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The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Portugal, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Portugal.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Indonesia, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Indonesia.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Switzerland, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Switzerland.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Malaysia, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Malaysia.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in the United States, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities living in the United States.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in South Africa, followed by relevant research on the associations between minority stress and well-being. Given the dearth of research on this topic, a large portion of this chapter focuses on recommendations for future research and practice for those interested in working with SMGD individuals living in South Africa.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Italy, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Italy.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Brazil, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Brazil.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Nigeria, followed by relevant research on the associations between minority stress and well-being. Given the dearth of research on this topic, a large portion of this chapter focuses on recommendations for future research and practice for those interested in working with SMGD individuals living in Nigeria.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Türkiye followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Türkiye.
This introduction provides an overview of the SMGD-MN study, including information on the context to which it was developed and its theoretical underpinnings. Additionally, we provide key terminology and an overview of the chapters’ content.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Austria, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Austria.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in India, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in India.
This chapter explores prejudice and discrimination and their effects on LGBTIQ people and communities. First, this chapter reviews research on attitudes towards LGBTIQ people, with reference to studies of homophobia, biphobia, and transphobia. With specific reference to hate crimes, it next discusses homophobic, biphobic, and transphobic victimisation. Systematic prejudice (structural prejudice embedded in social and legal institutions) is then discussed in relation to key constructs such as heterosexism, heteronormativity, and cisgenderism. The final section of the chapter focuses on minority stress and the ways in which this and other processes (e.g., internalised homophobia, decompensation) contribute to psychological distress among LGBTIQ people, including those who a multiply marginalised. The impacts of these factors on mental health in LGBTIQ populations are also discussed.
Addressing a need for LGBTQ+ affirmative counselling in training, this meticulously crafted book is designed for graduate counselling students, new practitioners, and cross-disciplinary professionals. Authored by top researchers and clinicians, this collection synthesizes best practices in training and intervention, presenting a blueprint to seamlessly integrate affirmative counselling into academic curricula. Individual chapters cover topics including history, culture, assessment, treatment planning, crisis response, international perspectives, technology, and training. Enriched with resources, real-life case examples, and thoughtful reflection questions, the book moves beyond theory to provide actionable insights for effective LGBTQ+ affirmative counselling in diverse organizational settings. Tailored for graduate programs, this book equips future practitioners to adeptly navigate the complexities of affirmative counselling.
In this chapter we will explore how the intersection of identities impacts the well-being of LGBTQ+ individuals. This chapter begins by providing an overview of intersectionality and discusses the multiple oppressions that individuals with multiple marginalized identities encounter, and also how community and generational strengths have and continue to help them counter intersecting oppressions. This chapter will also explore how counselors can conceptualize the concerns of LGBTQ+ individuals from a culturally sustaining, intersectional lens that acknowledges not only the resilience of these individuals and their communities but also the historical and current systems and levels of oppression that continue to create the need for resilience.
The minority stress model, based on the theory of minority stress, serves as a primary framework to understand mental health disparities among LGBTQ+ individuals. In this chapter, we describe the model and its relationship with the social determinants of health and multiple minority stress. Interventions and evidence-based practices incorporating this model and barriers to care are discussed.
In the United States, lesbian, gay, bisexual, transgender, queer, intersex, asexual and other sexually minoritized and gender expansive (LGBTQ+) young adults are at increased risk for experiencing mental health inequities, including anxiety, depression and psychological distress-related challenges associated with their sexual and gender identities. LGBTQ+ young adults may have unique experiences of sexual and gender minority-related vulnerability because of LGBTQ+-related minority stress and stressors, such as heterosexism, family rejection, identity concealment and internalized homophobia. Identifying and understanding specific LGBTQ+-related minority stress experiences and their complex roles in contributing to mental health burden among LGBTQ+ young adults could inform public health efforts to eliminate mental health inequities experienced by LGBTQ+ young adults. Therefore, this study sought to form empirically based risk profiles (i.e., latent classes) of LGBTQ+ young adults based on their experiences with familial heterosexist experiences, LGBTQ+-related family rejection, internalized LGBTQ+-phobia and LGBTQ+ identity concealment, and then identify associations of derived classes with psychological distress.
Methods
We recruited and enrolled participants using nonprobability, cross-sectional online survey data collected between May and August 2020 (N = 482). We used a three-step latent class analysis (LCA) approach to identify unique classes of response patterns to LGBTQ+-related minority stressor subscale items (i.e., familial heterosexist experiences, LGBTQ+-related family rejection, internalized LGBTQ+-phobia and LGBTQ+ identity concealment), and multinomial logistic regression to characterize the associations between the derived classes and psychological distress.
Results
Five distinct latent classes emerged from the LCA: (1) low minority stress, (2) LGBTQ+ identity concealment, (3) family rejection, (4) moderate minority stress and (5) high minority stress. Participants who were classified in the high and moderate minority stress classes were more likely to suffer from moderate and severe psychological distress compared to those classified in the low minority stress class. Additionally, relative to those in the low minority stress class, participants who were classified in the LGBTQ+ identity concealment group were more likely to suffer from severe psychological distress.
Conclusion
Familial heterosexist experiences, LGBTQ+-related family rejection, internalized LGBTQ+-phobia and LGBTQ+ identity concealment are four constructs that have been extensively examined as predictors for mental health outcomes among LGBTQ+ persons, and our study is among the first to reveal nuanced gradients of these stressors. Additionally, we found that more severe endorsement of minority stress was associated with greater psychological distress. Given our study results and the previously established negative mental health impacts of minority stressors among LGBTQ+ young adults, findings from our study can inform research, practice, and policy reform and development that could prevent and reduce mental health inequities among LGBTQ+ young adults.
This chapter explains the importance of social support for relationship maintenance and individual functioning. It first reviews common stressors (e.g., life events, low socioeconomic status, minority stress and stigma), their accompanying personal and relational costs, and the consequences of social support in adverse or stressful contexts. In particular, this section highlights the different consequences of perceiving support availability and actual support receipt during stress. Next, this chapter reviews the role of supportive relationships to facilitate personal goal pursuit and desired self-change in non-adverse contexts. Finally, this chapter considers social support from the perspective of the support provider and describes how caregiving can be both rewarding and costly.
The stressful minority position of transgender persons may result in a high risk of psychosis. Conflicting data suggest that the observed risk depends on setting of recruitment. We assessed the relative risk of non-affective psychotic disorder (NAPD) in a large, representative cohort of transgender persons.
Methods
This cohort was composed using: data on legal sex change from the Dutch population registry and data on dispensing of cross-sex hormones (route 1), and a registry of insurance claims from mental health care including persons with a diagnosis of gender identity disorder (DSM-IV) or gender dysphoria (DSM-5) (route 2). They were matched by sex at birth, calendar year and country of birth to controls from the general population. Transgender persons (N = 5564) and controls (N = 27 820), aged 16–60 years at 1 January 2011, were followed until the first insurance claim for NAPD in 2011–2019.
Results
The incidence rate ratio (IRR) of NAPD for transgender persons selected exclusively through route 1 (N = 3859, IRR = 2.00, 95%-CI 1.52–2.63) was increased, but significantly lower than the IRRs for those selected exclusively through route 2 (N = 694, IRR = 22.15, 95%-CI 13.91–35.28) and for those found by both routes (N = 1011, IRR = 5.17, 95%-CI 3.57–7.49; p value for differences in IRR < 0.001).
Conclusions
This study supports the social defeat-hypothesis of NAPD. The results also show the presence of a substantial number of transgender persons with severe psychiatric problems who have not (yet) taken steps to gender-affirmative care.