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“Shut that door!” Individual and systemic barriers to mental health care for sexual minorities.
Dissertation   Open access

“Shut that door!” Individual and systemic barriers to mental health care for sexual minorities.

Matthew Broadway - Horner
Doctor of Philosophy (PHD), University of Greater Manchester
06/03/2025

Abstract

Intersectionality sexual minorities Progress World View Progress Futures Care Health equality Health inequalities decolonising mental health progress world view formulation systemic learning
This collection of papers presents an all-encompassing purpose to reduce both individual and systemic barriers to mental health care for sexual minorities. The aim of this thesis is to appraise and critically evaluate my contribution to this body of work via a critical and queer theorist lens and offer practical insights. Central to my research is the cultural psychiatric lens used to understand the intersections of sexual minorities. Here, I introduce my original contribution and update the knowledge by conducting a critical literature review covering a health-equity framework. My critical commentary covers theoretical and applied case study research and commentaries. My contributions to knowledge include an understanding of the juxtaposition of sexual minority men living across cultures and the negative impact on women’s health when forced to marry a sexual minority man. Breaking down the misguided notion of one size fits in psychological therapies, encouraging sexuality identity self-disclosure for improving the therapeutic alliance, and that straight men who occasionally sleep with other men (MSM) is a category and should not be conflated with other sexual minority data like gay and bisexual/pansexual men. I am not the first to engage deeply in this knowledge, but I stand equally with others as one emerging in the field. I bring a utility and further expand and collaborate with others to reduce the barriers on the international circuit. Citations of my work are not just within the UK but in other parts of the world, notwithstanding other forms of knowledge exchange I am committed to, which satisfy the criteria for the award of a doctorate.
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