validation: Methodological Approaches and the Definition of Distress. 对 GPSQ-2 问卷验证的批评:方法论方法和痛苦的定义。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2431266
Supianto

This critique examines the validation of the Gender Preoccupation and Stability Questionnaire (GPSQ-2), focusing on methodological limitations and the narrow definition of distress. While the GPSQ-2 expands its scope to include adolescents, it overlooks broader emotional and social dimensions of gender dysphoria, such as shame and societal stigma. The critique also questions the psychometric robustness of the instrument and its reliance on a unidimensional model. Suggestions for further refinement include expanding the sample size and improving the measure's conceptual depth to better capture diverse experiences.

这篇评论探讨了性别关注和稳定性问卷(GPSQ-2)的验证情况,重点关注方法上的局限性和对困扰的狭隘定义。虽然 GPSQ-2 的范围扩大到了青少年,但它忽略了性别焦虑症更广泛的情感和社会层面,如羞耻感和社会耻辱感。评论还对该工具的心理测量稳健性及其对单维模型的依赖提出了质疑。进一步改进的建议包括扩大样本量和提高测量的概念深度,以更好地捕捉不同的体验。
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引用次数: 0
The Double Role of Religiosity on Subjective Well-Being of Lesbians, Gays, and Bisexuals: A Moderated Mediation Model. 宗教信仰对女同性恋者、男同性恋者和双性恋者主观幸福感的双重作用:调节中介模型
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2425938
Ágatha Aila Amábili de Meneses Gomes, Luana Elayne Cunha de Souza, Bruno Ponte Belarmino Lima, Kaline da Silva Lima

The aim of the present study was to propose an explanatory model on the influence of religiosity on the subjective well-being of lesbians, gays, and bisexuals (LGB), testing internalized homonegativity as a mediator variable and LGB and religious identities' integration as a moderator variable. The study included 409 cisgender Brazilian religious LGBs. The findings show that for individuals without integrated LGB and religious identities, there is both a positive direct effect of religiosity on the subjective well-being and an indirect negative effect mediated by internalized homonegativity, so that higher levels of religiosity lead to higher levels of internalized homonegativity, which, in turn, leads to a reduction of levels of subjective well-being. For individuals with integrated LGB and religious identities, the effect of religiosity on the well-being is only direct and positive, lacking any mediation by internalized homonegativity. This double effect of religiosity on well-being is discussed with a protective function observed when the relationship between religious beliefs and sexual orientation is not conflicting, and a punitive function, which can negatively impact well-being, through the internalization of negative beliefs about LGB identity stemming from fundamentalist and conservative religious perspectives.

本研究的目的是就宗教信仰对女同性恋者、男同性恋者和双性恋者(LGB)主观幸福感的影响提出一个解释性模型,检验作为中介变量的内化同性厌恶和作为调节变量的 LGB 与宗教身份融合。这项研究包括 409 名巴西宗教LGB的顺性别者。研究结果表明,对于没有整合 LGB 和宗教身份的人来说,宗教信仰对主观幸福感既有直接的积极影响,也有间接的消极影响,而这种影响是以内化的同性恋倾向为中介的,因此较高的宗教信仰会导致较高的内化同性恋倾向,而内化同性恋倾向反过来又会导致主观幸福感水平的下降。对于兼具女同性恋、男同性恋、双性恋和变性者身份和宗教身份的个体来说,宗教信仰对其幸福感的影响是直接的、积极的,不存在内化的同一性。宗教信仰对幸福感的这种双重影响在宗教信仰与性取向之间不存在冲突时具有保护功能,而在原教旨主义和保守宗教观点对 LGB 特性的负面信念内化时则具有惩罚功能,从而对幸福感产生负面影响。
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引用次数: 0
The Impact of Intimate Partner Violence on Gay Men's Personal and Working Lives. 亲密伴侣暴力对男同性恋个人生活和工作的影响》(The Impact of Intimate Partner Violence on Gay Men's Personal and Working Lives.
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2431264
Richelle Mayshak, Travis Harries, Christopher Watson, Ashlee Curtis, Arlene Walker

Research into intimate partner violence (IPV) has focused on the experience of female victims resulting from dominant theoretical frameworks and societal biases casting females as victims and males as abusers. While emergent studies suggest that gay male victims experience a higher prevalence rate and more severe consequences from IPV than heterosexuals victims (male or female), few studies have explored the impact of IPV on gay male victims personal and working lives. We conducted a qualitative case study analysis using an Interpretive Phenomenological Analysis by interviewing four gay males with experience of IPV. Following a description of each case, a cross-case analysis identified the similarities and differences between the participants' lived experiences according to four main themes: 1) formal support, 2) informal support, 3) workplace support, and 4) workplace performance. We found that the influence of minority stress may amplify the challenges that some gay male victims face when conceptualizing their abuse and seeking support in their personal and working lives. Organizations should develop targeted and inclusive policies that support victims, with LGBTQI±competent Employee Assistance Program (EAP) providers, and gender-neutral language when referring to IPV.

