38 results on '"Zeeman, Laetitia"'
Search Results
2. Exploring young people’s emotional well-being and resilience in educational contexts : A resilient space?
- Author
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Cocking, Chris, Sherriff, Nigel, Aranda, Kay, and Zeeman, Laetitia
- Published
- 2020
3. Training healthcare professionals in LGBTI cultural competencies: Exploratory findings from the Health4LGBTI pilot project
- Author
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Donisi, Valeria, Amaddeo, Francesco, Zakrzewska, Karolina, Farinella, Francesco, Davis, Ruth, Gios, Lorenzo, Sherriff, Nigel, Zeeman, Laetitia, Mcglynn, Nick, Browne, Kath, Pawlega, Michal, Rodzinka, Marcin, Pinto, Nuno, Hugendubel, Katrin, Russell, Cianan, Costongs, Caroline, Sanchez-Lambert, Juliette, Mirandola, Massimo, and Rosinska, Magdalena
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- 2020
- Full Text
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4. Whose Story Is It? An Autoethnography Concerning Narrative Identity
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Grant, Alec J. and Zeeman, Laetitia
- Abstract
This paper is divided into three parts, each separated by centrally spaced asterisks. The first part, co-written on the basis of the standpoint interests of both authors, outlines the historical, philosophical, theoretical and methodological contexts for the use of autoethnographic short stories in the social and human sciences. The functions and representational practices of this genre are reviewed and discussed, and the main criticisms leveled by its detractors responded to. This sets the scene for the second part of the paper, an autoethnographic short story. Effectively a story of stories, it was constructed directly from the first author's memories of his early life in relation to textual material and was written exclusively by him. In part three, some of the significant issues raised in the story are discussed in relation to larger co-evolving social, cultural and therapeutic frameworks from a reflexive and narrative identity perspective. It is written as, and represents, an extended, unfinished dialogue between the first and second author.
- Published
- 2012
5. Prevalence of alcohol use amongst sexual and gender minority (LGBTQ+) communities in the UK: a systematic scoping review
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Meads, Catherine, primary, Zeeman, Laetitia, additional, Sherriff, Nigel, additional, and Aranda, Kay, additional
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- 2023
- Full Text
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6. A psychosocial exploration of resistances to service user involvement in United Kingdom National Health Service (NHS) mental health services.
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Moore, Timothy and Zeeman, Laetitia
- Subjects
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MENTAL health personnel , *PSYCHOANALYTIC theory , *HEALTH policy , *PATIENT participation , *ATTITUDES of medical personnel , *LEADERSHIP , *INTERVIEWING , *MEDICAL care , *NATIONAL health services , *QUALITATIVE research , *ORGANIZATIONAL change , *PSYCHOSOCIAL factors , *DISCOURSE analysis , *SOUND recordings , *INTERPROFESSIONAL relations , *THEMATIC analysis , *MENTAL health services - Abstract
Policy promotes the active participation of those with lived experience of mental health difficulties in UK NHS mental health services, from the level of collaborative care-planning to service delivery, leadership and development. However, research indicates different forms of resistance to the implementation of such service user involvement. This article reports the findings of a qualitative, interview-based study which used Foucauldian discourse analysis and psychoanalytic theory to understand how resistances are produced through the interplay of clinical mental health professionals' subjectivity and their organisational context. Service user involvement was found to highlight conflicts within clinicians' roles. Central to this conflict was an ambivalent relationship to the power associated with these roles. Power could protect professionals from work related stresses, but could also be used to dominate, silence and coerce service users in ways that conflicted with the core function of providing care. Whilst important, raising awareness of such conflict will arouse discomfort and resistance where psychological defences are challenged. A parallel is drawn with psychotherapeutic change, in which resistance must be understood and worked with as part of meaningful change. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
7. Theorising health equity research for people with intersex variance through new materialism
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Zeeman, Laetitia, primary and Aranda, Kay, additional
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- 2022
- Full Text
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8. A psychosocial exploration of resistances to service user involvement in United Kingdom National Health Service (NHS) mental health services
- Author
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Moore, Timothy, primary and Zeeman, Laetitia, additional
- Published
- 2022
- Full Text
- View/download PDF
9. Listening for commissioning: A participatory study exploring young peopleʼs experiences, views and preferences of school‐based sexual health and school nursing
- Author
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Aranda, Kay, Coleman, Lester, Sherriff, Nigel S, Cocking, Chris, Zeeman, Laetitia, and Cunningham, Liz
- Published
- 2018
- Full Text
- View/download PDF
10. sj-docx-1-hea-10.1177_13634593221099103 – Supplemental material for A psychosocial exploration of resistances to service user involvement in United Kingdom National Health Service (NHS) mental health services
- Author
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Moore, Timothy and Zeeman, Laetitia
- Subjects
Sociology ,Science Policy ,111799 Public Health and Health Services not elsewhere classified ,FOS: Health sciences ,FOS: Sociology - Abstract
Supplemental material, sj-docx-1-hea-10.1177_13634593221099103 for A psychosocial exploration of resistances to service user involvement in United Kingdom National Health Service (NHS) mental health services by Timothy Moore and Laetitia Zeeman in Health
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- 2022
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11. The resilient subject: Exploring subjectivity, identity and the body in narratives of resilience
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Aranda, Kay, Zeeman, Laetitia, Scholes, Julie, and Morales, Arantxa Santa-María
