Margolin Leslie
Department of Counselor Education, University of Iowa, Iowa City, Iowa, USA.
J Homosex. 2023 Jan 28;70(2):291-306. doi: 10.1080/00918369.2021.1945340. Epub 2021 Jul 20.
This study argues that institutional psychiatry's pathologizing stance on homosexuality persisted after 1973, when the American Psychiatric Association removed homosexuality from the . It persisted not only through the well-known diagnoses of "ego-dystonic homosexuality" and "gender identity disorder of childhood," but also through case studies published in four editions of the (1981, 1989, 1994, 2002), the APA publications advertised as a "learning companion to the ." These publications contained harmful and false homosexual stereotypes, associating gay men with child abuse, violence, and sexual sadism; associating homosexuality with mental disturbance while failing to similarly mark heterosexuality or bisexuality; associating psychopathology with gay social contexts while failing to similarly mark non-gay social contexts. This study provides evidence that the portrayed homosexual women and bisexuals as invisible, and homosexual men as narcissistic, predatory, and dangerous.
本研究认为，1973年美国精神病学协会将同性恋从《精神疾病诊断与统计手册》中删除后，机构精神病学对同性恋的病理化立场仍持续存在。这种立场不仅通过广为人知的“自我不协调同性恋”和“儿童性别认同障碍”诊断得以延续，还通过《精神疾病诊断与统计手册》四个版本（1981年、1989年、1994年、2002年）中发表的案例研究得以延续，这些美国精神病学协会的出版物被宣传为“《精神疾病诊断与统计手册》的学习伴侣”。这些出版物包含有害且错误的同性恋刻板印象，将男同性恋与虐待儿童、暴力和性虐待狂联系在一起；将同性恋与精神障碍联系起来，却没有同样地给异性恋或双性恋贴上此类标签；将精神病理学与同性恋社会背景联系起来，却没有同样地给非同性恋社会背景贴上此类标签。本研究提供的证据表明，《精神疾病诊断与统计手册》将同性恋女性和双性恋者描绘成隐形群体，将男同性恋者描绘成自恋、掠夺性和危险的群体。
