LGBTQ Mental Health and Wellbeing Flashcards

1
Q

What does LGBTQI stand for?

A

LGBTQI stands for lesbian, gay, bisexual, transgender, queer, intersex. There’s also A for asexual and SP for spirit people in North America.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is intersex?

A

Intersex is used to describe individuals born with ambiguous external genitalia, making it difficult to determine the sex of the baby.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who is LGBTQI used to describe?

A

LGBTQI describes anyone who does not identify as heterosexual or cis-gendered. The term queer is also used as an umbrella term.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much of the UK population is LGBTQI?

A

Approximately 5-7% of the UK population identifies as LGBTQI.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why worry about LGBTQIA+ health?

A

The group has greater health needs and poorer health outcomes: 52% of LGBT people in Britain experienced depression in the past year; 3/5 experience anxiety; 13% of LGBT people aged 18-24 have attempted suicide in the last year; almost half of trans people have considered suicide in the past year.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the specific health needs which may not be met for LGBTQI people?

A

1/7 LGBT people have avoided seeking healthcare for fear of discrimination; 1/8 have experienced unequal treatment; 1/4 have witnessed negative remarks from healthcare staff; 1/10 have been outed without consent; 1/20 have been pressured to change their sexual orientation or gender identity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is conversion therapy?

A

Conversion therapy is any attempt to correct or reverse someone’s sexuality or gender identity, and it is condemned by the Royal College of Psychiatrists as being very harmful.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is gender dysphoria?

A

Gender dysphoria is clinically significant distress or impairment relating to a strong feeling of being a gender other than that assigned at birth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Can gender dysphoria be treated?

A

Yes, it can be effectively treated with aligning and affirming therapies, including hormonal treatment and supporting social transition. Suppression of puberty in adolescents can reduce suicidality.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is dysphoria in queer people?

A

Dysphoria is similarly experienced by those who identify as queer but feel unable to express their authentic queerness, which relates to higher rates of anxiety, depression, and disordered eating.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How does body dysmorphia differ in gay men vs heterosexual men?

A

Gay men are more likely to have body dysmorphia compared to heterosexual men.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What was the Buggery Act (1553) in England?

A

The Buggery Act resulted in a system for prosecuting and sometimes executing people found guilty of anal penetration and bestiality, involving medical examinations to prove guilt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How was homosexuality described in France in 1791?

A

Homosexuality was described as ‘crimes against nature,’ with physicians involved in confirming or diagnosing gay people via medical examinations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What was the significance of the medical profession in the persecution of gay people?

A

The medical profession was involved in confirming or diagnosing gay people, contributing to their persecution and criminalization.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What were the proposed causes of homosexuality from the 19th Century onwards?

A

Proposed causes included sexual inversion, neuroendocrine hermaphrodites, and the Oedipus complex, which Freud described as a phobia towards heteronormative sexual practices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What did the WHO classify homosexuality as before 2019?

A

Before 2019, the WHO classified homosexuality as a mental disorder in the International Classification of Diseases.

17
Q

When was the last execution for homosexuality in the UK?

A

The last execution for homosexuality occurred in 1835 under the Buggery Act, with the Offences Against the Person Act enacted in 1861

18
Q

What does the Wolfenden Report (1957) state?

A

The Wolfenden Report states that homosexuality is not punishable if it occurs in private.

19
Q

What does the Sexual Offences Act (1967) state?

A

The Sexual Offences Act (1967) allowed limited decriminalization of homosexuality in private between two people over the age of 21, with limits overturned by the European Court of Human Rights in 2000.

20
Q

What does Section 28 (1988) of the Local Governments Act state?

A

Section 28 outlawed activities that might normalize or promote homosexuality, resulting in censorship of sex education, library literature, and teaching. It was repealed in 2000 in Scotland and 2003 in England.

21
Q

What are some significant acts related to LGBTQI rights in the UK?

A

2000: HM Armed Forces removed ban; 2002: Adoption & Children Act; 2004: Gender Recognition Act; 2008: Human Fertilisation and Embryology Act; 2009: equalization of age of consent.

22
Q

When was same-sex marriage legalized in the UK, and what is the exception?

A

Same-sex marriage was legalized in 2014, with the exception of Northern Ireland.

23
Q

What is the minority stress theory?

A

Minority stress theory explains why marginalized groups, including LGBT individuals, might experience disproportionate rates of mental distress.

24
Q

What are the two types of stressors in minority stress theory?

A

The two types of stressors are distal stressors, which involve exclusion and isolation (prejudice), and proximal stressors, which are internal processes following exposure to distal stressors (response).

25
What is the effect of having distal and proximal stressors over time?
These stressors accumulate over time, negatively impacting participation in opportunities, increasing risks for chronic diseases, and limiting social support networks crucial for managing mental health.
26
What is 'othering'?
'Othering' is when individuals or groups are defined as not fitting in with social norms, leading to alienation from the dominant social group and resulting in prejudice and disadvantage.
27
Why might the LGBT community experience a greater rate of mental illness compared to heterosexual cisgendered people?
The LGBTQ+ community experiences more Adverse Childhood Experiences (ACEs).
28
What are ACEs? Give examples.
ACEs are Adverse Childhood Experiences, such as abuse, neglect, family disruption (e.g., divorce), and substance abuse.
29
What impact do ACEs have physiologically?
ACEs impact brain development.
30
What is ACE associated with?
ACEs are associated with greater rates of chronic illness, delayed presentation to health services, complex health problems, and mistrust.
31
Why might people from the LGBTQ community not seek consultations?
They may fear judgment or being outed to their family/community, or they may have been pressured into conversion therapy.
32
What rates of ACEs does the LGBT community experience in schools and families?
In schools, 75% of the LGBT community experiences harassment, 35% physical abuse, and 12% sexual assault. In families, there are greater rates of dysfunction, neglect, and intimate partner violence.
33
What can we do to support LGBTQI patients?
We can practice inclusivity, signal that we are allies, and provide trauma-informed care.
34
How can we ensure inclusive practice?
Consider the environment, such as whether displaying family might make some uncomfortable, and avoid religious tokens that may imply bias.
35
How can you signal to others that you are an ally?
1. Undertake the NHS rainbow programme and wear a badge. 2. Be an active bystander. 3. Reflect on your privilege. 4. Use your position of power to support others.
36
What is an active bystander?
An active bystander provides support during or after a situation where someone has experienced aggression or abuse.
37
What is trauma-informed care?
Trauma-informed care involves being aware of and sensitive to triggers, understanding how past traumatic events influence patient interactions and trust.
38
What specific therapeutic approaches may be helpful for LGBTQI patients?
Support groups (e.g., Survivors Trust) and Eye Movement Desensitization and Reprocessing (EMDR) are helpful approaches available through various services.