Lesbian, Gay, and Transgender Persons with Severe Mental Illness: Negotiating Wellness in the Context of Multiple Sources of Stigma
Lesbian, Gay, and Transgender Persons with Severe Mental Illness: Negotiating Wellness in the Context of Multiple Sources of Stigma
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DOI：
10.1080/15487768.2011.546277
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发表时间：
2011-01-01
期刊：
影响因子：
--
通讯作者：
Cohen, Jacqueline N.
中科院分区：
文献类型：
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作者：
Kidd, Sean A.;Veltman, Albina;Cohen, Jacqueline N.
患有严重精神疾病（SMI）的女同性恋、男同性恋和跨性别（LGT）个体的经历在临床和研究文献中得到的关注很少，尽管有证据表明这些群体得到的精神病学服务不足。在目前的研究中，来自加拿大一个中型城市的11名自认为是女同性恋、男同性恋或变性人的人接受了采访，询问了他们的性身份、性别、精神疾病和精神治疗的经历。运用扎根理论的方法对他们的叙事进行分析。研究结果强调了与精神疾病相关的耻辱和LGT身份之间复杂的相互作用，以及这些人在精神科服务中面临的疾病和身份相关挑战。参与者的叙述也谈到了韧性和健康，表明这些都是通过联系和社区培养的。最后，讨论了服务提供者可以用来为这一人群提供更有效服务的策略。
The experiences of lesbian, gay, and transgender (LGT) individuals with severe mental illness (SMI) have received minimal attention within the clinical and research literatures despite evidence to suggest that these groups receive inadequate psychiatric services. In the present study, 11 individuals from a midsized Canadian city who self-identified as lesbian, gay, or transgender were interviewed about their experiences of sexual identity, gender, mental illness, and psychiatric services. Their narratives were analyzed using grounded theory methods. The findings highlight the complex interactions of the stigma associated with mental illness and LGT identities, as well as the illness and identity-related challenges these persons face in psychiatric services. The participant narratives also speak to resilience and wellness, suggesting that these are cultivated through connection and community. Finally, strategies that service providers can use to deliver more effective services for this population are discussed.