Mental Health Issues In Lesbian Gay Bisexual And Transgender Communities

Over the last three decades, the visibility -- and public acceptance -- of self-identified lesbian women and gay men and bisexual and transgender individuals has increased dramatically, making it more important than ever to understand the dynamics of their relationships. This timely work, part of Volume 21 in the Review of Psychiatry series, offers compelling facts and insights in a concise yet comprehensive format, bringing together the latest research and clinical practice in this rapidly evolving field. Chapter 1 details normal adolescent development and the extra challenges imposed by the development of a sexual identity that is different from that of most of their peers, including the lack of lesbian, gay, bisexual, and transgender role models. Chapter 2 presents a rare discussion about theoretical models (managing a concealable stigma, minority stress and resilience, and coping with multiple minority statuses) and empirical data on aging as a stigmatized sexual minority, including the similarities and differences of aging between the sexual minority communities and the heterosexual community and special issues in working with aging ethnic minority gay men, lesbians, and bisexual persons. Chapter 3 breaks new ground by detailing the expanding role of the psychiatrist or other mental health professional as forensic expert and therapist -- requiring not only an in-depth understanding of lesbian and gay mental health issues, but also the often-daunting task of encouraging and teaching judges and juries to better understand these issues as they relate to discriminatory laws in child custody/visitation, workplace harassment/other discrimination, domestic violence, and immigration/asylum. Chapter 4 covers both the three types of etiological theories on homosexuality presented in the scientific literature and an historical overview of clinical attitudes toward homosexuality, from early modern theories (Karl Ulrichs, Krafft-Ebing, and Freud) to the present day, reporting on some adverse side effects of sexual conversion treatment that have been either overlooked or ignored in the reparative therapy literature and raising important clinical and ethical concerns. Chapter 5 examines the public and professional evolution of thinking toward U.S. African race and toward sexual orientation with regard to the reevaluation of the psychiatric diagnosis and treatment of gender identity disorder. Among other topics, the author presents a fascinating discussion of differences between sexual orientation and gender (e.g., anatomical, social, hormonal, psychological, legal, or political), and distinctions between transgenderism and homosexuality, including an illuminating case example. Thought-provoking and informative, this compact volume will be welcomed by residents, clinicians, and students alike as they continue to look for ways to better differentiate health from pathology and successfully treat these remarkably diverse individuals.

At a time when lesbian, gay, bisexual, and transgender individuals--often referred to under the umbrella acronym LGBT--are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.

Over the last three decades, the visibility -- and public acceptance -- of self-identified lesbian women and gay men and bisexual and transgender individuals has increased dramatically, making it more important than ever to understand the dynamics of their relationships. This timely work, part of Volume 21 in the Review of Psychiatry series, offers compelling facts and insights in a concise yet comprehensive format, bringing together the latest research and clinical practice in this rapidly evolving field. Chapter 1 details normal adolescent development and the extra challenges imposed by the development of a sexual identity that is different from that of most of their peers, including the lack of lesbian, gay, bisexual, and transgender role models. Chapter 2 presents a rare discussion about theoretical models (managing a concealable stigma, minority stress and resilience, and coping with multiple minority statuses) and empirical data on aging as a stigmatized sexual minority, including the similarities and differences of aging between the sexual minority communities and the heterosexual community and special issues in working with aging ethnic minority gay men, lesbians, and bisexual persons. Chapter 3 breaks new ground by detailing the expanding role of the psychiatrist or other mental health professional as forensic expert and therapist -- requiring not only an in-depth understanding of lesbian and gay mental health issues, but also the often-daunting task of encouraging and teaching judges and juries to better understand these issues as they relate to discriminatory laws in child custody/visitation, workplace harassment/other discrimination, domestic violence, and immigration/asylum. Chapter 4 covers both the three types of etiological theories on homosexuality presented in the scientific literature and an historical overview of clinical attitudes toward homosexuality, from early modern theories (Karl Ulrichs, Krafft-Ebing, and Freud) to the present day, reporting on some adverse side effects of sexual conversion treatment that have been either overlooked or ignored in the reparative therapy literature and raising important clinical and ethical concerns. Chapter 5 examines the public and professional evolution of thinking toward U.S. African race and toward sexual orientation with regard to the reevaluation of the psychiatric diagnosis and treatment of gender identity disorder. Among other topics, the author presents a fascinating discussion of differences between sexual orientation and gender (e.g., anatomical, social, hormonal, psychological, legal, or political), and distinctions between transgenderism and homosexuality, including an illuminating case example. Thought-provoking and informative, this compact volume will be welcomed by residents, clinicians, and students alike as they continue to look for ways to better differentiate health from pathology and successfully treat these remarkably diverse individuals.