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- 2012
12. Theorising health equity research for people with intersex variance through new materialism.
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Zeeman, Laetitia and Aranda, Kay
- Subjects
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INTERSEX people , *HEALTH services accessibility , *HUMAN rights , *SCHOLARLY method , *FEMINISM , *SEX distribution , *CONCEPTUAL structures , *HEALTH equity , *SOCIAL psychology - Abstract
Health inequalities impact sex‐variant people in highly differentiated ways. This is evidenced in much academic and activist intersex research documenting the highly specific forms of inequalities arising from misrecognition, discrimination and human rights abuses inherent to pathologised accounts of non‐normative bodies. Important theoretical work further interrogates the implications of sex variant subjectivities, identities and bodies for static or binary notions of both sex and gender. In this paper, we aim to contribute further to this scholarship. We draw upon feminist materialist and Deleuzean‐informed understandings of materials or matter to rethink debates over sex‐variant subjectivities, identities and bodies in relation to inequalities in health. We argue 'the turn to matter' and associated new materialist theories draw attention to the complex, dynamic relational assemblages and entanglements mutually constituting the affective, embodied and socio‐material worlds of intersex people. Informed by these theories, we propose that inequalities can be more fully addressed through a new health equity research agenda that is co‐produced with sex‐variant people. This agenda will enable a fuller exploration of the unsettling but transformative capacities of intersex matters and meanings with the contextually specific understandings of equity in relation to health and health care. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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13. A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities
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Zeeman, Laetitia, Sherriff, Nigel, Browne, Kath, McGlynn, Nick, Mirandola, Massimo, Gios, Lorenzo, Davis, Ruth, Sanchez-Lambert, Juliette, Aujean, Sophie, Pinto, Nuno, Farinella, Francesco, Donisi, Valeria, Niedzwiedzka-Stadnik, Marta, Rosinska, Magdalena, Pierson, Anne, Amaddeo, Francesco, De Sutter, Petra, and Health4LGBTI Network, the
- Subjects
PEOPLES EXPERIENCES ,Male ,medicine.medical_specialty ,media_common.quotation_subject ,CINAHL ,Health Services Accessibility ,03 medical and health sciences ,Sexual and Gender Minorities ,0302 clinical medicine ,Nursing ,Health care ,Medicine and Health Sciences ,medicine ,Humans ,GENDER ,INDIVIDUALS ,SERVICES ,LIFE ,030212 general & internal medicine ,Homosexuality ,Sociology ,Healthcare Disparities ,media_common ,business.industry ,030503 health policy & services ,Public health ,Public Health, Environmental and Occupational Health ,Heterosexism ,Health Status Disparities ,Minority stress ,Miscellaneous ,Systematic review ,Female ,0305 other medical science ,business ,Heteronormativity - Abstract
Background Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant health inequalities. Located within a European Commission funded pilot project, this paper presents a review of the health inequalities faced by LGBTI people and the barriers health professionals encounter when providing care. Methods A narrative synthesis of 57 papers including systematic reviews, narrative reviews, meta-analyses and primary research. Literature was searched in Cochrane, Campbell Collaboration, Web of Science, CINAHL, PsychINFO and Medline. The review was undertaken to promote understanding of the causes and range of inequalities, as well as how to reduce inequalities. Results LGBTI people are more likely to experience health inequalities due to heteronormativity or heterosexism, minority stress, experiences of victimization and discrimination, compounded by stigma. Inequalities pertaining to LGBTI health(care) vary depending on gender, age, income and disability as well as between LGBTI groupings. Gaps in the literature remain around how these factors intersect to influence health, with further large-scale research needed particularly regarding trans and intersex people. Conclusion Health inequalities can be addressed via changes in policy, research and in practice through health services that accommodate the needs of LGBTI people. With improved training to address gaps in their knowledge of LGBTI health and healthcare, health professionals should work in collaboration with LGBTI people to address a range of barriers that prevent access to care. Through structural change combined with increased knowledge and understanding, services can potentially become more inclusive and equally accessible to all.
- Published
- 2018
14. Queer challenges to evidence-based practice
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Zeeman, Laetitia, Aranda, Kay, and Grant, Alec
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- 2014
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15. Barriers in care pathways and unmet mental health needs in LGBTIQ + communities.
