What does "Coming out" mean?'Coming out' has been described as the process through which individuals come to recognise their non-heterosexual or alternate gender identities and subsequently share those identities with others through, "an unambiguous and public declaration" (Jagose, 1996). It represents an internal -almost existentialacceptance of self that requires the individual to redefine the 'self' and, for others, their relationship to that 'self' (Hill, 2009;Troiden, 1989). It has also been described as a process of identity-centred development, emphasising self-recognition and an internal sense of identity rather one based specifically on sexual acts (Dubé, 2000).'Coming out' is not, as we will see, "a static action, but a range of various motivations, goals, and strategies that people wrap up in a single term, a catch-all for this complex identity management system" (Orne, 2011, p. 699). In this chapter we explore the intricacies of 'coming out' and its role in relation to mental health and well-being. We propose a model to better reflect the varied relevance of 'coming out' for some today. In line with other chapters in the book, we focus primarily upon LGB populations but acknowledge that there are commonalities in experience for those who are trans, queer, intersex or, indeed asexual.
Understanding the 'coming out' processComing Out -Simpson & Rivers 2 'Coming out' is complex. Historically, research on 'coming out' has tended to focus on the reactions of immediate others (family and friends) to disclosure and, of course, the social, cultural, political, and religious contexts that surrounds individuals at the time (D'Augelli, 1994). Coming out has often been characterised as a singular occurrence. For example, Savin-Williams (2001) presented it as a "critical milestone" where emotional, practical, and economic factors come into play. However, in a society underpinned by assumptions of heterosexuality and cisgender status, LGB, trans, queer, intersex and asexual people regularly find themselves in the position of having to 'come out' to others to correct those underpinning assumptions (Manning, 2014) and many have come to accept this as a 'fundamental feature' of their lives (Knoble & Linville, 2012, p. 330). Furthermore, lived experience shows that not only is 'coming out' actually an ongoing process where there is a constant need to define oneself and correct assumptions, it is also a risky one (Ragins, 2008; see also Pachankis, 2007), which we discuss further later in this chapter. Being 'out' is also not a process that is entirely within an individual's control; information is shared across networking groups, and that information (i.e., disclosure of another's actual or perceived sexual orientation, gender identity or status) can be passed on. This sometimes occurs without malice (e.g., Cho, 2018), and may even be preferred by some individuals as an "easier" means of 'coming out'. As one participant in Orne's (2011) study shared, "Some of my family has found out through means such as MySpace or Face...