Learn what resources are needed for lesser-recognized LGBT health issues Most literature that explores LGBT health issues concentrates on HIV/AIDS while leaving research studies on other vital issues lacking. Current Issues in Lesbian, Gay, Bisexual, and Transgender Health addresses this inadequacy by presenting a broad range of LGBT health issues from an interdisciplinary and mixed-method perspective. Leading experts present both quantitative and qualitative descriptions of health issues among various population groups, focusing on those topics poorly represented in present-day literature. This book is a strong start to fill in the blanks about unrealized health issues of LGBT individuals and offers insights into the resources needed to address them. Methods to assess sexual orientation and gender identity are not normally found in most population-based research. Because of the diversity within the relatively small LGBT population, research has been forced to generalize, making it less likely to effectively contribute to quality health issue data for these individuals. The research presented in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health takes particular care to specify how the orientation and sexual identity of study participants was measured. This book carefully mines previously unrevealed health disparities among LGBT populations across a broad spectrum of diseases—beyond the standard focus on HIV/AIDS. The most current and important studies are presented, including rare research on transgender health issues. The chapters are extensively referenced, and several include figures and tables to clarify and enhance understanding of the information. The wide range of topics in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health include: the inclusion of sexual orientation questions in research studies comparison of mental health issues between women of different sexual orientations mental health issues among men of different sexual orientations and HIV status in Australia the impact of sexual identity distress and social support in GLBT youth issues transgender youth health issues female-to-male (FTM) transexuals’ experiences accessing health care research on LBT domestic violence survivors health needs of male-to-female (MTF) transgenders of color Current Issues in Lesbian, Gay, Bisexual, and Transgender Health is crucial, thought-provoking reading for researchers working in LGBT health, public health professionals working in community health and LGBT health, policymakers, advocates, public health and community health faculty, and students interested in LGBT health issues.

The increase in prevalence and visibility of sexually gender diverse (SGD) populations illuminates the need for greater understanding of the ways in which current laws, systems, and programs affect their well-being. Individuals who identify as lesbian, gay, bisexual, asexual, transgender, non-binary, queer, or intersex, as well as those who express same-sex or -gender attractions or behaviors, will have experiences across their life course that differ from those of cisgender and heterosexual individuals. Characteristics such as age, race and ethnicity, and geographic location intersect to play a distinct role in the challenges and opportunities SGD people face. Understanding the Well-Being of LGBTQI+ Populations reviews the available evidence and identifies future research needs related to the well-being of SDG populations across the life course. This report focuses on eight domains of well-being; the effects of various laws and the legal system on SGD populations; the effects of various public policies and structural stigma; community and civic engagement; families and social relationships; education, including school climate and level of attainment; economic experiences (e.g., employment, compensation, and housing); physical and mental health; and health care access and gender-affirming interventions. The recommendations of Understanding the Well-Being of LGBTQI+ Populations aim to identify opportunities to advance understanding of how individuals experience sexuality and gender and how sexual orientation, gender identity, and intersex status affect SGD people over the life course.

Take your knowledge of the mental health issues that affect LGBT people to the next level! The Handbook of LGBT Issues in Community Mental Health provides reliable, up-to-date information on clinical issues, administrative practices, and health concerns related to the provision of public sector mental health services to LGBT people. The handbook presents clinical case material and describes various current clinical programs, with details about how they were developed and fostered, as well as their unique role in the provision of mental health services to this population. Contributors share their experiences developing two of the largest public LGBT programs in the United States and offer practical strategies for developing LGBT mental health programming in any community. This single source brings together mental health clinicians, administrators, and advocates whose work involves public sector issues that concern the LGBT community. These seasoned experts provide in-depth information for those who need to know about the current state of mental health care in public psychiatry for LGBT individuals. The book also explores the professional and popular literature on the subject, providing a broad overview of the issues in this expanding clinical area. The Handbook of LGBT Issues in Community Mental Health contains five chapters that target policy, administrative, and programmatic issues, providing a neglected perspective for clinicians, program developers, administrators, advocates, and funders. In addition, you’ll find: two case studies that vividly demonstrate the relevance of culturally appropriate services and highlight the reasons why services in this area are so sorely needed a psychiatrist’s recollections of the changes he faced while working in a homophobic environment within the Veterans Administration system fascinating interviews with Francis Lu and Barbara Warren that probe the thoughts, experience, and opinions of these leaders in the development of public sector mental health programs for LGBT people an examination of the role of gender identity in the treatment of a male-to-female transgender person with major mental illness In the Handbook of LGBT Issues in Community Mental Health, you’ll also find practical, how-they-did-it information that shows: how LGBT organizations in New York State organized to gain public funding for mental health and other human services, and how a new advocacy strategy that consolidated LGBT human service organizations into a statewide network was pioneered in that state how mental health care for sexual minority teens was incorporated into the medical clinic setting at a major metropolitan hospital how a culturally sensitive program for LGBT people with major mental illness was developed in New York State’s largest community mental health center how a small, volunteer community health agency developed into a multi-million dollar facility that provides comprehensive health care to New York City’s LGBT community

This cutting-edge guide spotlights some of the most exciting emerging discoveries, trends, and research areas in LGBT psychology, both in science and therapy. LGBT Psychology and Mental Health: Emerging Research and Advances brings together concise, substantive reviews of what is new or on the horizon in science and in key areas of clinical practice. It will equip professionals at institutions with mental health programs that deal with lesbian, gay, bisexual and transgender issues with information and insight to help psychologists, mental health clinicians, and counselors better serve the LGBT populations that, increasingly, are seeking their services. The book begins with introductory chapters that present an overview of the field, chronicle the relationship between the LGBT community and the field of psychology in past decades, and identify emerging issues covered in the volume. It then addresses subjects such as social psychology and LGBT populations, health disparities and LGBT populations, the evolution of developmental theory related to the LBGT populations, emerging policy issues in LGBT health and psychology, and recent efforts to make the field of psychology more trans-inclusive and affirmative. Chapters are also dedicated to examining contemporary, LGBT-affirmative psychoanalysis and treating addictions and substance abuse in the LGBT community. The book concludes with chapters that address how the concept of intersectionality can serve as a way to better understand LGBT members who possess multiple cultural identities and the unique stressors they experience in daily life. The final chapter summarizes issues that bridge the contributions provided by the authors, and it highlights current issues of focal concern in order to project future directions for the field of LGBT psychology in the next two decades.

At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.