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Family and relationship dynamics are essential for conceptualizing LGBTQ+ mental health and wellness. The family of origin can be a vital source of social support for LGBTQ+ youth, and it serves as the foundation for successful lifelong development. Harmful family-of-origin experiences can create vulnerabilities for LGBTQ+ people as they negotiate their needs across multiple systems. In this chapter, we present a critique of the heteronormative and cisnormative assumptions that older family systems models are based on. In addition, alternative models for conceptualizing LGBTQ+ family and relationship systems are discussed. Key domains such as spiritual trauma, LGBTQ+ parenting, homelessness and LGBTQ+ youth, and the importance of chosen families for LGBTQ+ people are also presented to inform best practice with and on behalf of LGBTQ+ people.
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