1.

Record Nr.

UNINA9910760261803321

Autore

Semlyen Joanna

Titolo

Sexual Minorities and Mental Health : Current Perspectives and New Directions

Pubbl/distr/stampa

Cham : , : Springer International Publishing AG, , 2023

©2023

ISBN

3-031-37438-X

Edizione

[1st ed.]

Descrizione fisica

1 online resource (457 pages)

Altri autori (Persone)

RohlederPoul

Disciplina

616.89008660941

Soggetti

Minories sexuals

Salut mental

Psicologia clínica

Psicologia social

Psicologia comunitària

Llibres electrònics

Gran Bretanya

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Intro -- Foreword -- References -- Shame's Stone -- Contents -- Notes on Contributors -- List of Figures -- List of Tables -- 1 Introduction -- About the Book -- Terminology, Inclusions and Initialisms -- Outline of the Book -- Situating the Problem -- UK Census Data: Sexual Orientation, 2021 -- Future Directions -- References -- Part I Issues -- 2 Sexual Minority Mental Health: Measurement, Prevalence, and Treatment -- Introduction -- Measuring Sexual Orientation Identity -- Researching Sexual Minority Mental Health -- Prevalence of Mental Health Disparities -- UK Mental Health Prevalence -- Experiences of Mental Health Services -- Causal Pathways to Mental Health -- Mental Health Interventions for Sexual Minorities -- Affirmative Treatment -- Future Directions -- References -- 3 Social Prejudice -- Introduction -- Defining Social Prejudice Against Sexual Minorities -- Social Prejudice in Interpersonal Settings -- Attitudes Towards Sexual Minorities -- Same-Sex Marriage -- Sexual Minority Inclusion in Schools -- Social Prejudice and Mental



Health -- Conclusion -- References -- 4 Coming Out: Conceptualising a Reflexive Model of Disclosure and Non-disclosure -- Introduction -- Understanding the Coming Out Process -- The Coming Out Process and Intersectional Perspectives -- Forms of Disclosure -- Lived Experiences of Coming Out -- Positive Effects on Mental Health by Coming Out -- Homonormativity -- Potential Negative Effects of Coming Out -- Is Being Out Meaningful Still? -- A Reflexive Model of 'Coming Out' -- Conclusion -- References -- 5 Mental Health and Sexual Orientation Across the Life Course -- Introduction -- Temporal Contexts -- Key Concepts -- Young LGBTQ People and Mental Health -- Older LGBTQ People and Mental Health -- Comparing Younger and Older LGBT+ Mental Health Issues -- Conclusion -- References.

6 Identity Processes, Stressors and Mental Health in Black, Asian and Minority Ethnic Sexual Minorities -- Introduction -- BAME Sexual Minorities: An Overview -- Theoretical Frameworks for Understanding Identity -- Minority Stress Theory -- Intersectionality -- Identity Process Theory -- Stressors and Identity Processes Among BAME Sexual Minorities -- Religion -- Ethnicity &amp -- Culture -- Racism -- Mental Health in BAME Sexual Minorities -- Supporting BAME Sexual Minorities -- Social Support -- Clinical Considerations -- Conclusion -- References -- 7 Intersecting Identities: Gender and Sexual Diversity -- Introduction -- Forms of Discrimination -- Transphobia -- Cisgenderism -- Queerphobia -- At the Intersection of Gender and Prejudice -- Minority Stress Theory -- Masculinities and Prejudice -- Femininities and Prejudice -- A Note on Empowerment -- Conclusion -- References -- Part II Interventions -- 8 Clinical Formulation -- Introduction -- What Is Formulation? -- Theories and Concepts that Enable Psychological Formulations with LGB People -- LGB Affirmative Practice in Formulation -- LGB Minority Stress in Formulation -- Sociocultural and Systemic Considerations in LGB Formulation -- LGB Intersectionality in Formulation -- Practitioner Issues in Psychological Formulation with LGB People -- Having Appropriate and Affirmative Knowledge and Beliefs -- Formulating as an LGB Practitioner -- How to Create Psychological Formulations with an LGB-Specific Focus -- Clinical Vignette: Robin -- Initial Working Psychological Formulation: Robin -- Conclusion -- References -- 9 Sexual, Gender and Relationship Diverse Affirmative Therapy -- Introduction -- SGRD-Affirmative Therapy -- Why Is SGRD-Affirmative Therapy Needed? -- Mental Health and Minority Stress -- Legislation -- Lack of Training -- Key Areas to Consider -- Coming Out -- Language.

