Abstract
A significant body of scholarship has examined the ways in which lesbian, gay, and transgender identities are taken up in the discipline of psychiatry; however, this work has largely not attended to bisexual identities. This chapter addresses this research gap through a content analysis of chart documentation for twelve bisexual individuals who accessed mental health care in a psychiatric hospital, examining where, when, and how bisexuality was documented in the psychiatric record. In doing so, we highlight how common social constructions of bisexuality (e.g., as a state of confusion, as invisible) are reinforced by the institution of psychiatry, as well as how meaningful attention to bisexuality (or in contrast, inattention) may contribute to the patient- and practitioner-defined success of a psychiatric admission.
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References
Bostwick, W. B., & Harrison, E. A. (2020). Bisexual mental health. In E. D. Rothblum (Ed.), Oxford handbook of sexual and gender minority mental health (pp. 269–281). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780190067991.013.25
Caldwell, K. (2010). We exist: Intersectional in/visibility in bisexuality and disability. Disability Studies Quarterly, 30(3/4). https://doi.org/10.18061/dsq.v30i3/4.1273
Carr, S., & Spandler, H. (2019). Hidden from history? A brief modern history of the psychiatric “treatment” of lesbian and bisexual women in England. The Lancet Psychiatry, 6(4), 289–290. https://doi.org/10.1016/S2215-0366(19)30059-8
Daley, A. (2013). Spaces in place: Negotiating queer in/visibility within psychiatric and mental health service settings. In B. A. Le Francois, R. Menzies, & G. Reaume (Eds.), Mad matters: A critical reader in Canadian Mad Studies (pp. 298–308). Canadian Scholars’ Press. https://doi.org/10.1111/inm.12038
Daley, A., & Ross, L. E. (2018). Uncovering the heteronormative order of the psychiatric institution: A queer reading of chart documentation and language use. In J. M. Kilty & E. Dej (Eds.), Containing madness: Gender and “psy” in institutional contexts (pp. 169–189). Palgrave Macmillan. https://doi.org/10.1007/978-3-319-89749-3
DeVita, T., Bishop, C., & Plankey, M. (2018). Queering medical education: Systematically assessing LGBTQI health competency and implementing reform. Medical Education Online, 23(1). https://doi.org/10.1080/10872981.2018.1510703
Dodge, B., Herbenick, D., Friedman, M. R., Schick, V., Fu, T.-C., Bostwick, W., Bartelt, E., Muñoz-Laboy, M., Pletta, D., Reece, M., & Sandfort, T. G. M. (2016). Attitudes toward bisexual men and women among a nationally representative probability sample of adults in the United States. PLoS ONE, 11(10), 1–18. https://doi.org/10.1371/journal.pone.0164430
Dyar, C., Feinstein, B. A., Stephens, J., Zimmerman, A. R., Newcomb, M. E., & Whitton, S. W. (2020). Nonmonosexual stress and dimensions of health: Within-group variation by sexual, gender, and racial/ethnic identities. Psychology of Sexual Orientation and Gender Diversity, 7(1), 12–25. https://doi.org/10.1037/sgd0000348
Eady, A., Dobinson, C., & Ross, L. E. (2011). Bisexual people’s experiences with mental health services: A qualitative investigation. Community Mental Health Journal, 47, 378–389. https://doi.org/10.1007/s10597-010-9329-x
Feinstein, B. A., Xavier Hall, C. D., Dyar, C., & Davila, J. (2020). Motivations for sexual identity concealment and their associations with mental health among bisexual, pansexual, queer, and fluid (bi+) individuals. Journal of Bisexuality, 20(3), 324–341. https://doi.org/10.1080/15299716.2020.1743402
Firestein, B. A. (Ed.). (2007). Becoming visible: Counseling bisexuals across the lifespan. Columbia University Press.
Hutchins, L., & Ka’ahumanu, L. (Eds.). (2010). Bi any other name: Bisexual people speak out. Alyson Books.
