Papers by Laetitia Zeeman
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 2018
The term ‘resilience’ is pervasive in narratives of young people’s emotional well-being. However,... more The term ‘resilience’ is pervasive in narratives of young people’s emotional well-being. However, the meaning it has for those it describes is perhaps less well understood. Resilience was investigated as part of an engagement exercise into health improvement commissioning in educational contexts in the South East of England. One hundred and nine young people in total were involved, and this article reports data collected from two areas that were explored, comprising a sub-set of 58 participants: emotional well-being and resilience (n = 23) and the whole school approach (n = 35). It was apparent that while not all participants engaged with the term ‘resilience’ itself, they nevertheless often adopted creative individual and collective strategies to protect and enhance their emotional well-being. Furthermore, participants reported a sense of resilience that arose from a shared sense of adversity that helped strengthen collective support and solidarity, thus supporting previous work on...
The Qualitative Report, 2015
This paper is divided into three parts, each separated by centrally spaced asterisks. The first p... more 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 e...
Workshop: Institutional barriers and support influencing the health and well-being of LGBT individuals: Rapid-review findings of healthcare inequalities experienced by LGBTI people in 27 EU Member States
European Journal of Public Health, 2020
This report is a state-of-the-art review study carried out in the context of the European Union (... more 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.
Narratives of the resilient subject in health and social care
Focus groups studies with LGBTI people and health professionals: Final overview report on the outcomes of the focus groups
This document reports on Task 2 of the project Health4LGBTI: Reducing health inequalitiesexperien... more This document reports on Task 2 of the project Health4LGBTI: Reducing health inequalitiesexperienced by LGBTI people (SANTE/2015/C4/035). This is a pilot project by the EuropeanCommission to increase understanding of how best to reduce specific health inequalities experiencedby lesbian, gay, bisexual, trans and intersex (LGBTI) people. Task 2 sought to map the barriers facedboth by LGBTI people and healthcare professionals (HCPs) in six European Member States (MS), andsupport the development of training for healthcare professionals (HCPs).
commonly experience a range of health and social inequalities. Such inequalities are unfair, prev... more commonly experience a range of health and social inequalities. Such inequalities are unfair, preventable and fundamentally incompatible with public health and human rights principles. This article draws on the European Commission's Health4LGBTI pilot to highlight some of the inequalities faced by LGBTI people in EU Member States, as well as their fundamental causes in relation to health services. In doing so, we propose that mandatory training for health professionals needs to be considered as one of the main interventional avenues towards reducing the health inequalities experienced by LGBTI people.
Introduction to Queering Health: critical challenges to normativity in health and healthcare
Queering Health uncovers normative assumptions, practices and discourses as central to the produc... more Queering Health uncovers normative assumptions, practices and discourses as central to the production of difference, which manifests as gender and sexual inequality and other forms of disadvantage and discrimination in health and healthcare. The strength of these perspectives is in critiquing the increasing power of biomedical sciences in order to contest the hegemony of unexamined healthcare assumptions that deny difference and thereby sustain inequality. These queer and critical theories trouble neoliberal healthcare economics and biomedical scientific norms that operate in every sphere of healthcare, providing a range of radical tools to destabilise, deconstruct or reimagine binaries, discourses, normative categories or moral ideals prevalent in the pursuit of health
International Journal of Environmental Research and Public Health, 2020
Extensive research documents the health inequalities LGBTI people experience, however far less is... more Extensive research documents the health inequalities LGBTI people experience, however far less is known for people with intersex variation. This paper presents a review of intersex health and healthcare inequalities by evaluating research published from 2012 to 2019. In total 9181 citations were identified with 74 records screened of which 16 were included. A synthesis of results spans nine quantitative, five qualitative and two narrative reviews. Literature was searched in Medline, Web of Science, Cochrane, PsycInfo and CINAHL. People with intersex variance experience a higher incidence of anxiety, depression and psychological distress compared to the general population linked to stigma and discrimination. Progressive healthcare treatment, including support to question normative binaries of sex and gender, aids understand of somatic intersex variance and non-binary gender identity, especially when invasive treatment options are avoided or delayed until individuals are able to self-...