对亲密伴侣暴力(IPV)的研究主要集中在女性受害者的经历上,这是由于主流理论框架和社会偏见造成的,将女性视为受害者,将男性视为施暴者。新近的研究表明,与异性恋受害者(男性或女性)相比,男性同性恋受害者遭受 IPV 的发生率更高、后果更严重,但很少有研究探讨 IPV 对男性同性恋受害者个人生活和工作的影响。我们采用解释现象学分析法对四名遭受过 IPV 的男同性恋者进行了定性个案研究分析。在对每个案例进行描述后,交叉分析根据以下四个主题确定了参与者生活经历的异同:1)正式支持;2)非正式支持;3)工作场所支持;4)工作场所表现。我们发现,少数群体压力的影响可能会放大一些男同性恋受害者在个人和工作生活中将其虐待行为概念化并寻求支持时所面临的挑战。各组织应制定有针对性和包容性的政策,为受害者提供支持,并配备具有 LGBTQI 能力的员工援助计划(EAP)提供者,在提及 IPV 时使用性别中性的语言。
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引用次数: 0
From Sex Education to Sexualities Education: Navigating the Intersectionality of Queer Communities in Italy and the Netherlands. 从性教育到性教育:从性教育到性教育:探索意大利和荷兰同性恋社区的交叉性》。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2431265
Sofia Pavanello Decaro, Micol Gemignani, Elia Zeno Covolan, Stéphane Guy Aubin, Antonio Prunas, Maddalena Giacomozzi

This study aimed to explore the experiences, needs, and interests of queer people who are also neurodivergent, or live with a chronic illness or disability (i.e. IMMI: individuals with multi-minority identities) in Italy and the Netherlands. Five focus groups were conducted in Italy with 22 queer IMMI to identify their most relevant topics regarding and experiences with sex education. Building on the discussion topics of the focus groups, a survey in Italian and English was distributed via snowball sampling. The survey was created to explore the experiences related to sex education in the two countries. The final sample of respondents included 138 (97 Italian, 41 Dutch) queer IMMI. Results indicated that sex education received in both formal (e.g. school) and informal (e.g. family) contexts failed to include information that was sensitive and supportive of queer community's experiences. Participants reported the need to explore more topics addressing the specific needs of different identity intersections. Cross-cultural differences related to the experiences of Italian and Dutch participants were found. Overall, current sex education in Italy and the Netherlands is far from meeting the sexual health needs of queer people living with different intersections. Practical implications are discussed.

本研究旨在探讨意大利和荷兰的神经变异、患有慢性疾病或残疾的同性恋者(即 IMMI:具有多重少数群体身份的人)的经历、需求和兴趣。在意大利与 22 名同性恋 IMMI 进行了五次焦点小组讨论,以确定他们在性教育方面最相关的话题和经验。在焦点小组讨论主题的基础上,通过滚雪球式抽样,分发了一份意大利语和英语调查问卷。该调查旨在探究两国在性教育方面的经验。最终的受访者样本包括 138 名(97 名意大利人,41 名荷兰人)同性恋 IMMI。结果表明,在正规(如学校)和非正规(如家庭)环境中接受的性教育,都没有包含对同性恋群体的经历具有敏感性和支持性的信息。与会者表示,有必要探讨更多的话题,以满足不同身份交叉群体的具体需求。研究发现,意大利和荷兰参与者的经历存在跨文化差异。总体而言,意大利和荷兰目前的性教育远远不能满足不同身份交叉的同性恋者的性健康需求。本文还讨论了实际意义。
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引用次数: 0
Intraminority Gay Community Stress and Coping Responses Among Gay and Bisexual Men in Taiwan. 台湾男同性恋和双性恋的族群内压力与应对措施》(Intraminority Gay Community Stress and Coping Responses Among Gay and Bisexual Men in Taiwan)。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2431267
Cheng-Fang Yen, Yu-Ping Chang, Chia-Fen Wu

