Burton Charles L, Wang Katie, Pachankis John E
Yale University.
Cogn Behav Pract. 2019 May;26(2):285-299. doi: 10.1016/j.cbpra.2017.05.001. Epub 2017 Jun 1.
Converging evidence points to minority stress as a risk factor that predisposes sexual minority individuals to a variety of negative psychosocial health outcomes, particularly depression and anxiety, substance use, and sexual risk-taking. This paper outlines the techniques and theoretical underpinnings for implementing an emerging empirically supported psychotherapy targeting the transdiagnostic mechanisms linking minority stress with these outcomes for sexual minority clients. We outline the essential therapeutic principles, psychoeducation content, as well as session- and homework-based activities that can be adapted for a variety of presenting problems that originate from and are exacerbated by minority stress via these transdiagnostic minority stress processes. As the development and dissemination of this therapeutic model is still within its early stages, we review the intervention's empirical support thus far and outline potential directions for future development and dissemination via individual, clinic-based, and societal channels.
越来越多的证据表明，少数群体压力是一个风险因素，它使性少数群体个体易出现各种负面的心理社会健康结果，尤其是抑郁和焦虑、物质使用以及性冒险行为。本文概述了一种新兴的、基于实证支持的心理治疗方法的技术和理论基础，该方法针对将少数群体压力与性少数群体客户这些结果联系起来的跨诊断机制。我们概述了基本的治疗原则、心理教育内容，以及基于疗程和家庭作业的活动，这些活动可以根据各种由少数群体压力通过这些跨诊断少数群体压力过程引发并加剧的呈现问题进行调整。由于这种治疗模式的开发和传播仍处于早期阶段，我们回顾了该干预措施目前的实证支持，并概述了未来通过个体、诊所和社会渠道进行开发和传播的潜在方向。
