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以伤害为中心的LGBTIQ+研究的有害遗产:对医疗保健和LGBTIQ+健康的影响。

The damaging legacy of damage-centered LGBTIQ+ research: Implications for healthcare and LGBTIQ+ health.

作者信息

Cipollina Rebecca, Ruben Mollie A, Maroney Meredith R, Fu Chanel, Gonzalez Alejandra, Fogwell Nicole Theiss, Bettergarcia Jay, Levitt Heidi M

机构信息

University at Buffalo--SUNY, Buffalo, New York, USA.

The University of Rhode Island, Kingston, Rhode Island, USA.

出版信息

J Soc Issues. 2024 Sep;80(3):973-999. doi: 10.1111/josi.12641. Epub 2024 Oct 8.

Abstract

Research on LGBTIQ+ populations has focused primarily on identifying problems in the community (e.g., health disparities) and their predictors (e.g., minority stressors, discrimination). Scholars have argued that the approach of highlighting "damage" or deficits has been helpful for advocacy but has also harmed this community by perpetuating stereotypes (e.g., LGBTIQ+ individuals are unhealthy), ignoring or devaluing positive LGBTIQ+ experiences, and contributing to negative interactions in healthcare settings. To evaluate the extent to which a damage-centered approach dominates the body of available research, the authors of this article conducted a content analysis of articles related to LGBTIQ+ health published in the (JSI). The content analysis of 45 years of published manuscripts (1978-2023) revealed a strong emphasis on damage-centered themes. In response, this article advocates for structural changes that may lead to an increase in research that focuses LGBTIQ+ experiences more holistically, with the overarching goal of reimaging LGBTIQ+ research. Such suggested changes include concentrated research funding and publishing opportunities, medical training that emphasizes a strengths-based focus, and function-oriented and autonomy-promoting LGBTIQ+ research. This article suggests strategies to improve patient-provider interactions in healthcare and enhance the overall well-being of LGBTIQ+ communities. It advocates for a deliberate expansion towards a more holistic, less damage-centered body of research in LGBTIQ+ psychology.

摘要

对 LGBTQ+ 群体的研究主要集中在识别该群体中的问题(例如,健康差异)及其预测因素(例如,少数群体压力源、歧视)。学者们认为,强调“损害”或缺陷的方法对宣传工作有帮助,但也通过延续刻板印象(例如,LGBTQ+ 个体不健康)、忽视或贬低积极的 LGBTQ+ 经历以及导致医疗环境中的负面互动而伤害了这个群体。为了评估以损害为中心的方法在现有研究主体中占主导地位的程度,本文作者对发表在《联合统计索引》(JSI)上的与 LGBTQ+ 健康相关的文章进行了内容分析。对 45 年发表的手稿(1978 - 2023 年)的内容分析显示,强烈强调以损害为中心的主题。作为回应,本文主张进行结构性变革,这可能会导致更多以更全面的方式关注 LGBTQ+ 经历的研究增加,总体目标是重塑 LGBTQ+ 研究。这些建议的变革包括集中研究资金和出版机会、强调基于优势的重点关注的医学培训,以及以功能为导向和促进自主性的 LGBTQ+ 研究。本文提出了改善医疗保健中患者与提供者互动以及提高 LGBTQ+ 群体整体福祉的策略。它主张在 LGBTQ+ 心理学领域有意识地扩展到更全面、更少以损害为中心的研究主体。

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