A proportion of gay and bisexual men (GBM) experience worse mental health when they encounter stress from problems within the gay community. This qualitative study examined the dominant standards held in the gay community in Taiwan, the intraminority-community stress experienced by GBM, and the strategies that GBM adopt to cope with such stress. Data from open and in-depth interviews with 26 GBM were subject to reflexive thematic analysis. The results found that appearance, sexual satisfaction, wealth and social status, being a member of gay groups, and youth were valued in the gay community in Taiwan. These standards resulted in a variety of stress responses, including concerns about not fitting in, diminished self-confidence, feelings of frustration due to unattainable standards and challenges in interpersonal relationships. The strategies adopted to cope with such stress involved acceptance and adherence, passive acceptance, rational thinking and critique, mental resilience, mutual support, and efforts to question and challenge norms. Our findings can provide mental health professionals with key insights into the intraminority gay community stress and coping responses in GBM.

一部分男同性恋者和双性恋者(GBM)在遇到来自男同性恋社区内部问题的压力时,心理健康状况会恶化。本定性研究探讨了台湾男同性恋社区的主导标准、男同性恋和双性恋经历的社区内压力,以及男同性恋和双性恋应对这些压力的策略。研究人员对 26 名男同性恋进行了开放式深入访谈,并对访谈数据进行了反思性主题分析。结果发现,外貌、性满足、财富和社会地位、作为同性恋团体的一员以及年轻是台湾同性恋群体的价值标准。这些标准导致了各种压力反应,包括担心无法融入、自信心下降、因无法达到标准而产生挫败感以及人际关系方面的挑战。应对这些压力的策略包括接受和坚持、被动接受、理性思考和批判、心理弹性、相互支持以及努力质疑和挑战规范。我们的研究结果可以为心理健康专业人员提供重要的见解,帮助他们了解同性恋社区内部的压力和应对同性恋社区综合症的对策。
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引用次数: 0
Development of Cognitive Interpolation Intervention from Aboriginal Concepts and the Piloting Effect on Prejudice Attitudes Toward Sexual and Gender Minorities. 从原住民概念出发开发认知插值干预措施,以及对性少数群体和性别少数群体偏见态度的试点效果。
IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-20 DOI: 10.1080/00918369.2024.2425941
Abayomi O Olaseni

Many Africans assume the call for acceptance of Sexual and Gender Minority (SGM) was an imposition from the Western cultures, unknowing that the history of same-sex sexual relationships predated the invasion of the colonial masters in Africa. As such, SGM persons continue to face serious prejudice and discrimination, which has culminated in the infringement of the socio-medical, psychological, and legal rights. The study set to develop a cognitive interpolation (CI) module from the longstanding aboriginal concepts (i.e. Lakiriboto-Ălàgbedemeji) and pilot the efficacy toward prejudiced attitudes of heterosexual peoples in the Yoruba-speaking region of Nigeria. This study utilized an exploratory research design. Sixteen eligible participants aged between 19 years and 47 years (M = 31.05, SD = 08.17) were purposively selected to participate. Participants were screened for eligibility using double-standard criteria. Participants were assigned to two Focus Groups and the retrieved data were content-analyzed. The outcome revealed that heterosexual participants expressed favorable dispositions toward people with diverse sexual orientations and gender identities after (RCA = +93.80%) exposure to CI intervention than before (RCA = -100%) intervention. The researcher concluded that the study provides preliminary evidence that CII is efficacious for cognitive re-orientation of prejudiced attitudes toward SGM persons and communities. Recommendations and limitations were therefore stated.

许多非洲人认为,要求接受性与性别少数群体(SGM)的呼声是西方文化强加给他们的,却不知道同性性关系的历史早在殖民者入侵非洲之前就已存在。因此,SGM 患者继续面临严重的偏见和歧视,最终导致社会医疗、心理和法律权利受到侵犯。本研究旨在从长期存在的土著概念(即 Lakiriboto-Ălàgbedemeji)中开发一个认知插值(CI)模块,并对尼日利亚约鲁巴语区异性恋者的偏见态度进行试点。本研究采用探索性研究设计。研究人员有目的地选择了 16 名年龄在 19 岁至 47 岁之间的合格参与者(中位数 = 31.05,标准差 = 08.17)参与研究。研究采用双重标准筛选参与者。参与者被分配到两个焦点小组,并对回收的数据进行了内容分析。结果显示,与干预前(RCA = -100%)相比,异性恋参与者在接触 CI 干预后(RCA = +93.80%)对具有不同性取向和性别认同的人表示了好感。研究人员总结说,这项研究提供了初步证据,证明 CII 能够有效地重新定位对 SGM 人员和群体的偏见态度。因此提出了建议和局限性。
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引用次数: 0
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Journal of Homosexuality
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