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12 - Mental Health Stigma among LGBTQ+ Populations

from Part III - Stigma and Mental Health in Specific Contexts

Published online by Cambridge University Press:  28 July 2022

By
Carlos A. Vidales  and
Ashley J. Macbeth
Edited by
David L. Vogel  and
Nathaniel G. Wade
David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
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Summary

Members of the Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) population have a unique relationship with stigma, as this community experiences both stigma associated with identifying within the LGBTQ+ spectrum and may also navigate the unique stigmas associated with mental illness and seeking help. It is important for researchers and practitioners to understand the historical roots of these stigmata as a means of understanding the present landscape of LGBTQ+ stigma. This chapter reviews the literature of LGBTQ+ mental health stigma (i.e., mental illness, help seeking, and structural stigmas). Additionally, this chapter presents an introduction to using intersectionality as means of understanding LGBTQ+ stigmata. Research and clinical applications are discussed.

Keywords

LGBTQ+sexualitytransgenderintersectionalitystigma
Type
Chapter
Information
The Cambridge Handbook of Stigma and Mental Health , pp. 241 - 262
Publisher: Cambridge University Press
Print publication year: 2022

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References

Abramovich, A., & Cleverley, K. (2018). A call to action: The urgent need for trans inclusive measures in mental health research. The Canadian Journal of Psychiatry, 63(8), 532–537.Google Scholar
Adamczyk, A., & Liao, Y. C. (2019). Examining public opinion about LGBTQ-related issues in the United States and across multiple nations. Annual Review of Sociology, 45, 401–423.CrossRefGoogle Scholar
Ahmedani, B. K. (2011). Mental health stigma: Society, individuals, and the profession. Journal of Social Work Values and Ethics, 8(2), 4-1–4-16.Google Scholar
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.). APA.Google Scholar
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). APA.Google Scholar
Arboleda-Flórez, J., & Stuart, H. (2012). From sin to science: Fighting the stigmatization of mental illnesses. The Canadian Journal of Psychiatry, 57(8), 457–463.Google Scholar
Avery, A. M., Hellman, R. E., & Sudderth, L. K. (2001). Satisfaction with mental health services among sexual minorities with major mental illness. American Journal of Public Health, 91(6), 990.Google Scholar
Balsam, K. F., Molina, Y., Beadnell, B., Simoni, J., & Walters, K. (2011). Measuring multiple minority stress: The LGBT People of Color Microaggressions Scale. Cultural Diversity and Ethnic Minority Psychology, 17(2), 163.Google Scholar
Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine, 110, 10–17.Google Scholar
Baxter, A., Salmon, C., Dufresne, K., Carasco-Lee, A., & Matheson, F. I. (2016). Gender differences in felt stigma and barriers to help-seeking for problem gambling. Addictive Behaviors Reports, 3, 1–8.Google Scholar
Benuto, L. T., Gonzalez, F., Reinosa-Segovia, F., & Duckworth, M. (2019). Mental health literacy, stigma, and behavioral health service use: The case of Latinx and non-Latinx whites. Journal of Racial and Ethnic Health Disparities, 6(6), 1122–1130Google Scholar
Berg, R. C., Munthe-Kaas, H. M., & Ross, M. W. (2016). Internalized homonegativity: A systematic mapping review of empirical research. Journal of Homosexuality, 63(4), 541–558.Google Scholar
Berger, J. L., Addis, M. E., Green, J. D., Mackowiak, C., & Goldberg, V. (2013). Men’s reactions to mental health labels, forms of help-seeking, and sources of help-seeking advice. Psychology of Men & Masculinity, 14(4), 433.Google Scholar
Bockting, W. O., & Cesaretti, C. (2001). Spirituality, transgender identity, and coming out. Journal of Sex Education and Therapy, 26(4), 291–300.Google Scholar
Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943–951Google Scholar
