It's not just in my head: An intersectional, social and systems‐based framework in gender and sexuality diversity

Dunlop, Brendan J; Lea, Jessica M. D.

doi:10.1111/papt.12438

Cited by 7 publications

(2 citation statements)

References 63 publications

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“…In turn, this maintains client-centered practice and ensures that therapists neither neglect nor pathologize clients’ marginalized identities (BPS, 2017). The following questions, adapted from Dunlop (2022), Dunlop and Lea (2022), and Gosling et al (2022) may guide clinicians in ascertaining the link between LGBTQ+ clients’ sexual orientation, gender identity, and mental health whilst acknowledging the influence of wider systems, stories and structures on the individual: Does your sex assigned (assumed) at birth match your gender identity? How does this feel in your family, social group, school, or work?How would you identify your gender/sexuality?…”

Section: Discussionmentioning

confidence: 99%

Bisexual women's experiences of receiving help for mental health difficulties through psychological therapy: A qualitative exploration.

Pitt¹,

Taylor²,

Dunlop³

2023

Psychology of Sexual Orientation and Gender Diversity

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Bisexual women face higher rates of mental health difficulties and worse treatment outcomes from psychological therapies than other groups within the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community. Yet, research exploring treatment outcomes has predominantly investigated LGBTQ+ individuals as a homogenous group. This study investigated bisexual women's experiences of receiving help for mental health difficulties through psychological therapy. Eight bisexual women participated in online, semistructured qualitative interviews that explored their experiences of receiving psychological therapy and views on how to improve services. Qualitative data were audio-recorded, transcribed, and inductively analyzed using Reflexive Thematic Analysis. Participants described challenges, such as experiences of discrimination, that came with being both bisexual and a woman, alongside exacerbating difficulties associated with being neurodivergent or part of a marginalized ethnic group. These experiences led them to anticipate biphobia from their therapist, which participants managed through strategies such as identity concealment. Negative help-seeking experiences included therapists pathologizing bisexuality. Positive experiences included where therapists adopted a nonjudgmental and collaborative approach. Participants emphasized the importance of feeling that their identity was understood but expressed differing opinions about whether client-therapist identity matching is necessary. Results highlight the challenges associated with navigating bisexuality within clinical encounters amongst other marginalized identities, alongside the need for bisexual women to actively manage these challenges to keep themselves safe. Clinical implications include the need for therapists to receive training about bisexual women's needs and to acknowledge the impact of social and systemic injustice relating to their marginalized identities within clinical formulations.

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Section: Discussionmentioning

confidence: 99%

Bisexual women's experiences of receiving help for mental health difficulties through psychological therapy: A qualitative exploration.

Pitt¹,

Taylor²,

Dunlop³

2023

Psychology of Sexual Orientation and Gender Diversity

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“…

For the purposes of this meta-synthesis, the binary theoretical system of gender, that is, cisgender male and cisgender female, will be used, with the awareness that this is only one way to conceptualize gender, roles, and identities (Dunlop & Lea, 2023).

…”

mentioning

confidence: 99%

Men’s perspectives on the relationship between masculinities and suicidality: A thematic synthesis.

Joyce,

Pratt,

Lea

2024

Psychology of Men & Masculinities

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This review explored how currently and/or formerly suicidal men perceived masculinities to contribute to, and/or protect against, their suicidal thoughts and/or behaviors and help-seeking. Nine databases were searched using predefined search terms (e.g., masculin*, man, men, boy, suicid*, qualitative), supplemented by searches of key journals, reference and citation lists, and Google Scholar. Twenty-five English-language articles containing qualitative data were obtained. Studies were conducted in Australia, Bangladesh, Canada, Ghana, Ireland, Norway, Pakistan, South Africa, and the United Kingdom. The articles were appraised for quality and thematically synthesized, resulting in three themes. The findings suggest multifaceted roles of masculinities in influencing suicidal ideation, intent, attempts, and help-seeking. Men linked failure to attain socially powerful positions of provision and status to experiencing suicidal thoughts and behaviors. Viewing suicide as courageous and decisive, thus adhering to masculine expectations, appeared contributory to suicidal behaviors. Men described potential protective factors against suicidal behaviors, including perceived masculine expectations to protect and provide for their families, a view of suicide as cowardly and therefore un-masculine, and drawing upon “positive” masculine norms to facilitate help-seeking for suicidal ideation and distress. There was, however, substantial evidence of men describing not seeking help for suicidal ideation and distress due to adhering to “traditional” masculine norms. Clinical implications and future research directions for incorporating masculinities into male suicide prevention theory and practice are discussed, emphasizing the importance of further research into the experiences of higher risk groups of men and of men with diverse and intersecting identities.

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Clinical Formulation

Dunlop,

Lea

2023

Sexual Minorities and Mental Health

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It's not just in my head: An intersectional, social and systems‐based framework in gender and sexuality diversity

Cited by 7 publications

References 63 publications

Bisexual women's experiences of receiving help for mental health difficulties through psychological therapy: A qualitative exploration.

Bisexual women's experiences of receiving help for mental health difficulties through psychological therapy: A qualitative exploration.

Men’s perspectives on the relationship between masculinities and suicidality: A thematic synthesis.

Clinical Formulation

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