The Coming Out Experience of Individuals Who Identify as Lesbian, Gay, Bisexual, or Transgender

2017 ◽  
pp. 154-166
Author(s):  
Jonathan Marmo ◽  
Nava R. Silton
Keyword(s):  
Family Support ◽  
Coming Out ◽  
Time Frame ◽  
Developmental Time ◽  
Work Environments ◽  
Psychosocial Stages ◽  
Bisexual And Transgender ◽  
Age Range ◽  
Psychosocial Stages Of Development ◽  
Role Confusion

This literature review will explore the relationships of individuals who identify as lesbian, gay, bisexual, and transgender and their fears of how their relationships will be affected after coming out of the closet. This chapter will review the stages in Erik Erikson's Psychosocial Stages of Development that most pertain to the coming out years; stages associated with the fourteen to seventeen year age range. Erikson's Stage 5 (Identity versus Role Confusion) and Stage 6 (Intimacy versus Isolation) are most relevant to the aforementioned developmental time frame. This review will illuminate how each individual's life is unique and how he or she can be part of different societies, cultures, and communities that alter his or her coming out experience. This chapter will explore a variety of factors that differ from person to person such as family support, ethnic background, peer groups, and even work environments.

“Family Support Would Have Been Like Amazing”

2016 ◽  
Vol 25 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Stuart Roe
Keyword(s):  
Qualitative Study ◽  
Family Support ◽  
Peer Support ◽  
Coming Out ◽  
Family Members ◽  
Lgbtq Youth ◽  
Phenomenological Inquiry ◽  
Inquiry Approach ◽  
And Bisexual

This qualitative study examines gay and bisexual adolescent experiences with parental and family support using a phenomenological inquiry approach. Four themes related to peer support emerged from the data including (1) coming out was necessary; (2) initial reactions of parents are most often not positive; (3) lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth view religion as a barrier to support from parents; and (4) LGBTQ youth want explicit support from parents and family members. Implications for counselors working with parents, families, and individuals are discussed.

Spatial and temporal patterns of wound periderm development in Cryptomeria japonica bark

IAWA Journal ◽  
2021 ◽  
pp. 1-11
Author(s):  
Etsushi Iizuka ◽  
Megumi Ohse ◽  
Izumi Arakawa ◽  
Peter Kitin ◽  
Ryo Funada ◽  
...  
Keyword(s):  
Cryptomeria Japonica ◽  
Structural Changes ◽  
Time Frame ◽  
Developmental Time ◽  
Growth Responses ◽  
Spatial And Temporal Patterns ◽  
Cell Complexes ◽  
Tree Defenses ◽  
Wound Responses ◽  
Periderm Formation

Abstract Limited investigations have been carried out on the physiological and growth responses of bark to wounding, even though wound periderms play crucial roles in tree defenses. To understand the mechanisms of wound periderm formation, we studied the growth responses and structural changes of wounded bark of three Cryptomeria japonica individuals. We observed the developmental time frame and morphology of wound periderms around mechanically induced wounds in summer. The wound responses included discoloration, lignification, and suberization in tissues present at the time of wounding, followed by wound periderm formation and secondary metabolite deposition. The trees had developed wound periderms approximately 4 weeks after wounding. The wound periderms were within 3 mm in the axial directions and within 1 mm in the lateral directions from the wound surfaces. The distinct patterns of wound periderm formation in the axial and lateral regions resulted from the arrangement and anatomical features of the cells adjacent to the wounds. The wound phellem cells were tangentially narrower and axially shorter in the side and upper/lower regions, respectively, of the wounds. Therefore, the cell division frequencies in the planes parallel to the wound surface may be greater than those in the other directions. Wound reactions in bark might initially be triggered by microenvironmental changes, such as the spread of desiccation, which depends directly on the morphology of phloem cell complexes.

