The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference for the classification of mental disorders. This article draws on contributions from different areas of expertise to discuss three classifications concerning sexual orientations and identities created within the DSM throughout decades.The aim of this paper is two-fold: 1) it will focus on the creation of psychiatric diagnoses for sexual practices, orientations and identities and 2) it will describe the resistance on the part of different groups whose behaviour is described within those terms. Three examples will be examined: homosexuality as a mental illness, trans* identity as 'gender dysphoria' and asexuality as 'hypoactive sexual desire disorder'.Keywords: sexual diversity, DSM, pathologisation, human rights, activism, 'reflexive project'. Résumé La pathologisation de la diversité sexuelle -l'examen critique de la DSM Le Manuel Diagnostique et Statistique des Troubles Mentaux (DSM) est la norme de référence pour la classification des troubles mentaux. Cet article s'appuie sur les contributions de différents domaines d'expertise pour discuter trois classifications concernant les orientations sexuelles et les identités crées dans le DSM tout au long des décennies. Le but de cet article est double: 1) il se concentrera sur la création de diagnostics psychiatriques pour les pratiques, les orientations et les identités sexuelles et 2) il décrira la résistance de la part des différents groupes dont le comportement est décrit dans ces termes. Trois exemples seront examinés: l'homosexualité comme maladie mentale, trans* identité en tant que 'dysphorie du genre' et l'asexualité comme 'trouble du désir sexuel hypoactif'.Mots-clés: diversité sexuelle, DSM, pathologisation, droits humains, activisme, 'projet réflexif'. ResumoA patologização da diversidade sexual -uma análise crítica do DSM O Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM) é o padrão de referência para a classificação dos transtornos mentais. Este artigo baseia-se em contribuições de diferentes áreas do conhecimento para discutir três classificações relativas a orientações e identidades sexuais criadas pelo DSM ao longo de décadas.O objetivo deste artigo é duplo: 1) incide sobre a criação de diagnósticos psiquiátri-cos para práticas, orientações e identidades sexuais e 2) descreve a resistência por parte de diferentes grupos cujo comportamento é descrito dentro desses termos. Três exemplos serão examinados: a homossexualidade como uma doença mental, a identidade trans* como 'disforia de género' e assexualidade como 'distúrbio de desejo sexual hipoativo'. Palavras-chave: diversidade sexual, DSM, patologização, direitos humanos, ativismo, 'projecto reflexivo'.
Acknowledging the importance of technology in the mental health and wellbeing of individuals during the COVID-19 pandemic, this paper aims to analyse the uses of mobile health applications by young Portuguese adults focusing on the following research question: How do the uses of m-apps by young adults interact with health and wellbeing from a gender perspective? An online survey was conducted to a representative sample of young Portuguese adults (18–30 years), under the objectives of the MyGender project that studies the interconnections of young adults with m-apps, with their technicity and imaginaries. The approach followed in this paper is quantitative-extensive. Results reveal low usage of overall health and wellbeing apps, particularly among single respondents who do not have children. Health and self-tracking apps are among the 10 most frequently used apps. Only 6.20% of the sample considers mental health apps (mHapps) as one of the three most important types of apps. Having children is a factor for a bigger interconnectedness of the respondents with overall health and wellbeing apps and the general quality of care.
The main purpose of this article is to analyse how healthcare providers in Portugal perceive asexuality. To do so, the author makes use of qualitative data from both the CILIA LGBTQI+ Lives project and The Asexual Revolution doctoral research on asexuality in Portugal, namely, a focus group conducted with healthcare providers, drawing from their assessment of interview excerpts with people identifying as asexual. The data were explored according to thematic analysis and revealed three major tendencies: (1) old tropes at the doctor’s office; (2) narratives of willingness to learn about the subject; and (3) constructive and encouraging views of asexuality. From this analysis, valuable lessons can be drawn concerning the respect for gender and sexual diversity. The author argues that both formal and informal learning play an important role in building cultural competence among healthcare providers. This could be achieved both by introducing sexual and gender diversity in curricula in HE and through media exposure on these subjects. Overall, it will lead to building knowledge and empathy about marginalised groups, and will help fight inequalities of LGBTQI+ people in healthcare. As such, LGTBQI+ activism that puts the topics of asexuality and LGBTQI+ in the media agenda, is a powerful strategy. Hence, because healthcare providers show willingness to learn, the media becomes a source for learning about asexual and LGTBQI+ experiences, which they can incorporate in their medical practice.
This article presents the result of a multimodal analysis of the representation of asexuality in Portuguese mainstream media. In Portugal, the media played a pivotal role in the relationship between the newly formed Portuguese asexual community and the wider audience. Media attention on asexuality in Portugal generated a discussion on how asexual people are represented, but also on social representations of sexual diversity in general. As a result, the Portuguese asexual community and LGBTQI+ movement were impelled to reflect on their activity and on the public image they wanted to send out. Therefore, the community had to make choices: which media to participate in; who participates; whose faces the message is associated to; to what extent the allies are to be taken into consideration; which types of discourses get privileged, and which become excluded. Amongst other public effects, the Portuguese LGBTQI+ movement started to acknowledge asexuality in documents produced by them. The corpus of materials on the subject grew, and asexuality left a significant footprint. The major tendency points towards a positive portrayal of asexuality that puts asexual people centre stage, owning narratives about themselves.
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