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Silveri, Giada, Schimmenti, Simone, Prina, Eleonora, Gios, Lorenzo, Mirandola, Massimo, Converti, Manlio, Fiorillo, Andrea, Pinna, Federica, Ventriglio, Antonio, Galeazzi, Gian Maria, Sherriff, Nigel, Zeeman, Laetitia, Amaddeo, Francesco, Somaini, Giulia, Paribello, Pasquale, Giallanella, Daniela, Gaggiano, Costanza, Marchi, Mattia, Arcolin, Elisa, and Fiore, Gianluca
- Subjects
ONLINE information services ,PSYCHOLOGY information storage & retrieval systems ,HEALTH services accessibility ,MEDICAL information storage & retrieval systems ,SUBSTANCE abuse ,PSYCHOLOGY of LGBTQ+ people ,SYSTEMATIC reviews ,COMMUNITIES ,MENTAL health ,SOCIAL stigma ,DESCRIPTIVE statistics ,MEDLINE ,THEMATIC analysis ,MEDICAL needs assessment - Abstract
Lesbian, gay, bisexual, transgender, intersex, queer people and minority gender identities and sexualities (LGBTIQ+) are often stigmatized and experience discrimination in health care settings, leading to poorer mental health outcomes and unmet needs compared to heterosexual and cisgendered peers. It is thus imperative that mental health providers consider and address structural challenges in order to reduce mental health inequalities of this population. This narrative review assessed the barriers that may prevent access to care and the pathways for care in LGBTIQ + communities. PubMed, PsycInfo, Embase, and Scopus were searched for papers published between December 2021 and February 2022. A total of 107 papers were included with studies reflecting five themes: (1) Unmet mental health needs; (2) Young people; (3) Substance abuse and addiction; (4) Barriers and pathways to care; and (5) Interventions. Findings demonstrate that LGBTIQ + people experience stigmatization and higher rates of substance misuse and mental ill health, which may lead to barriers in accessing health care services, and fewer tailored interventions being provided. These findings have implications for policy, health care screening, and how specialist services are structured. Substantial gaps in the evidence-base exist, and future research should examine how mental health care providers can challenge social issues that maintain discriminatory and stigmatizing practices, and support LGBTIQ + individuals to sustain their resilience. [ABSTRACT FROM AUTHOR]
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- 2022
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16. More ‘milk’ than ‘psychology or tablets’: Mental health professionals’ perspectives on the value of peer support workers
- Author
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Moore, Timothy, primary and Zeeman, Laetitia, additional
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- 2020
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17. A Systematic Review of the Health and Healthcare Inequalities for People with Intersex Variance
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Zeeman, Laetitia, primary and Aranda, Kay, additional
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- 2020
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18. An introduction to a postmodern approach to educational research: discourse analysis
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Zeeman, Laetitia, Poggenpoel, Marie, Myburgh, CPH, and Van der Linde, N
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Educational research -- Analysis -- Usage ,Postmodernism -- Usage -- Analysis ,Discourse analysis -- Criticism and interpretation -- Usage -- Analysis ,Education ,Criticism and interpretation ,Analysis ,Usage - Abstract
This article serves as an introduction to discourse analysis. Due to logistical reasons, because this is a relatively new and multifaceted approach in research, this article involves only introductory remarks about discourse analysis as approach to qualitative, reflexive educational research. Different postmodern 'approaches' to qualitative nursing research derived from other disciplines are being rooted in nursing as epistemology. Discourse analysis is introduced as a Poststructuralist and Social Constructionist 'approach' to educational research developing within the postmodern line of thought. The ideas on discourse analysis as a research `approach' of Parker (1992: 6-20) and Terre Blanche & Durrheim (1999: 154-167) are discussed. Discourse analysis could serve as a valuable 'approach' in educational research as it challenges current dominant ways of understanding or viewing the objects of study. This process opens up space for alternative reflections that could lead to change., Postmodernism is not a school of thought. It is not a unified intellectual movement with a definite goal or perspective. 'Postmodernism can be the set of ideas which try to [...]
- Published
- 2002
19. More 'milk' than 'psychology or tablets': Mental health professionals' perspectives on the value of peer support workers.
