Division of Psychology and Mental Health, The University of Manchester, Manchester, UK.
Psychol Psychother. 2023 Mar;96(1):1-15. doi: 10.1111/papt.12438. Epub 2022 Nov 9.
The mental health and well-being of gender and sexuality diverse (GSD) people needs to be understood within a socio-political and cultural context.
In this paper, an intersectional, social and system-based framework for understanding the mental health and well-being of GSD people is presented, for practitioners within this field to consider GSD mental health experiences and challenges within context.
Starting with a consideration of the current landscape of understanding, pivotal theories and understandings within the field are outlined. The need for a framework that centralises intersectionality and broader systemic considerations is presented.
The framework provided has an explicit focus on four key features: (1) intersectionality, (2) institutions, policies and laws, (3) people and groups and (4) social stories.
Consideration of each of these 'circles of influence' can help practitioners to understand the multi-layered and intersectional experience of GSD folk and allows for an understanding of potential intervention at both an individual and systemic and societal level.
Use of such a framework in practice goes above and beyond what is currently available by centralising the role and impact of such wider systemic variables through an intersectional lens. The framework can be applicable worldwide given its flexibility to consider and apply pertinent policies, laws, people, groups and social stories within a particular country or culture.
需要在社会政治和文化背景下理解性别和性多样化（GSD）人群的心理健康和福祉。
本文提出了一种交叉的、社会和系统为基础的框架，用于理解 GSD 人群的心理健康和福祉，供该领域的从业者在背景下考虑 GSD 心理健康的经验和挑战。
从考虑当前的理解状况开始，概述了该领域的关键理论和理解。提出了需要一个以交叉性和更广泛的系统考虑为核心的框架。
提供的框架明确侧重于四个关键特征：（1）交叉性，（2）机构、政策和法律，（3）人和群体，（4）社会故事。
考虑这些“影响圈”中的每一个都可以帮助从业者理解 GSD 人群的多层次和交叉体验，并允许在个人、系统和社会层面理解潜在的干预措施。
在实践中使用这种框架不仅超越了目前通过交叉视角集中考虑和影响更广泛的系统变量的作用，而且还具有灵活性，可以在特定国家或文化中考虑和应用相关政策、法律、人员、群体和社会故事。
