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LGBTI and mental health 

LGBTI and mental health
Chapter:
LGBTI and mental health
Author(s):

Martin Plöderl

, Lieselotte Mahler

, Timo O. Nieder

, and Götz Mundle

DOI:
10.1093/med/9780198792994.003.0026
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date: 26 February 2020

Lesbian, gay, bisexual, transgender, and intersex (LGBTI) individuals face specific mental health challenges, as will be described in this chapter. Many studies reported elevated mental health problems for LGB individuals compared with their heterosexual counterparts. Fewer studies are available for trans(-gender) and inter(-sex) individuals, but the majority reported increased levels of mental health problems compared with their cisgendered or non-inter counterparts. Current explanatory models centre on the pathogenic effect of homonegativity, transnegativity, and internegativity, as well as the underlying rigid gender roles, resulting in minority stressors that LGBTI individuals and those who are perceived as LGBTI are faced with. Such experienced or internalized minority stress can explain mental health disparities well. This contrasts with the long-standing medical view that LGBTI conditions are inherently pathological. Evidence-based LGBTI-specific prevention and intervention programmes are emerging.

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