Bostwick, W. B., Boyd, C. J., Hughes, T. L., West, B. T., & McCabe, S. E. (2014a). Discrimination and mental health among lesbian, gay, and bisexual adults in the United States. American Journal of Orthopsychiatry, 84(1), 35.Google Scholar
Bostwick, W. B., Meyer, I., Aranda, F., et al. (2014b). Mental health and suicidality among racially/ethnically diverse sexual minority youths. American Journal of Public Health, 104(6), 1129–1136.Google Scholar
Bourn, D. (2016). Struggles in body and spirit: Religion and LGBTQ people in US history. LGBTQ America, 21, 36–38.Google Scholar
Bradford, M. (2004). The bisexual experience: Living in a dichotomous culture. Journal of Bisexuality, 4(1–2), 7–23.Google Scholar
Burgess, D., Lee, R., Tran, A., & Van Ryn, M. (2007). Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons. Journal of LGBT health research, 3(4), 1–14.CrossRefGoogle ScholarPubMed
Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: Understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin, 136(2), 236.Google Scholar
Cicero, E. C., Reisner, S. L., Silva, S. G., Merwin, E. I., & Humphreys, J. C. (2019). Healthcare experiences of transgender adults: An integrated mixed research literature review. ANS. Advances in Nursing Science, 42(2), 123.Google Scholar
Cole, E. R. (2009). Intersectionality and research in psychology. American Psychologist, 64(3), 170.Google Scholar
Corrigan, P. W., Markowitz, F. E., & Watson, A. C. (2004). Structural levels of mental illness stigma and discrimination. Schizophrenia Bulletin, 30(3), 481–491.Google Scholar
Corrigan, P. W., & Penn, D. L. (2015). Lessons from social psychology on discrediting psychiatric stigma. Stigma and Health, 1(S), 2.Google Scholar
Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. The Canadian Journal of Psychiatry, 57(8), 464–469.Google Scholar
Corrigan, P. W., & Watson, A. C. (2002). The paradox of self‐stigma and mental illness. Clinical psychology: Science and Practice, 9(1), 35–53.Google Scholar
Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self–stigma of mental illness: Implications for self–esteem and self–efficacy. Journal of Social and Clinical Psychology, 25(8), 875–884.Google Scholar
Cyrus, K. (2017). Multiple minorities as multiply marginalized: Applying the minority stress theory to LGBTQ people of color. Journal of Gay & Lesbian Mental Health, 21(3), 194–202.CrossRefGoogle Scholar
Dürrbaum, T., & Sattler, F. A. (2020). Minority stress and mental health in lesbian, gay male, and bisexual youths: A meta-analysis. Journal of LGBT Youth, 17(3), 298–314.Google Scholar
English, D., Rendina, H. J., & Parsons, J. T. (2018). The effects of intersecting stigma: A longitudinal examination of minority stress, mental health, and substance use among Black, Latino, and multiracial gay and bisexual men. Psychology of Violence, 8(6), 669.Google Scholar
Figueroa, W. S., & Zoccola, P. M. (2015). Individual differences of risk and resiliency in sexual minority health: The roles of stigma consciousness and psychological hardiness. Psychology of Sexual Orientation and Gender Diversity, 2(3), 329.Google Scholar
Fox, A. B., Earnshaw, V. A., Taverna, E. C., & Vogt, D. (2018). Conceptualizing and measuring mental illness stigma: The mental illness stigma framework and critical review of measures. Stigma and Health, 3(4), 348.CrossRefGoogle ScholarPubMed
Ghabrial, M. A. (2017). “Trying to figure out where we belong”: Narratives of racialized sexual minorities on community, identity, discrimination, and health. Sexuality Research and Social Policy, 14(1), 42–55.Google Scholar
Gibbs, J. J., & Goldbach, J. (2015). Religious conflict, sexual identity, and suicidal behaviors among LGBT young adults. Archives of Suicide Research, 19, 472–488.Google Scholar
Goffman, E. (1963). Stigma and social identity. Understanding Deviance, 256, 265Google Scholar
Goldbach, J. T., Tanner-Smith, E. E., Bagwell, M., & Dunlap, S. (2014). Minority stress and substance use in sexual minority adolescents: A meta-analysis. Prevention Science, 15(3), 350–363.Google Scholar
Goldberg, A. E., Kuvalanka, K. A., Budge, S. L., Benz, M. B., & Smith, J. Z. (2019). Health care experiences of transgender binary and nonbinary university students. The Counseling Psychologist, 47(1), 59–97.Google Scholar