- Author
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Moore, Timothy and Zeeman, Laetitia
- Subjects
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AFFINITY groups , *OCCUPATIONAL roles , *DRUG tablets , *PSYCHIATRIC nursing , *SOCIAL support , *EMPATHY , *SOCIAL workers , *ATTITUDE (Psychology) , *PSYCHOLOGY , *PEER counseling , *INTERVIEWING , *PSYCHOLOGISTS , *MEDICAL personnel , *NATIONAL health services , *EXPERIENCE , *DISCOURSE analysis , *EXPERIENTIAL learning , *DESCRIPTIVE statistics , *JUDGMENT sampling , *MENTAL health services - Abstract
Background: Though growing numbers of peer support workers are employed in the UK National Health Service (NHS), conflicts persist between core values of peer support and values which exert power within these services. Objectives: To explore what NHS mental health professionals value about the peer support worker role. Design: Five professionals from different professions and mental health settings were interviewed twice. The first interviews explored their experiences of working with peers. Transcripts were analysed using discourse analysis and psychosocial theory. Second interviews allowed participants to respond to the analysis and influence subsequent analysis. Results: Mental health professionals valued peers for the deeply empathic, relational approach they brought, based in their subjective experience. Peer work was also valued for the affect‐focused quality of this work, and the challenge peers pose to existing values in mental health services. The values of peer support troubled dominant ways of working based in forms of knowledge that favour objectivity and hence encountered challenges. Conclusions: Peers fulfil the role of amplifying the status of diverse forms of knowledge, values and related ways of working that have become marginalized in NHS mental health services. It is important that peers are not seen as an isolated solution to the marginalization of these forms of knowledge and values, but that their way of working becomes reflected in other roles whilst evoking change throughout these services. Patient or Public Contribution: Patient and Public Involvement groups were consulted both in the design and analysis stages of the study. [ABSTRACT FROM AUTHOR]
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- 2021
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20. Systematic Review and Meta Analyses: A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities
- Author
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Zeeman, Laetitia, Sherriff, Nigel, Browne, Kath, McGlynn, Nick, Mirandola, Massimo, Gios, Lorenzo, Davis, Ruth, Sanchez-Lambert, Juliette, Aujean, Sophie, Pinto, Nuno, Farinella, Francesco, Donisi, Valeria, Niedz´wiedzka-Stadnik, Marta, Rosinska, Magdalena, Pierson, Anne, and Amaddeo, Francesco
- Abstract
Background: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant health inequalities. Located within a European Commission funded pilot project, this paper presents a review of the health inequalities faced by LGBTI people and the barriers health professionals encounter when providing care. Methods: A narrative synthesis of 57 papers including systematic reviews, narrative reviews, meta-analyses and primary research. Literature was searched in Cochrane, Campbell Collaboration, Web of Science, CINAHL, PsychINFO and Medline. The review was undertaken to promote understanding of the causes and range of inequalities, as well as how to reduce inequalities. Results: LGBTI people are more likely to experience health inequalities due to heteronormativity or heterosexism, minority stress, experiences of victimization and discrimination, compounded by stigma. Inequalities pertaining to LGBTI health(care) vary depending on gender, age, income and disability as well as between LGBTI groupings. Gaps in the literature remain around how these factors intersect to influence health, with further large-scale research needed particularly regarding trans and intersex people. Conclusion: Health inequalities can be addressed via changes in policy, research and in practice through health services that accommodate the needs of LGBTI people. With improved training to address gaps in their knowledge of LGBTI health and healthcare, health professionals should work in collaboration with LGBTI people to address a range of barriers that prevent access to care. Through structural change combined with increased knowledge and understanding, services can potentially become more inclusive and equally accessible to all.
- Published
- 2018
21. Healthcare professionals’ assumptions as barriers to LGBTI healthcare
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McGlynn, Nick, primary, Browne, Kath, additional, Sherriff, Nigel, additional, Zeeman, Laetitia, additional, Mirandola, Massimo, additional, Gios, Lorenzo, additional, Davis, Ruth, additional, Donisi, Valeria, additional, Farinella, Francesco, additional, Rosińska, Magdalena, additional, Niedźwiedzka-Stadnik, Marta, additional, Pierson, Anne, additional, Pinto, Nuno, additional, and Hugendubel, Katrin, additional
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- 2019
- Full Text
- View/download PDF
22. Exploring young people’s emotional well-being and resilience in educational contexts: A resilient space?
- Author
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Cocking, Chris, primary, Sherriff, Nigel, additional, Aranda, Kay, additional, and Zeeman, Laetitia, additional
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- 2018
- Full Text
- View/download PDF
23. State-of-the-art study focusing on the health inequalities faced by LGBTI people: State-of-the-Art Synthesis Report (SSR)
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Zeeman, Laetitia, Sherriff, Nigel, Browne, Kath, McGlynn, Nick, Aujean, Sophie, Pinto, Nuno, Davis, Ruth, Massimo, Mirandola, Gios, Lorenzo, Amaddeo, Francesco, Donisi, Valeria, Rosinska, Magdalena, Niedźwiedzka-Stadnik, Marta, and Pierson, Anne
- Abstract
This report is a state-of-the-art review study carried out in the context of the European Union (EU) funded pilot project Health4LGBTI (SANTE/2015/C4/035). The review study focused on the health inequalities faced by LGBTI people (especially those in vulnerable situations) and the potential barriers faced by health professionals when providing their care. It brings together scientific research and grey literature in a way that leads to new insights and recommendations supported by evidence.
