100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Diversity in Clinical Practice Week 5 Summary $5.39   Add to cart

Summary

Diversity in Clinical Practice Week 5 Summary

 6 views  0 purchase
  • Course
  • Institution

Summaries which include lecture slide notes + literature reviews + any tutorial literature of the week - all in one document!

Preview 4 out of 34  pages

  • December 10, 2023
  • 34
  • 2023/2024
  • Summary
avatar-seller
🌐
Diversity in Clinical Practice
Week 5 - Lecture Content: LGBTQI issues in
clinical practice
Slide Notes

LGBTI + and Mental Health
Consistent findings: sexual minority individuals are significantly at higher risk for
depression, anxiety, and suicidal thoughts/behaviours when compared to heterosexuals.

Suicide figures - LGBTI
Seriously considering suicide was reported by 40% of sexual minority adolescents

Planning Suicide - 34.9%

Attempting suicide - 24.9%

Suicide Figures - Heterosexuals
Seriously considering suicide - 14.8%




Diversity in Clinical Practice 1

, Planning suicide - 11.9%

Attempting suicide - 6.3%

Sexual minorities experience distinct, chronic stressors relate to their stigmatised identities,
including victimisation, prejudice, concealment of one’s sexual orientation or gender
identity and discrimination.

LGBTI + and Mental Health cont.
minority stress theory (Meyer 1995, 2003) provides a foundational framework for
understanding sexual minority mental health disparities.

Three stress processes from distal to proximal:

1. Objective or external stressors, which include structural or institutionalised discrimination
and direct interactions of victimization or prejudice.

2. One’s expectation that victimization or rejection will occur and the vigilance related to
these expectations

3. The internalization of negative social attitudes - often referred to as internalised
homophobia.

Intra-minority Stress
Pachankis (2019): gay men frequently cite their interactions with other gay men and with the
larger gay community as a source of stress.

→Gay community experienced as being overly focused on:

sex

status

competition

not very welcoming of diversity in terms of race/ethnicity

(older) age

HIV status

LGBTI + MH in context of Ethnic, Cultural, and Religious Factors
Migrants and refugees with a LGBTI background



Diversity in Clinical Practice 2

, are more likely to face negative reactions from their family or (religious and cultural)
community (SCP, 2014).

LGBTI refugees have often endured multiple traumatic experiences, being targeted for their
sexual orientation or gender identity.

Intercultural Psychodynamic LGBTI+ Group Therapy
Double minority patients with recurring anxiety and depression symptoms

Maladaptive patterns of excessive avoidance, compulsivity/overachievement, excessive
dependence/subjugation (controlling), antagonism, impulsive self-harming behaviours.

Dominant themes: fitting within cultural peer group, fitting in within LBGTI + community,
disillusionment* with ‘gay capital of europe’, jealousy towards cisgender/heterosexual
peers, guilt/shame toward family, aftermath of persecution and imprisonment, integrating
sexual/gender identity within broader identity, realistic self-appraisal formulating own
desires and life goals.

*a feeling of disappointment resulting from the discovery that something is not as good as one
believed it to be

Covert and Overt Bias/Discrimination /Homophobia/Transphobia in
Clinical Practice
“it’s a phase, a lifestyle, a choice”

“it's a degenerate western phenomenon”

“A gay man just not met the right woman yet, and a lesbian woman not the right man”

“You become gay, lesbian, transgender because of trauma or abuse”

“All gay men are feminine”

“I would have never suspected you to be gay”

Triangle of Conflict




Diversity in Clinical Practice 3

, Defense: Splitting, Projection, Denial, Denial by fantasy, Projective Identification
Anxiety: Discharged in striated muscles (sighing and muscle tension)

Discharged in smooth muscles (nausea)

Hidden feelings/Impulse: Homosexual desires/impulses.

→Can be applied to case study of Syrian man:

30-year old Syrian male presents with depression symptoms, chronic loneliness, ‘porn’
addiction

identifies as homosexual and cisgender

‘disillusioned’ with gay scene, doesn’t believe 2 men can build a lasting relationship

acknowledges but minimizes influence of religion, cultural factors, family pressure

wants help in dating women and starting a family

explicitly asks to ignore his homosexual orientation

Take Home Message
Contextualise LGBT+ themes in the triangle of sexology, (sub) cultural factors, queer theory
and possible psychopathology.

be mindful of both under and over diagnosing, premature normalizing VS premature
pathologizing



Diversity in Clinical Practice 4

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller nma19. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $5.39. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$5.39
  • (0)
  Add to cart