Sexual Minorities and Spirituality

2021 ◽  
pp. 147-164
Author(s):  
Dinesh Bhugra ◽  
Cameron Watson ◽  
Susham Gupta
Keyword(s):  
Identity Formation ◽  
Mental Health Professionals ◽  
Coming Out ◽  
Health Professionals ◽  
Religion And Spirituality ◽  
Religious Attitudes ◽  
Number Of Factors ◽  
Bisexual And Transgender ◽  
The Individual ◽  
Lgbt Individuals

For some lesbian, gay, bisexual, and transgender (LGBT) individuals, organized religion can sometimes be a major source of stress and difficulty in identity formation and acceptance whereas others may find solace in it. Belonging to a religion and following it are different aspects of an individual, and often an important part of the culture they have been brought up in. One of the micro-identities for the individual is religion and associated rites, rituals, and taboos. Multiple micro-identities can play a major role in the smooth functioning of an individual. ‘Coming out’ is a process of self-validation and religious views of the individual and those around them can sometimes create major difficulties. Clinicians need to be cognizant of social and religious attitudes of their patients to their own sexuality and also to specific stages of coming out. It is likely that religion and spirituality can be both obstructive or facilitatory for LGBT individuals depending upon a number of factors including homophobia or transphobia related to strong religious views. Various tenets of religions are described briefly in this chapter and their attitudes to alternate sexuality or sexual variations referred to. An attempt is made to advise clinicians and other mental health professionals on how to engage with LGBT individuals. Spirituality can play a major role in some people’s lives even when they do not follow specific organized religions.

scholarly journals Treatment of Intracranial Aneurysms Using Flow-Diverting Silk Stents (BALT): A Single Centre Experience

2011 ◽  
Vol 17 (3) ◽  
pp. 306-315 ◽  
Author(s):  
M. Leonardi ◽  
L. Cirillo ◽  
F. Toni ◽  
M. Dall'Olio ◽  
C. Princiotta ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
Major Complication ◽  
Mass Effect ◽  
Time Frame ◽  
Post Treatment ◽  
Parent Artery ◽  
Silk Stent ◽  
Single Centre Experience ◽  
Age Range

The Silk stent (Balt, Montmorency, France) is a retractable device designed to achieve curative reconstruction of the parent artery associated with an intracranial aneurysm. We present our initial experience with the Silk flow-diverting stent in the management and follow-up of 25 patients presenting with intracranial aneurysms. Twenty-five patients (age range, 34–81 years; 24 female) were treated with the Silk flow-diverting device. Aneurysms ranged in size from small (5), large (10) and giant (10) and included wide-necked aneurysms, multiple, nonsaccular, and recurrent intracranial aneurysms. Nine aneurysms were treated for headache, 14 for mass effect. None presented with haemorrhage. All patients were pretreated with dual antiplatelet medications for at least 72 hours before surgery and continued taking both agents for at least three months after treatment. A total of 25 Silk stents were used. Control MR angiography and/or CT angiography was typically performed prior to discharge and at one, three, six and 12 months post treatment. A follow-up digital subtraction angiogram was performed between six and 19 months post treatment. Complete angiographic occlusion or subtotal occlusion was achieved in 15 patients in a time frame from three days to 12 months. Three deaths and one major complication were encountered during the study period. Two patients, all with cavernous giant aneurysms, experienced transient exacerbations of preexisting cranial neuropathies and headache after the Silk treatment. Both were treated with corticosteroids, and symptoms resolved completely within a month. In our experience the Silk stent has proven to be a valuable tool in the endovascular treatment of intracranial giant partially thrombosed aneurysms and aneurysms of the internal carotid artery cavernous segment presenting with mass effect. The time of complete occlusion of the aneurysms and the risk of the bleeding is currently not predictable.

scholarly journals Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study

2019 ◽  
Vol 16 (23) ◽  
pp. 4634 ◽  
Author(s):  
Wang ◽  
Hsiao ◽  
Yen
Keyword(s):  
Sexual Orientation ◽  
Family Support ◽  
Coming Out ◽  
Early Identification ◽  
Gay And Bisexual Men ◽  
Cyber Bullying ◽  
Bisexual Men ◽  
Traditional Bullying ◽  
Related Factors ◽  
And Bisexual

