LGBTQ+ People’s Experiences of Barriers and Welcoming Factors When Accessing and Attending Intervention for Psychological Trauma

Bridging the multicultural orientation framework with sexual and gender minority psychotherapy: A mixed studies systematic review.

“…Therapists who took cultural opportunities often helped SGM clients feel safe, accepted, empowered, and supported (e.g., Pixton, 2003; see Table 2). For example, therapists who provided their own pronouns and asked clients about their and their partner’s pronouns increased SGM clients’ sense of feeling welcomed and increased the perceived usefulness of psychotherapy (e.g., Keating et al, 2021; Puckett et al, 2023). Exploring SGM clients’ identities and experiences typically helped increase SGM clients’ sense of clarity, facilitating self-awareness and their coming out and transitioning processes, both critical life transitions for SGM people (e.g., Anzani et al, 2019).…”

“…Therapists who displayed qualities in line with cultural arrogance generally weakened the therapeutic relationship and discredited the therapist in clients’ eyes (e.g., Bettergarcia & Israel, 2018). Cultural arrogance often created barriers for SGM clients accessing and receiving psychological care (e.g., Keating et al, 2021), increased the likelihood of premature termination (e.g., Liddle, 1996), and decreased psychotherapy attendance and satisfaction (e.g., Schuller & Crawford, 2022). Further, therapists who overfocused on SGM identity were more likely to be perceived as inauthentic and seen as preventing deeper therapeutic work (e.g., Grove & Blasby, 2009).…”

Identifying Healthcare Stereotype Threat in Older Gay Men Living with HIV

“…Interactions with healthcare providers and the attitude of healthcare providers in particular, involved experiences that resulted in participants feeling they were judged negatively, that the evaluation of their health was negatively affected, and that speaking up or saying something would confirm stereotypes associated with their social identity. These experiences can translate to avoidance behaviors in seeking health care services; individuals may fear that their healthcare encounter will be a negative experience and therefore avoid seeking timely healthcare or choose not to disclose their sexual orientation to their healthcare provider (Burton et al, 2020; Keating et al, 2021). These outcomes provide further evidence into how psychological distress could be associated with HCST in sexual minority individuals (Abdou et al, 2016; Fingerhut et al, 2021).…”

Childhood suicide: A call to action for play therapists.

“…Educating children on effective coping strategies, emotional regulation, interpersonal skills, and inhibitory control are all empirically supported preventative measures (Ayer et al, 2020). Finally, culturally responsive play therapists, focused on integrating an intersectional lens aimed at affirming race, ethnicity, gender, affectional orientation, disability, and all identities, can make a significant contribution to minimizing the risk of suicidality among marginalized youth (Keating et al, 2021; Opara et al, 2020; Russell et al, 2018; Surace et al, 2021).…”

“…Play therapists can engage in preventative suicide care by using inclusive language (Keating et al, 2021) and advocating for adults in educational and various systems to recognize the impact of stigma and social isolation for youth. This is particularly critical for children (like Skylar) who are members of double, triple, or quadruple marginalized communities and at higher risk for suicide (Opara et al, 2020; Surace et al, 2021).…”