- Published
- 2017
24. Healthcare professionals' assumptions as barriers to LGBTI healthcare.
- Author
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McGlynn, Nick, Browne, Kath, Sherriff, Nigel, Zeeman, Laetitia, Mirandola, Massimo, Gios, Lorenzo, Davis, Ruth, Donisi, Valeria, Farinella, Francesco, Rosińska, Magdalena, Niedźwiedzka-Stadnik, Marta, Pierson, Anne, Pinto, Nuno, and Hugendubel, Katrin
- Subjects
MEDICAL personnel ,THEMATIC analysis ,HYPOTHESIS ,FOCUS groups ,PILOT projects - Abstract
Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant healthcare inequalities and barriers to healthcare services. Contextualised within six Member States of the European Union (EU), this paper discusses efforts to identify and explore the nature of barriers to healthcare as part of Health4LGBTI, a 2-year pilot project funded by the EU. Data were generated through focus groups and interviews with LGBTI people and healthcare professionals and analysed using thematic analysis. Findings reveal that barriers to healthcare are underpinned by two related assumptions held by healthcare professionals: first, the assumption that patients are heterosexual, cisgender and non-intersex by default; second, the assumption that LGBTI people do not experience significant problems (and therefore that their experience is mostly irrelevant to healthcare). On the other hand, it is notable that responding healthcare professionals were broadly 'LGBTI-friendly'. Thus, we argue that efforts to improve LGBTI healthcare should not be limited to engaging with healthcare professionals with negative views of LGBTI people. Rather, such efforts should also tackle these assumptions amongst LGBTI-friendly healthcare professionals. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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- View/download PDF
25. A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities.
- Author
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Zeeman, Laetitia, Sherriff, Nigel, Browne, Kath, McGlynn, Nick, Mirandola, Massimo, Gios, Lorenzo, Davis, Ruth, Sanchez-Lambert, Juliette, Aujean, Sophie, Pinto, Nuno, Farinella, Francesco, Donisi, Valeria, Niedźwiedzka-Stadnik, Marta, Rosińska, Magdalena, Pierson, Anne, Amaddeo, Francesco, and Network, Health4LGBTI
- Subjects
- *
AGE distribution , *CINAHL database , *FUNCTIONAL assessment , *HEALTH services accessibility , *HEALTH status indicators , *HETEROSEXUALITY , *INCOME , *INFORMATION storage & retrieval systems , *MEDICAL databases , *PSYCHOLOGY information storage & retrieval systems , *INTERPROFESSIONAL relations , *MEDLINE , *META-analysis , *PROFESSIONAL ethics , *SEX distribution , *SOCIAL stigma , *CRIME victims , *SYSTEMATIC reviews , *SOCIAL boundaries , *PSYCHOLOGY of LGBTQ+ people , *MINORITY stress - Abstract
Background Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant health inequalities. Located within a European Commission funded pilot project, this paper presents a review of the health inequalities faced by LGBTI people and the barriers health professionals encounter when providing care. Methods A narrative synthesis of 57 papers including systematic reviews, narrative reviews, meta-analyses and primary research. Literature was searched in Cochrane, Campbell Collaboration, Web of Science, CINAHL, PsychINFO and Medline. The review was undertaken to promote understanding of the causes and range of inequalities, as well as how to reduce inequalities. Results LGBTI people are more likely to experience health inequalities due to heteronormativity or heterosexism, minority stress, experiences of victimization and discrimination, compounded by stigma. Inequalities pertaining to LGBTI health(care) vary depending on gender, age, income and disability as well as between LGBTI groupings. Gaps in the literature remain around how these factors intersect to influence health, with further large-scale research needed particularly regarding trans and intersex people. Conclusion Health inequalities can be addressed via changes in policy, research and in practice through health services that accommodate the needs of LGBTI people. With improved training to address gaps in their knowledge of LGBTI health and healthcare, health professionals should work in collaboration with LGBTI people to address a range of barriers that prevent access to care. Through structural change combined with increased knowledge and understanding, services can potentially become more inclusive and equally accessible to all. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
26. Listening for commissioning: A participatory study exploring young people's experiences, views and preferences of school-based sexual health and school nursing
- Author
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Aranda, Kay, primary, Coleman, Lester, additional, Sherriff, Nigel S, additional, Cocking, Chris, additional, Zeeman, Laetitia, additional, and Cunningham, Liz, additional
- Published
- 2017
- Full Text
- View/download PDF
27. Promoting resilience and emotional well-being of transgender young people: research at the intersections of gender and sexuality
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Zeeman, Laetitia, primary, Aranda, Kay, additional, Sherriff, Nigel, additional, and Cocking, Chris, additional
- Published
- 2016
- Full Text
- View/download PDF
28. Co‐producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) health‐care inequalities via rapid reviews of grey literature in 27 EU Member States.