Intersectionality -- Visible and Invisible Identities -- Race/Racism -- Disability -- Autism -- Class -- Religion -- Relationship Diversity -- Key Recommendations for SGRD-Affirmative/Affirmative Therapy -- Considering one's Own Identity -- Educating Oneself -- Considering Language -- Recommendations When Working with Clients with Multiple Minority Intersecting Identities -- Recommendations for Clinical Practice When Working with Couples and Families -- Conclusion -- References -- 10 Queer Trans People and Therapeutic Practice -- Introduction -- Medical and Mental Health Needs -- Therapeutic Approaches -- Conclusion -- References -- 11 Cognitive Behaviour Therapy (CBT) for Sexual Minority Adults -- Introduction -- Cognitive Behaviour Therapy -- Evidence Regarding Cognitive and Behavioural Contributory Factors in Sexual Minority People -- Beliefs -- Cognitive and Behavioural Processes and Responses -- Treatment Outcomes for Sexual Minorities Compared to Heterosexual Clients in General Mental Healthcare Settings -- UK Evidence -- Outcomes Outside of the UK -- CBT Adapted for Sexual Minorities --



UK Evidence -- Evidence from Outside of the UK -- Third-Wave CBT Approaches -- Conclusions About CBT Protocols Adapted for Sexual Minority Adults -- Providing CBT for Sexual Minority Adults -- Therapist Knowledge and Beliefs -- Assessment and Formulation -- Psychoeducation -- Working with Negative Automatic Thoughts -- Addressing Conditional Beliefs and Rules -- Addressing Maintaining Behaviours/Processes -- Cultivating Effective Coping Responses -- Working with Core Beliefs -- Conclusion -- References -- 12 Dialectical Behaviour Therapy for Sexual Minority Populations -- Introduction -- Dialectical Behaviour Therapy -- The Application of DBT for Sexual Minorities -- The Transaction Biosocial Model -- DBT Skills -- A Dialectical and Validating Philosophy.

DBT Structure, Treatment Hierarchy, &amp -- Consultation Agreements -- DBT for Sexual Minorities: Current Evidence -- Conclusions -- References -- 13 Psychodynamic Psychotherapies and Sexual Diversity -- Introduction -- What Is a Psychodynamic Approach? -- Psychoanalysis and Homosexuality: A Troubled History -- Freud's Theory of Psychosexual Development -- The Oedipus Complex -- Contemporary Readings of the Oedipus Complex and Same-Sex Desire -- Parental Responses to Sexuality -- The Oedipus Complex as a Model of Triangulated Relationships -- Internalized Homophobia and Shame -- What Psychodynamic Psychotherapy Can Offer -- Does Psychodynamic Therapy Work? -- Conclusions -- References -- 14 Sex and Couples Therapy: Working with Same-Sex Intimate Relationships -- Introduction -- Same-Sex Intimate Relationships -- The Psychological Field -- The Psychosexual Field -- The Here-and-Now Protective Response of Heteronormativity -- Core Beliefs, Attachment Styles and Sex Myths -- Working with Gay Male Couples and Intimate Relationships -- Sexual Desire Discrepancy: 'Charlie and Robert' -- Anodyspareunia (Pain During Receptive Anal Sex): 'Philip and Peter' -- Unreliable Erections: 'Alex and Ben' -- Working with Lesbian Couples and Intimate Relationships -- Sexless Relationship: 'Grace and Emma' -- Sex After Trauma: 'Cass and Gill' -- Conclusion -- References -- 15 Addressing Substance Abuse -- Introduction -- Defining Substance Abuse -- Chemsex -- Prevalence -- Influences -- Culturally Sensitive Practice -- Service-Level Policies and Procedures -- Clinician Cultural Competence and Cultural Humility -- Affirmation, Validation, and Discussion of Sexual Minority Identities -- Adaptation to Interventions to Incorporate Minority Stress Risk Factors -- Conclusion -- References -- 16 Preventing LGBTQ+ Youth Suicide: A Queer Critical and Human Rights Approach.

Introduction -- Understanding LGBTQ+ Suicide -- Psycho-Medicalised Approaches to Understanding and Preventing Suicide -- Minority Stress Theory -- Avoiding Individualisation, De-politicisation and De-contextualisation -- The Pipeline Problem: Troubling the 'Suicide Consensus' -- LGBTQ+ Youth Suicide Prevention -- What Prevents LGBTQ+ Youth Suicide? -- Clinical and Mental Health Services -- School -- Frameworks for LGBTQ+ Youth Suicide Prevention -- Human-Rights Approach to LGBTQ+ Youth Suicide Prevention -- What Is Hindering Policy and Practice Attempts to Reduce LGBTQ+ Youth Suicide? -- Conclusion -- References -- 17 Sexual Minority Mental Health: A Public Health Perspective -- References -- Index.