Haldeman, D. C. (1994). The practice and ethics of sexual orientation conversion therapy. Journal of Consulting and Clinical Psychology, 62(2), 221.Google Scholar
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707.Google Scholar
Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the Minority Stress Model. Professional Psychology: Research and Practice, 43(5), 460.Google Scholar
Herek, G. M. (2009). Sexual stigma and sexual prejudice in the United States: A conceptual framework. In Contemporary Perspectives on Lesbian, Gay, and Bisexual Identities (pp. 65–111). Springer.Google Scholar
Herek, G. M. (2016). The social psychology of sexual prejudice. In Nelson, T. D. (Ed.), Handbook of Prejudice, Stereotyping, and Discrimination (pp. 355–384). Psychology Press.Google Scholar
Holley, L. C., Mendoza, N. S., Del-Colle, M. M., & Bernard, M. L. (2016). Heterosexism, racism, and mental illness discrimination: Experiences of people with mental health conditions and their families. Journal of Gay & Lesbian Social Services, 28(2), 93–116.CrossRefGoogle Scholar
Hughto, J. M. W., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine, 147, 222–231.Google Scholar
Johnson, A. H., & Rogers, B. A. (2020). “We’re the normal ones here”: Community involvement, peer support, and transgender mental health. Sociological Inquiry, 90(2), 271–292.CrossRefGoogle Scholar
Jones, E. E., Farina, A., Hastorf, A. H., et al. (1984). Social Stigma: The Psychology of Marked Relationships. W. H. Freeman.Google Scholar
Kaufman, G., & Compton, D. L. (2020). Attitudes toward LGBT marriage and legal protections post-Obergefell. Sexuality Research and Social Policy, 18, 321–330.Google Scholar
King, M., Semlyen, J., Tai, S. S., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70.Google Scholar
Klein, A., & Golub, S. A. (2016). Family rejection as a predictor of suicide attempts and substance misuse among transgender and gender nonconforming adults. LGBT Health, 3(3), 193–199.CrossRefGoogle ScholarPubMed
Lannin, D. G., Vogel, D. L., Brenner, R. E., Abraham, W. T., & Heath, P. J. (2016). Does self-stigma reduce the probability of seeking mental health information?. Journal of Counseling Psychology, 63(3), 351.Google Scholar
Lea, T., de Wit, J., & Reynolds, R. (2014). Minority stress in lesbian, gay, and bisexual young adults in Australia: Associations with psychological distress, suicidality, and substance use. Archives of Sexual Behavior, 43(8), 1571–1578.Google Scholar
Lefevor, G. T., Boyd-Rogers, C. C., Sprague, B. M., & Janis, R. A. (2019). Health disparities between genderqueer, transgender, and cisgender individuals: An extension of minority stress theory. Journal of Counseling Psychology, 66(4), 385–395.Google Scholar
Lev, A. I. (2006). Disordering gender identity: Gender identity disorder in the DSM-IV-TR. Journal of Psychology & Human Sexuality, 17(3–4), 35–69.Google Scholar
Lick, D. J., Durso, L. E., & Johnson, K. L. (2013). Minority stress and physical health among sexual minorities. Perspectives on Psychological Science, 8(5), 521–548.Google Scholar
Link, B. G., Wells, J., Phelan, J. C., & Yang, L. (2015). Understanding the importance of “symbolic interaction stigma”: How expectations about the reactions of others adds to the burden of mental illness stigma. Psychiatric Rehabilitation Journal, 38(2), 117–124CrossRefGoogle Scholar
Longhofer, J. L. (2013). Shame in the clinical process with LGBTQ clients. Clinical Social Work Journal, 41(3), 297–301.Google Scholar
Lytle, M. C., Silenzio, V. M., Homan, C. M., Schneider, P., & Caine, E. D. (2018). Suicidal and help-seeking behaviors among youth in an online lesbian, gay, bisexual, transgender, queer, and questioning social network. Journal of Homosexuality, 65(13), 1916–1933.Google Scholar
Macbeth, A. J., Vidales, C. A., & Vogel, D. L. (2021). Perceived parental religiosity as a predictor of depression and substance use among LGBTQ+ individuals: The mediating role of perceived familial stigma. Psychology of Religion and Spirituality. Advance online publication.Google Scholar