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Sherriff, Nigel, Zeeman, Laetitia, McGlynn, Nick, Pinto, Nuno, Hugendubel, Katrin, Mirandola, Massimo, Gios, Lorenzo, Davis, Ruth, Donisi, Valeria, Farinella, Francesco, Amaddeo, Francesco, Costongs, Caroline, and Browne, Kath
- Subjects
- *
ATTITUDE (Psychology) , *BLOOD collection , *CLINICAL competence , *FEAR , *HEALTH services accessibility , *HEALTH status indicators , *HETEROSEXUALITY , *MEDICAL personnel , *PSYCHOTHERAPY , *SEX discrimination , *SEX distribution , *PROFESSIONAL practice , *LGBTQ+ people - Abstract
Background: The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarizing key inequalities. These reviews also show how the health‐care needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people. Objectives: To determine what is known about the health‐care inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing health care, and health professionals when providing care? What examples of promising practice exist? Design: Rapid reviews of grey literature were co‐produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all data sets. The review included grey literature from each country that might not otherwise be accessible due to language barriers. Main results: Rapid reviews showed that LGBTI people faced various inequalities and barriers whilst accessing health care. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments. Conclusion: With greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policymakers and LGBTI people to develop systems that are better attuned to the needs of all service users. [ABSTRACT FROM AUTHOR]
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- 2019
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29. Depathologising sexualities in mental health services
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Grant, Alec, primary, Naish, Jaime, additional, and Zeeman, Laetitia, additional
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- 2016
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30. Queering the relationship between evidence-based mental health and psychiatric diagnosis: Some implications for international mental health nurse curricular development
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Grant, Alec, primary, Zeeman, Laetitia, additional, and Aranda, Kay, additional
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- 2015
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31. Whose Story Is It? An Autoethnography Concerning Narrative Identity
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Grant, Alec, primary and Zeeman, Laetitia, additional
- Published
- 2015
- Full Text
- View/download PDF
32. Promoting resilience and emotional well-being of transgender young people: research at the intersections of gender and sexuality.
- Author
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Zeeman, Laetitia, Aranda, Kay, Sherriff, Nigel, and Cocking, Chris
- Subjects
- *
PSYCHOLOGICAL resilience , *PSYCHOLOGICAL well-being , *LGBTQ+ people , *DATA analysis , *HEALTH of LGBTQ+ people - Abstract
Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing health-related scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans well-being. The aim of the paper is to provide greater understanding of transgender young people’s views of what is needed to promote their emotional well-being and resilience by undertaking specific analysis of data collected as part of wider research with young people (n = 97). The study utilised participatory qualitative methods with a cross sectional design generating data via a focus group with trans youth (n = 5), followed by thematic analysis. Findings suggest that both individual and collective capacities or resources enable and sustain resilience and well-being for trans young people. The adversity trans youth face is present in school, the community and in healthcare, but they are able to find places where they feel safe and connected to others. Practitioners, teachers and school nurses are well positioned to facilitate structural change in alliance with trans youth to promote resilience. Research results were utilised to inform health improvement, commissioning and service delivery. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
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33. The analysis of a dominant gender discourse - part 2: research
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Zeeman, Laetitia, Poggenpoel, Marie, and Myburgh, Chris
- Abstract
Gender dilemmas are formed where a woman's role and identity is constructed in alternative ways, ways which do not cohere with the ways prescribed and expected within a dominant gender discourse. Gender dilemmas give birth to internal discomfort and a loss of experiencing the self as meaningful. Gender dilemmas disempower and silence women. The following questions are addressed: Which processes and powers construct women in certain ways? How are the roles and identities of women formed during these processes? An analysis of a dominant gender discourse within the South African cultural context is discussed to increase the understanding of the constructed nature of the gender identity of women and to increase the understanding of gender dilemmas that silence and disempower women. A qualitative reflexive research design was chosen where a discourse analysis is performed (Terre Blanche & Durrheim, 1999: 148 ; Mouton, 1996: 102 ; Rommetveit, 1990: 90). Texts for the analysis came from transcriptions of ten in-depth, semi-structured individual interviews with nominated women. The analysis was done by combining the ideas on discourse analysis of Parker (1992: 6-20) and Terre Blanche and Durrheim (1999: 154-167). The analysis aims at increasing the understanding of the constructed nature of femininity and to generate further ways to understand gender dilemmas. This process opens up space for alternative reflections that could lead to change. Gender-dilemmas word gevorm waar 'n vrou se rol en identiteit gekonstrueer is op alternatiewe wyses wat nie ooreenstem met tradisionele konstruksies binne 'n dominante gender-diskoers nie. Gender-dilemmas gee oorsprong aan interne ongemak en 'n verlies aan selfsinvolheid. Vroue word daardeur verstil en ontmagtig. Die volgende vrae word aangespreek: Deur watter prosesse en kragte word die vrou gekonstrueer? Hoe word die rol en identiteit van die vrou gevorm deur hierdie prosesse? 