Lecture 9 Social determinants of MH in LGBT populations Flashcards Preview

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Flashcards in Lecture 9 Social determinants of MH in LGBT populations Deck (16)
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1
Q

Evelyn Hooker

A
  • homosexuality= psychopathy was challenged
  • compared 30 heterosexual men and 30 homosexual men– using battery test of psychopathy
  • no diff between 2 samples
  • homosexuality removed from DSM- II
2
Q

societal stigma…

A

affects well-being

3
Q

S.O + mental health

A
  • depression + anxiety
  • suicidal ideation
  • suicide attempts (highest)
  • substance misuse
4
Q

lesbian + bisexual women mental health?

A
  • higher rates of smoking, alcohol abuse, illicit drug use
5
Q

younger lesbian + bisexual women mental health?

A

higher depression, anxiety, self-harm

6
Q

whats the minority stress hypothesis

A
  • minority stress processes (distal)= objectively experience discrimination
  • proximal= internalised homophobia, social avoidance, concealment (fear of being discovered)
7
Q

what are the distal stressors: prejudiced events

A
  • formal= laws like against same sex marriage, employment discrimination
  • informal= exclusion from parents, friends
  • verbal, physical harassment
  • prejudiced events= rly traumatic, vulnerability
8
Q

Burton, Marshal (2013)

do experiences of discrimination account for LGB mental health disparities?

A
  • sexual minority specific victimization= direct link to depression
  • higher alcohol consumption
  • no increase for heterosexuals
9
Q

proximal stressors

A
  • internal stress= from stereotypes, prejudice, discrimination
  • traits= due to victimisation
10
Q

what are the proximal stressors: internalised homophobia

A

internalised homophobia= internalisation of negative societal attitudes about homosexuality

  • feel disconnected from other LGB’s= but reminded, when they see LGB’s
  • extreme case= try to convert self to adjust social norms
  • low self-esteem
  • inner conflict
  • correlates: age, religiosity, lower income
11
Q

what is stigma consciousness?

A

expectations of negative reactions to one’s stigmatised status= so like you expect people to see you badly based on your status of homosexuality

12
Q

stigma consciousness + concealment

A
  • linked to social anxiety and depression in LGBs

- can strongly predict psychological distress than objective instances of victimisation

13
Q

concealment

A
  • constantly scared that people are gonna find out

- so you monitor yourself= try to not make it obvious

14
Q

outness consequences

women and men diff?

A
  • not consistently linked to improved well-being= depends on tolerance of person’s env (ex. if school safe env to come out or nah)
  • could be positive–> increase well-being
  • could be negative–> more exposure to harassment
  • women= come out= positive
  • men= come out= negative= because of gender roles
15
Q

connectedness with LGB community

A
  • support against stigma, discrimination
  • disconfirmation of negative stereotypes about other LGB’s
  • can make comparisons with people who are like you= higher self-esteem
16
Q

challenges to minority stress hypothesis

A
  1. correlational / mostly cross-sectional studies= can’t infer causality
  2. non-representative sampling–> low base rate
  3. can’t describe mechanisms through which minority stress increases mental health difficulties
  4. are MH discrepancies among male S.O groups illusory= because of inappropriate group comparisons?