Mak, W. W. S., & Cheung, R. Y. M. (2010). Self-stigma among concealable minorities in Hong Kong: Conceptualization and unified measurement. American Journal of Orthopsychiatry, 80(2), 267–281.Google Scholar
Mandel, K. H. (1970). Preliminary report on a new aversion therapy for male homosexuals. Behaviour Research and Therapy, 8(1), 93–95.Google Scholar
McDermott, E., Hughes, E., & Rawlings, V. (2018). Norms and normalisation: Understanding lesbian, gay, bisexual, transgender and queer youth, suicidality and help-seeking. Culture, Health & Sexuality, 20(2), 156–172.Google Scholar
McNamara, G., & Wilson, C. (2020). Lesbian, gay and bisexual individuals experience of mental health services – A systematic review. The Journal of Mental Health Training, Education and Practice, 15(2), 59–70.Google Scholar
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 38–56. https://doi.org/10.2307/2137286CrossRefGoogle Scholar
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674.Google Scholar
Meyer, I. H. (2015). Resilience in the study of minority stress and health of sexual and gender minorities. Psychology of Sexual Orientation and Gender Diversity, 2(3), 209–213.Google Scholar
Meyer, I. H., & Dean, L. (1998). Internalized homophobia, intimacy, and sexual behavior among gay and bisexual men. Stigma and Sexual Orientation, 4, 160–186.Google Scholar
Mink, M. D., Lindley, L. L., & Weinstein, A. A. (2014). Stress, stigma, and sexual minority status: The intersectional ecology model of LGBTQ health. Journal of Gay & Lesbian Social Services, 26(4), 502–521.Google Scholar
Mizock, L., & Mueser, K. T. (2014). Employment, mental health, internalized stigma, and coping with transphobia among transgender individuals. Psychology of Sexual Orientation and Gender Diversity, 1(2), 146.Google Scholar
Mongelli, F., Perrone, D., Balducci, J., et al. (2019). Minority stress and mental health among LGBT populations: An update on the evidence. Minerva Psichiatrica, 60(1), 27–50.Google Scholar
Moss‐Racusin, C. A., & Miller, H. G. (2016). “Taking charge” of stigma: Treatment seeking alleviates mental illness stigma targeting men. Journal of Applied Social Psychology, 46(6), 319–335.Google Scholar
Mori, D. L., Sloan, C. A., Flynn, H. W., & Burgess, C. (2020). Transgender health. In Cohen, L. (Ed.), The Wiley Encyclopedia of Health Psychology (pp. 219–227). Wiley.Google Scholar
Obergefell v. Hodges, 576 U.S. ___ (2015).Google Scholar
Oexle, N., & Corrigan, P. W. (2018). Understanding mental illness stigma toward persons with multiple stigmatized conditions: Implications of intersectionality theory. Psychiatric Services, 69(5), 587–589.Google Scholar
Pachankis, J. E. (2014). Uncovering clinical principles and techniques to address minority stress, mental health, and related health risks among gay and bisexual men. Clinical Psychology: Science and Practice, 21(4), 313–330.Google Scholar
Rachman, F., & Adityo, R. (2018). The role of multicultural counselors to help LGBT against discrimination due to failure of communication. Atlantis Press, 1, 229–233.Google Scholar
Rimes, K. A., Shivakumar, S., Ussher, G., et al. (2019). Psychosocial factors associated with suicide attempts, ideation, and future risk in lesbian, gay, and bisexual youth. Crisis, 40(2), 83–92.Google Scholar
Rouhani, S. (2014). Intersectionality-informed quantitative research: A primer. American Journal of Public Health, 103(6), 1082–1089.Google Scholar
Rouse, S. V. (2020). The sensitivity of the Bible verse selection task to the relationship between Christian fundamentalism and religious outgroup prejudice. Journal of Psychology and Theology, 49(2), 161–176.Google Scholar
Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352.Google Scholar
Salvati, M., Piumatti, G., Giacomantonio, M., & Baiocco, R. (2019). Gender stereotypes and contact with gay men and lesbians: The mediational role of sexism and homonegativity. Journal of Community & Applied Social Psychology, 29(6), 461–473.Google Scholar
Schmitz, R. M., Robinson, B. A., Tabler, J., Welch, B., & Rafaqut, S. (2020). LGBTQ+ Latino/a young people’s interpretations of stigma and mental health: An intersectional minority stress perspective. Society and Mental Health, 10(2), 163–179.Google Scholar