Israel, T., Choi, A. Y., Goodman, J. A., Matsuno, E., Lin, Y.-J., Kary, K. G., & Merrill, C. R. S. (2019). Reducing internalized binegativity: Development and efficacy of an online intervention. Psychology of Sexual Orientation and Gender Diversity, 6(2), 149–159. https://doi.org/10.1037/sgd0000314
Israel, T., & Mohr, J. J. (2004). Attitudes toward bisexual women and men: Current research, future directions. Journal of Bisexuality, 4(1–2), 117–134. https://doi.org/10.1300/J159v04n01_09
Lambe, J., Cerezo, A., & O’Shaughnessy, T. (2017). Minority stress, community involvement, and mental health among bisexual women. Psychology of Sexual Orientation and Gender Diversity, 4(2), 218–226. https://doi.org/10.1037/sgd000022
Lebenbaum, M., Chiu, M., Vigod, S., & Kurdyak, P. (2018). Prevalence and predictors of involuntary psychiatric hospital admissions in Ontario, Canada: A population-based linked administrative database study. British Journal of Psychiatry Open, 4(2), 31–38. https://doi.org/10.1192/bjo.2017.4
LeFrançois, B. A., Menzies, R., & Reaume, G. (Eds.). (2013). Mad matters: A critical reader in Canadian Mad Studies. Canadian Scholars’ Press. https://doi.org/10.1111/inm.12038
Li, T., Dobinson, C., Scheim, A. I., & Ross, L. E. (2013). Unique issues bisexual people face in intimate relationships: A descriptive exploration of lived experience. Journal of Gay & Lesbian Mental Health, 17(1), 21–39. https://doi.org/10.1080/19359705.2012.723607
Ochs, R., & Rowley, S. E. (Eds.). (2009). Getting bi: Voices of bisexuals around the world. Bisexual Resource Center.
Pilling, M. D. (2013). Invisible identity in the workplace: Intersectional madness and processes of disclosure at work. Disability Studies Quarterly, 33(1). https://doi.org/10.18061/dsq.v33i1.3424
Pilling, M. D. (2019). Changing directions or staying the course? Gender, sexuality, and recovery in Canada’s mental health strategy. In A. Daley, L. Costa, & P. Beresford (Eds.), Madness, violence, and power: A critical collection (pp. 97–114). University of Toronto Press. https://doi.org/10.3138/9781442629981
Reaume, G. (2014). Understanding critical disability studies. Canadian Medical Association Journal, 186(16), 1248–1249. https://doi.org/10.1503/cmaj.141236
Ross, L. E., Dobinson, C., & Eady, A. (2010). Perceived determinants of mental health for bisexual people: A qualitative examination. American Journal of Public Health, 100, 496–502. https://doi.org/10.2105/AJPH.2008.156307
Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P. (2017). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian and heterosexual individuals: A systematic review and meta-analysis. Annual Review of Sex Research, 55(3/4), 435–456. https://doi.org/10.1080/00224499.2017.1387755
Rust, P. C. R. (Ed.). (2000). Bisexuality in the United States: A social science reader. Columbia University Press.
Salim, S., Robinson, M., & Flanders, C. E. (2019). Bisexual women’s experiences of microaggressions and microaffirmations and their relation to mental health. Psychology of Sexual Orientation and Gender Diversity, 6(3), 336–346. https://doi.org/10.1037/sgd0000329
Spandler, H., & Barker, M. (2016, July 1). Mad and queer studies: Interconnections and tensions [blog]. Mad Studies Network. https://madstudies2014.wordpress.com/2016/07/01/mad-and-queer-studies-interconnections-and-tensions/. Accessed 26 October 2020.
Spandler, H., & Carr, S. (2021). A history of lesbian politics and the psy professions. Feminism & Psychology, 31(1), 119–139. https://doi.org/10.1177/0959353520969297
White, W., Brenman, S., Paradis, E., Goldsmith, E. S., Lunn, M. R., Obedin-Maliver, J., Stewart, L., Tran, E., Wells, M., Chamberlain, L. J., Fetterman, D. M., & Garcia, G. (2015). Lesbian, gay, bisexual, and transgender patient care: Medical students’ preparedness and comfort. Teaching and Learning in Medicine, 27(3), 254–263. https://doi.org/10.1080/10401334.2015.1044656
Yoshino, K. (2000). The epistemic contract of bisexual erasure. Stanford Law Review, 52(2), 353–461. https://doi.org/10.2307/1229482
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The authors wish to thank Rebecca Bagnarol for administrative assistance in the preparation of this chapter.
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Ross, L.E., Costa, L. (2021). “Slighted and Unheard”: The Psychiatrization of Bisexuality. In: Daley, A., Pilling, M.D. (eds) Interrogating Psychiatric Narratives of Madness. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-83692-4_4
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