Social and Behavioural Health Sciences Division, Dalla Lana School of Public Health, 7938University of Toronto, Toronto, ON, Canada.
Faculty of Health Sciences, 1763Simon Fraser University, Burnaby, BC, Canada.
Qual Health Res. 2022 Nov;32(13):1965-1978. doi: 10.1177/10497323221126536. Epub 2022 Sep 18.
Sexual and gender minorities (SGMs) navigate systems of oppression that reify cisgender and heterosexual norms (cisheteronormativity) while developing their identities. 'Conversion therapy' represents a particularly prominent and harmful threat in this landscape. We explore how SGM who experienced conversion therapy develop their identities to understand antecedents to mental health struggles in this population. In-depth interviews were conducted with 22 people in Canada. A 'master narratives' framework combined with Polkinghorne's narrative analysis were used to explore individual-structural relations that affect identity in settings where cisheteronormative master narratives are amplified (i.e., conversion therapy). We present research findings through a creative non-fiction, which includes learning cisheteronormative master narratives; internalizing master narratives; feeling broken and searching for alternatives; and embracing self-love amidst pain. The amplification of master narratives through conversion therapy leads to conflict and delays in adopting a coherent identity. Health professionals should enact institutional practices that affirm SGM and thereby deemphasize cisheteronormativity.
性少数群体(SGM)在发展自己的身份认同时,会遇到强化顺性别和异性恋规范(cisheteronormativity)的压迫性制度。“转换疗法”在这种环境中是一个特别突出和有害的威胁。我们探讨了经历过转换疗法的 SGM 如何发展他们的身份认同,以了解这一人群心理健康问题的前因。在加拿大,我们对 22 人进行了深入访谈。采用“主导叙事”框架和 Polkinghorne 的叙事分析,探讨了在 cisheteronormative 主导叙事被放大的环境中(即转换疗法)影响身份认同的个体-结构关系。我们通过创意非小说来呈现研究结果,包括学习 cisheteronormative 主导叙事;内化主导叙事;感到破碎并寻找替代方案;以及在痛苦中拥抱自爱。转换疗法通过放大主导叙事,导致冲突和身份认同的延迟。医疗保健专业人员应该采取肯定 SGM 的机构实践,从而淡化 cisheteronormativity。