Patient Education and Counseling, 2019
Objectives: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience health inequalit... more Objectives: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience health inequalities and barriers to accessing healthcare at a greater rate than the general population. This paper aims to present the Health4LGBTI training course for healthcare workers and the results of its pilot implementation. Methods: Funded by the European Parliament, the training course was developed by a multidisciplinary team including LGBTI organisations as part of the Health4LGBTI Project. 110 healthcare professionals from diverse medical fields attended the pilot training in six European Member States. Knowledge and attitudes were compared on the basis of a pre-post evaluation design utilising an ad hoc questionnaire. Results: Knowledge scores increased after the training, irrespective of age and sexual orientation of participants. Attitudes scores generally improved, particularly in terms of inclusivity and a greater acknowledgement of LGBTI health needs and self-competence. Conclusion: The Health4LGBTI training course is both feasible and effective in training healthcare professionals and support staff to improve cultural competence and thereby promoting inclusive healthcare practice. Practice Implications: The Health4LGBTI training course can be implemented in different healthcare contexts. Piloting of the course provided an opportunity for healthcare professionals and for support staff to improve their knowledge of, and attitudes towards, LGBTI people.
Culture, Health & Sexuality, 2019
Lesbian, gay, bisexual, trans and intersex people experience significant healthcare inequalities ... more Lesbian, gay, bisexual, trans and intersex 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 Lesbian, gay, bisexual, trans and intersex 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 lesbian, gay, bisexual, trans and intersex people people do not experience significant problems (and therefore that their experience is mostly irrelevant for 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.
Health Expectations, 2019
This is an open access article under the terms of the Creat ive Commo ns Attri bution License, wh... more This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
European Journal of Public Health, 2018
Background Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant healt... more 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 ...
Journal of Youth Studies, 2016
Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing healthrelated s... more Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing healthrelated scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans wellbeing. The aim of the paper is to provide greater understanding of transgender young people's views of what is needed to promote their emotional wellbeing 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 wellbeing 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.
Mental Health Practice, 2016
The aim of this relational autoethnographic paper is to critique heteronormative cultural assumpt... more The aim of this relational autoethnographic paper is to critique heteronormative cultural assumptions informing mental health practice, from the standpoint positions of Queer scholarship. Those assumptions regard heterosexuality as the desired cultural norm and thus negatively impact on the wellbeing of people in lesbian, gay, bisexual, transgender, undecided and intersex (LGBTUI) communities. It will be argued that LGBTUI experiences of stigma are understandable in the context of the way people are pathologized on the basis of those assumptions. The paper concludes in a discussion of some emerging implications for mental health practice.
Mental Health Practice, 2016
The aim of this relational autoethnographic paper is to critique heteronormative cultural assumpt... more The aim of this relational autoethnographic paper is to critique heteronormative cultural assumptions informing mental health practice, from the standpoint positions of Queer scholarship. Those assumptions regard heterosexuality as the desired cultural norm and thus negatively impact on the wellbeing of people in lesbian, gay, bisexual, transgender, undecided and intersex (LGBTUI) communities. It will be argued that LGBTUI experiences of stigma are understandable in the context of the way people are pathologized on the basis of those assumptions. The paper concludes in a discussion of some emerging implications for mental health practice.
Nurse Education Today, 2015
We critique EB mental healthcare's relationship with psychiatric diagnosis from a queer paradigm ... more We critique EB mental healthcare's relationship with psychiatric diagnosis from a queer paradigm position. We sketch out some initial principles that will hopefully stimulate and contribute to the advancement of mental health nurse educational curricula internationally. This will help bring mental health nurse education more in-line with contemporary developments in narrative psychiatry and formulation as an emerging alternative to psychiatric diagnosis in UK clinical psychology. Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.
Queer challenges to evidence-based mental healthcare
Health SA Gesondheid, 2002
Gender dilemmas are formed where a woman's role and identity is constructed in alternative wa... more 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. OpsommingGender-dilemmas wordgevorm waar 'n vrou se rol en identiteit gekonstrueer is op alternatiewe wyses wat nie ooreenstem met tradisionele konstruksies binne 'n dominante gender-diskoers nie. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
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Papers by Laetitia Zeeman