Social inclusion of LGBTQ and gender diverse adults with intellectual disability in disability services: A systematic review of the literature

Author(s):  
Elizabeth Smith ◽  
Tessa‐May Zirnsak ◽  
Jennifer Power ◽  
Anthony Lyons ◽  
Christine Bigby

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s141-s153 ◽  
Author(s):  
João Luiz Bastos ◽  
Antonio Fernando Boing ◽  
Karen Glazer Peres ◽  
José Leopoldo Ferreira Antunes ◽  
Marco Aurélio Peres

The objective of this study was to review the Brazilian epidemiologic literature on periodontal outcomes and socio-demographic factors, assessing bibliographic and methodological characteristics of this scientific production, as well as the consistency and statistical significance of the examined associations. A systematic review was carried out in six bibliographic sources. The review was limited to the period between 1999 and 2008, without any other type of restriction. Among the 410 papers identified, 29 were included in the review. An increasing number of articles, specifically in the last four years of study, was observed. However, there is a concentration of studies in the South and Southeast regions of Brazil, and many of them are not closely connected to theoretical formulations in the field. In spite of these shortcomings, the review findings corroborate the idea that poor socioeconomic conditions are associated with periodontal outcomes, as demonstrated primarily by income and schooling indicators.



Author(s):  
Marina De Moraes e Prado Morabi ◽  
Mônica Medeiros Kother Macedo

This article presents a systematic review of the literature on adolescence of the last five years, with a psychoanalysis as a theoretical contribution. As databases for the Portal of CAPES Journals and PubMed, with the descriptors: "Psychoanalysis", Adolescence "OR" Adolescent "and" Identification. "We found 38 publications that meet the inclusion and exclusion criteria, after an analysis of content, three thematic categories were identified: correlations of identity construction with ethnic, religious and gender aspects, Liames of adolescence along with mental disorders, and traumatic interferences in the identificative experiences.It was possible to perceive the theoretical highlight to the fact of adolescence, supported by the previous coordinates, makes it possible to construct a process of identification. It is not pathologizing adolescence, but neither neglecting the necessary attention considering that it can be enhanced psychic weaknesses of a subject that is at the height of a reframing process itself. Adolescência e as Vicissitudes Identificatórias Este artigo apresenta uma revisão sistemática de literatura sobre a adolescência, dos últimos cinco anos, tendo a psicanálise como aporte teórico. As bases de dados utilizadas foram o Portal de Periódicos CAPES e o PubMed, com os descritores: “Psychoanalysis”, Adolescence” OR “Adolescent” e “Identification”. Foram encontradas 38 publicações que atendiam aos critérios de inclusão e exclusão e, após uma análise de conteúdo, elencou-se três categorias temáticas: Correlações da construção de identidade com aspectos étnicos, religiosos e de gênero; Liames da adolescência junto aos transtornos mentais; e Interferências traumáticas nas vivências identificatórias. Pôde-se perceber o destaque teórico ao fato de que o adolescente, apoiado nas coordenadas prévias, viabiliza a construção de seu próprio processo identificatório. Trata-se de não patologizar a adolescência, porém, tampouco, descuidar da necessária atenção considerando que nela podem ser incrementadas as fragilidades psíquicas de um sujeito que está no auge de um processo de ressignificação de si mesmo.



Autism ◽  
2021 ◽  
pp. 136236132110421
Author(s):  
Goldie A McQuaid ◽  
Nancy Raitano Lee ◽  
Gregory L Wallace

Camouflaging in autism spectrum disorder could be a factor in later diagnosis of individuals without co-occurring intellectual disability, particularly among those designated female sex at birth. Little research to date has examined how gender identity impacts camouflaging, however. Further, no study has compared groups that differ in diagnostic timing to directly investigate if later-diagnosed individuals demonstrate elevated camouflaging relative to those receiving an earlier diagnosis. Using the Camouflaging Autistic Traits Questionnaire subscales (Assimilation, Compensation, and Masking), we investigated the roles of sex, gender identity (gender diverse vs cisgender), and diagnostic timing (childhood/adolescent-diagnosed vs adult-diagnosed), and the interactions of these factors, in autistic adults ( N = 502; age 18–49 years). Main effects of sex, gender identity, and diagnostic timing were revealed. Autistic females reported more camouflaging across Camouflaging Autistic Traits Questionnaire subscales compared to males. Gender diverse adults reported elevated camouflaging on the Compensation subscale compared to cisgender adults. Adulthood-diagnosed individuals reported elevated Assimilation and Compensation compared to childhood/adolescence-diagnosed individuals. We discuss how aspects of camouflaging may have particular implications for later diagnostic timing and for the intersection of neurodiversity and gender diversity. Lay abstract Camouflaging in autism spectrum disorder refers to behaviors and/or strategies that mask the presentation of autism spectrum disorder features in social contexts in order to appear “non-autistic” (Attwood, 2007). Camouflaging modifies the behavioral presentation of core autism spectrum disorder features (e.g. social and communication differences), but the underlying autistic profile is unaffected, yielding a mismatch between external observable features and the internal lived experience of autism. Camouflaging could be an important factor in later diagnosis of individuals without co-occurring intellectual disability, especially among those designated female sex at birth. Little research to date has examined how gender identity impacts camouflaging, however. Furthermore, no study has compared groups that differ in diagnostic timing to directly investigate if later-diagnosed individuals show elevated camouflaging relative to those receiving an earlier diagnosis. We used the Camouflaging Autistic Traits Questionnaire subscales (Assimilation, Compensation, and Masking) and investigated the roles of sex, gender identity (gender diverse vs cisgender), and diagnostic timing (childhood/adolescent-diagnosed vs adult-diagnosed), and the interactions of these factors, in autistic adults ( N = 502; ages 18–49 years). Main effects of sex, gender identity, and diagnostic timing were revealed. Autistic females reported more camouflaging across all three Camouflaging Autistic Traits Questionnaire subscales compared to males. Gender diverse adults reported elevated camouflaging on the Compensation subscale compared to cisgender adults. Adulthood-diagnosed individuals reported elevated Assimilation and Compensation compared to childhood/adolescence-diagnosed individuals. We discuss how the aspects of camouflaging may have unique implications for later diagnostic timing and for the intersection of neurodiversity and gender diversity.



2021 ◽  
Vol 8 (3) ◽  
pp. 276-291
Author(s):  
Jae A. Puckett ◽  
Kalei Glozier ◽  
Devon Kimball ◽  
Rowan Giffel




2016 ◽  
Vol 21 (2) ◽  
pp. 134-143 ◽  
Author(s):  
Verity Chester ◽  
Hayley Simmons ◽  
Marie Henriksen ◽  
Regi T Alexander

No research has examined vitamin D deficiency among inpatients within forensic intellectual disability services, despite their potentially increased risk. Tests of serum 25(OHD) concentration in blood are routinely offered to patients within the service as part of the admission and annual physical health check. Results were classified as deficient <25, insufficient <50, sufficient 50–75 or optimal >75. Deficient or insufficient patients were offered supplement treatment and retested within 6 months. Levels were compared between groups: level of security and gender. At baseline, 87% of patients were deficient or insufficient, whilst 13% were sufficient or optimal. At follow-up, 53% had sufficient or optimal levels. However, some patients remained deficient (13%) or insufficient (34%) due to non-compliance with treatment. Women appeared more likely to be deficient. High levels of vitamin D deficiency were found among this population. Vitamin D screening and treatment is a simple and effective way of improving the physical health of this population.



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