Shipherd, J. C., Green, K. E., & Abramovitz, S. (2010). Transgender clients: Identifying and minimizing barriers to mental health treatment. Journal of Gay & Lesbian Mental Health, 14(2), 94–108.Google Scholar
Siraj, A. (2012). “I Don’t Want to Taint the Name of Islam”: The influence of religion on the lives of Muslim lesbians. Journal of Lesbian Studies, 16(4), 449–467.Google Scholar
Steele, L. S., Tinmouth, J. M., & Lu, A. (2006). Regular health care use by lesbians: A path analysis of predictive factors. Family Practice, 23(6), 631–636.Google Scholar
Stotzer, R. L., Silverschanz, P., & Wilson, A. (2013). Gender identity and social services: Barriers to care. Journal of Social Service Research, 39(1), 63–77.Google Scholar
Sumerau, J. E. (2017). “Some of us are good, god-fearing folks”: Justifying religious participation in an LGBT Christian church. Journal of Contemporary Ethnography, 46(1), 3–29.Google Scholar
Sutter, M., & Perrin, P. B. (2016). Discrimination, mental health, and suicidal ideation among LGBTQ people of color. Journal of Counseling Psychology, 63(1), 98.Google Scholar
Tebbe, E. A., & Moradi, B. (2016). Suicide risk in trans populations: An application of minority stress theory. Journal of Counseling Psychology, 63(5), 520.Google Scholar
Tucker, J. R., Hammer, J. H., Vogel, D. L., et al. (2013). Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different? Journal of Counseling Psychology, 60(4), 520.Google Scholar
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2019). National survey on drug use and health 2016 (NSDUH-2016-DS0001). https://datafiles.samhsa.gov/Google Scholar
Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24–38Google Scholar
Veale, J. F., Watson, R. J., Peter, T., & Saewyc, E. M. (2017). Mental health disparities among Canadian transgender youth. Journal of Adolescent Health, 60(1), 44–49.Google Scholar
Verhaeghe, M., & Bracke, P. (2012). Associative stigma among mental health professionals: Implications for professional and service user well-being. Journal of Health and Social Behavior, 53(1), 17–32Google Scholar
Vogel, D. L., & Heath, P. J. (2016). Men, masculinities, and help-seeking patterns. In Wong, Y. J. & Wester, S. R. (Eds.), APA Handbooks in Psychology®. APA Handbook of Men and Masculinities (pp. 685–707). American Psychological Association.Google Scholar
Vogel, D. L., Heimerdinger-Edwards, S. R., Hammer, J. H., & Hubbard, A. (2011). “Boys don’t cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, 58(3), 368.Google Scholar
Williams, S. M., Frey, L. M., Stage, D. R. L., & Cerel, J. (2018). Exploring lived experience in gender and sexual minority suicide attempt survivors. American Journal of Orthopsychiatry, 88(6), 691.Google Scholar
Willoughby, B. L. B., Malik, N. M., & Lindahl, K. M. (2006). Parental reactions to their sons’ sexual orientation disclosures: The roles of family cohesion, adaptability, and parenting style. Psychology of Men & Masculinity, 7, 14–26.Google Scholar
White, B. P., & Fontenot, H. B. (2019). Transgender and non-conforming persons’ mental healthcare experiences: An integrative review. Archives of Psychiatric Nursing, 33(2), 203-210.Google Scholar
Whitehead, J., Shaver, J., & Stephenson, R. (2016). Outness, stigma, and primary health care utilization among rural LGBT populations. PLoS One, 11(1), e0146139.Google Scholar
Whitfield, D. L., Walls, N. E., Langenderfer-Magruder, L., & Clark, B. (2014). Queer is the new black? Not so much: Racial disparities in anti-LGBTQ discrimination. Journal of Gay & Lesbian Social Services, 26(4), 426–440.Google Scholar
Worthen, M. G. F. (2012). Heterosexual college student sexual experiences, feminist identity, and attitudes toward LGBT individuals. Journal of LGBT Youth, 9(2), 77–113.Google Scholar
Worthen, M. G. F. (2014). Blaming the jocks and the Greeks? Identifying the underlying constructs of collegiate athletes’ and fraternity/sorority members’ attitudes toward LGBT Individuals. Journal of College Student Development, 55(2), 168–195.Google Scholar

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