'n Analise van 'n dominante gender diskoers binne die Suid-Afrikaanse kulturele konteks word bespreek om begrip vir die gekonstrueerde aard van die gender identiteit van vroue te genereer en om begrip te bevorder vir gender-dilemmas waardeur vroue verstil en ontmagtig word. 'n Kwalitatiewe reflektiewe navorsingsontwerp is gekies waartydens 'n diskoers- analise uitgevoer is. (Terre Blanche & Durrheim, 1999: 148 ; Mouton, 1996: 102 ; Rommetveit, 1990: 90). Tekste vir die analise is bekom uit die transkripsies van tien indiepte, semi-gestruktureerde individuele onderhoude met genomineerde vroue. Die analise is gedoen op grond van die diskoers-analise van Parker (1992: 6-20) en Terre Blanche en Durrheim (1999: 154-167). Die analise poog om begrip vir die gekonstrueerde aard van vroulikheid en om verdere verstaansmoontlikhede vir gender-dilemmas te genereer. Die potensiaal vir moontlike verandering onttaan hierin. (Health SA Gesondheid: interdisciplinary research journal: 2002 7(1): 10-20)
- Published
- 2002
34. An introduction to a postmodern approach to nursing research: discourse analysis - part 1: research
- Author
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Zeeman, Laetitia, Poggenpoel, Marie, and Myburgh, Chris
- Abstract
This article serves as an introduction to discourse analysis. It therefore does not give an account for the whole research process. Due to logistical reasons, because this is a relatively new and multifaceted approach in research, this article involves only introductory remarks about discourse analysis as approach to qualitative, reflexive nursing research. Different postmodern ";approaches"; to qualitative nursing research derived from other disciplines are being rooted in nursing as epistemology. Discourse analysis is introduced as a Poststructuralist and Social Constructionist ";approach"; to nursing research developing within the postmodern line of thought. A qualitative exploratory research design was chosen that explored specific Poststructuralist and Social Constructionist literature on research by means of an in-depth literature review. The sample was chosen from Poststructuralist and Social Constructionist literature on research in general as these paradigms have not been described in South African literature on nursing research. The ideas on discourse analysis as a research ";approach"; of Parker (1992: 6-20) and Terre Blanche & Durrheim (1999: 154-167) are discussed. Discourse analysis could serve as a valuable ";approach"; in nursing research as it challenges current dominant ways of understanding or viewing the objects of study. This process opens up space for alternative reflections that could lead to change. Hierdie artikel dien as 'n inleiding tot diskoers-analise. Dit beoog dus nie om die hele navorsingsproses breedvoerig te bespreek nie aangesien diskoers-analise 'n relatief nuwe en multifasettige benadering in navorsing is. Vanweë logistiese redes word in hierdie artikel slegs inleidende gedagtes oor diskoers-analise as benadering tot kwalitatiewe, refleksiewe verpleegnavorsing ingesluit. Verskillende postmoderne ";benaderings"; tot kwalitatiewe navorsing word in die verpleegkunde as epistemologie beskryf en het begin wortelskiet. Diskoers-analise word bespreek as 'n ";benadering"; tot navorsing wat ontstaan het uit die Poststrukturalisme en Sosiale konstruksionisme binne die postmoderne denkstroom. 'n Kwalitatiewe, eksplorerende navorsingsontwerp is gekies waardeur 'n indiepte literatuurstudie onderneem is om diskoers-analise as ";benadering"; tot navorsing te ondersoek. Die literatuurstudie is op die paradigmas van Poststrukturalisme en Sosiale konstruksionisme gerig en die ";benadering"; tot navorsing wat uit hierdie paradigmas voortvloei aangesien hierdie raamwerke nog nie in Suid-Afrikaanse literatuur oor navorsing in die verpleegkunde vervat is nie. Die sienings oor diskoers-analise as ";benadering"; in navorsing van Parker (1992: 6-20) en Terre Blanche & Durrheim (1999: 154-167) word bespreek. Diskoers-analise kan as 'n waardevolle ";benadering"; tot navorsing in die verpleegkunde dien aangesien dit huidige dominante verstaanswyses bevraagteken. Dit skep ruimte vir alternatiewe refleksies en ander verstaansmoontlikhede waarbinne die potensiaal vir verandering dan ontstaan. (Health SA Gesondheid: interdisciplinary research journal: 2002 7(1): 3-9)
- Published
- 2002
35. Queer challenges to evidence-based practice
- Author
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Zeeman, Laetitia, primary, Aranda, Kay, additional, and Grant, Alec, additional
- Published
- 2013
- Full Text
- View/download PDF
36. Assembling intimacy as method to research trans sex
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Howitt, H., Zeeman, Laetitia, Ravenhill, James, and Frith, Hannah
- Abstract
This project investigates how trans people engage with and produce trans sex(ualities), with the aims of exploring (1) the tools and practices trans people use to mediate sexual experiences and embody sexual selves, and (2) the conditions that shape sexual experiences, giving rise to trans plurality. Data were generated using intimate and creative methods with six trans people based in the UK. Taking an assemblage view of trans sex(ualities), the data were analysed in two ways. Firstly, Thematic New Materialist Analysis (TNMA) was used to draw out the human and non-human components of trans sex assemblages - these are the tools and practices we use to mediate sexual experiences or embody sexual selves (aim 1). Secondly, visual and textual Assemblage Analysis (AA) was used to show how these components shape sexual experiences by opening-up and closing-down capacities for pleasure, connection, consent, and bodily autonomy - these are the conditions that produce trans plurality (aim 2). A meta-aim of the project sought to investigate how a trans, disabled scholar engages with and produces trans sex research. To this end, embodied and creative writing and drawing produced by me throughout the project - a method termed autophenomenography - makes visible the production of the research and researcher as a 'research-assemblage'. I call this approach to research 'intimacy as method'. The emergence of 'trans' as psychopathology frames sex as inherently problematic, restricting our heterogeneity. The dominant discourse of being 'trapped in the wrong body' - enshrined by diagnostic criteria and regulatory medico-legal practices - positions trans people as intelligible via one singular narrative. Based on structuring concepts rooted in heterosexism, cisnormativity, and binary thinking, any expression of gender and sexuality outside of these rigid norms is rendered 'improper'. This trans singularity forecloses diverse trans sexual materialities. Trans sexualities remain an under researched area. Most extant literature theorises 'trans' as either solely socially constructed, or essentialised, which belies the material-discursive entanglement trans people report. The majority of scholarship is in the field of medicine, shoring up essentialised trans singularity. Social research has tended to focus on relationships and orientations rather than sexual practices, often deploying methods that focus on the discursive, replicate singular narratives of sexual suffering, and have a selection bias that amplifies both clinical intervention and issues unique to early-stage transition. Using TNMA I addressed the first research aim by drawing out the tools and practices used to mediate sexual experiences and embody sexual selves. These are grouped thematically, such as: alternative sex practices, energy sex, hormones and surgeries, detachable tools, and discursive practices. Viewing tools and practices as components of broader trans sex assemblages provided a basis for understanding trans plurality and informed my analytic approach to the second aim: I used AA to explore the conditions of trans sex assemblages, exposing the expanding and contracting forces that (re/de)stablise events, demonstrating what opens-up and closes-down capacities for pleasure, connection, consent, and bodily autonomy. These forces included knowledge about - and access to - the tools and practices; trans role models; resistance to cisnormative discursive scripts; informed and available healthcare providers and partners. Addressing the aim of exposing the research-assemblage, autophenomenographic methods were used to show the meta-process of research itself. This thesis details the components that (re/de)stabilise the research and the researcher, such as: institutional policies and practices; knowledge hierarchies; discourses of acceptability and stigma; technologies of research; virulent transphobia; global pandemic; climate crisis; disability and ableism; and white supremacy. The research concludes that trans people employ a range of technologies of fucking, with often-affirming results, making use of the tools and practices in plural ways to embody sexual selves and mediate sexual experiences. These findings should be available via clinical and sex education settings, with diagnostic criteria and treatment protocols radically reconfigured to make space for trans pluralities. The neoliberal approach to improving sex lives assumes singular and ubiquitous utility of bodily practices. A more liberatory approach considers the conditions that expand pleasure, connection, consent, and bodily autonomy. In the future I intend to build on this research by making plural and relational approaches to trans sex available within trans communities.
- Published
- 2023
37. Narratives on meaningful occupations of transmen during their gender transition process
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Schneider, Jens, Price, Lee, Johnson, Katherine, Zeeman, Laetitia, and Edelman, Natalie
- Subjects
306.76 - Published
- 2022
38. Barriers in care pathways and unmet mental health needs in LGBTIQ + communities
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Giada, Silveri, Simone, Schimmenti, Eleonora, Prina, Lorenzo, Gios, Massimo, Mirandola, Manlio, Converti, Andrea, Fiorillo, Federica, Pinna, Antonio, Ventriglio, Gian Maria, Galeazzi, Nigel, Sherriff, Laetitia, Zeeman, Francesco, Amaddeo, Nicola Luigi, Bragazzi, Silveri, Giada, Schimmenti, Simone, Prina, Eleonora, Gios, Lorenzo, Mirandola, Massimo, Converti, Manlio, Fiorillo, Andrea, Pinna, Federica, Ventriglio, Antonio, Galeazzi, Gian Maria, Sherriff, Nigel, Zeeman, Laetitia, and Amaddeo, Francesco
- Subjects
LGBTIQ+ ,Sexual and Gender Minorities ,Psychiatry and Mental health ,barriers to care ,Adolescent ,Substance-Related Disorders ,mental health ,unmet needs ,Critical Pathways ,Humans ,Female ,Sexuality - Abstract
Lesbian, gay, bisexual, transgender, intersex, queer people and minority gender identities and sexualities (LGBTIQ+) are often stigmatized and experience discrimination in health care settings, leading to poorer mental health outcomes and unmet needs compared to heterosexual and cisgendered peers. It is thus imperative that mental health providers consider and address structural challenges in order to reduce mental health inequalities of this population. This narrative review assessed the barriers that may prevent access to care and the pathways for care in LGBTIQ + communities. PubMed, PsycInfo, Embase, and Scopus were searched for papers published between December 2021 and February 2022. A total of 107 papers were included with studies reflecting five themes: (1) Unmet mental health needs; (2) Young people; (3) Substance abuse and addiction; (4) Barriers and pathways to care; and (5) Interventions. Findings demonstrate that LGBTIQ + people experience stigmatization and higher rates of substance misuse and mental ill health, which may lead to barriers in accessing health care services, and fewer tailored interventions being provided. These findings have implications for policy, health care screening, and how specialist services are structured. Substantial gaps in the evidence-base exist, and future research should examine how mental health care providers can challenge social issues that maintain discriminatory and stigmatizing practices, and support LGBTIQ + individuals to sustain their resilience.
- Published
- 2022
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