This study examined the associations of timing of sexual orientation developmental milestones, gender role nonconformity, and family-related factors with victimization of traditional and cyber sexuality-related bullying during childhood among gay and bisexual men in Taiwan, in addition to the moderating effects of family-related factors on these associations. A total of 500 homosexual or bisexual men aged between 20 and 25 years were recruited into this study. The associations of early identification of sexual orientation, early coming out, level of masculinity, parental education levels, and perceived family support with victimization of traditional and cyber sexuality-related bullying were evaluated. Early identification of sexual orientation, low self-rated masculinity, and low family support were significantly associated with victimization of traditional bullying. Moreover, low family support, early coming out, and traditional bullying victimization were significantly associated with victimization of cyber bullying. Family support did not moderate the associations of early identification of sexual orientation and low masculinity with victimization of traditional bullying or cyberbullying. The factors associated with victimization of traditional and cyber sexuality-related bullying should be considered when mental health and educational professionals develop prevention and intervention strategies to reduce sexuality-related bullying.

Needs of the Aging LGBT Community in Israel

2019 ◽  
Vol 89 (1) ◽  
pp. 77-92
Author(s):  
Yitschak Shnoor ◽  
Ayelet Berg-Warman
Keyword(s):  
Social Services ◽  
Coming Out ◽  
Elderly Population ◽  
Service Providers ◽  
The Elderly ◽  
Online Questionnaire ◽  
Lgbt Community ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
General Elderly Population

Since the late 1980s, there have been changes in attitudes toward the LGBT (lesbian, gay, bisexual, and transgender) community in Israel. Nevertheless, the service system for the elderly is largely characterized by heteronormativity and relies on family members to help their elderly relatives. Goal: To examine the difficulties experienced by old LGBT people, particularly in receiving health and social services. Method: A total of 104 LGBT people aged 55+ years responded to a structured online questionnaire. Findings: Compared with the general elderly population, elderly LGBT people have fewer support networks, they tend to live alone, and suffer from tremendous loneliness. They are afraid of coming out to health and social service providers and of functional dependency, particularly due to their fear of disclosing their sexual orientation or gender identity, the barriers to receiving help, and the absence of family support to assist them.

Improving quality of care by obtaining patient-reported outcomes (PRO)-CTCAE chemotoxicities using tablet technology in daycare (DC) waiting rooms.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 165-165 ◽  
Author(s):  
Tian Qi Wang ◽  
Catherine Brown ◽  
Ashlee Vennettilli ◽  
Lauren Wong ◽  
Aein Zarrin ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Time Frame ◽  
Patient Reported Outcome ◽  
Waiting Room ◽  
Cross Sectional ◽  
Hematologic Cancer ◽  
Wide Range ◽  
Patient Reported ◽  
Age Range

165 Background: In a busy chemo DC, any efficient means of tracking important chemotoxicities can improve quality of care. The study goal was to evaluate whether tablet technology available in a DC waiting room is able to capture prevalent and severe toxicities associated with chemotherapy using the patient reported outcome (PRO) - common toxicity criteria for adverse events (CTCAE). Methods: This cross-sectional PRO-CTCAE study of 160 adult solid/hematologic cancer outpatients of all stages, who were undergoing chemotherapy (CT), focused on common chemotoxicities captured using touchscreen tablets in the DC waiting room of Princess Margaret Cancer Centre (Toronto, CA). Individual health scores from the EQ-5D VAS tool and the prevalence of AEs experienced by cancer patients within the past seven days were captured. Symptoms that were listed as moderate to very severe were considered significant. Results: Across a wide range of tumours and patients on intravenous CT, the median age (range) was 56 (19-88) years; 38% were males.Patients reported a median (range) health score (100 = best health possible, 0 = worst) of 70 (4-100). The severity offiveprevalent, key side-effects of CT were tabulated (Table). 59% of patients felt their fatigue interfered significantly with their daily activities, and 30% felt decreased appetite interfered significantly. 32% experienced nausea occasionally to almost constantly. Conclusions: The common symptoms of CT were captured FEASIBLY, and found to be highly prevalent in this CT-treated population. Capturing additional symptom prevalence outside of the 7-day time frame may be important from a clinical standpoint. Administration of PRO-CTCAE instrument through tablet technology may be an excellent method to help collect such data systematically and reliably. Updated data on 300 patients will be presented at the meeting. [Table: see text]

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