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Turn On, Tune In, Drop Shame: Exploring the Unique Therapeutic Potential of Psychedelics for Sexual and Gender Minority Populations
Turn On, Tune In, Drop Shame: Exploring the Unique Therapeutic Potential of Psychedelics f...
Turn On, Tune In, Drop Shame: Exploring the Unique Therapeutic Potential of Psychedelics for Sexual and Gender Minority Populations

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자료유형  
 학위논문 서양
최종처리일시  
20260202104713
ISBN  
9798293829712
DDC  
614
저자명  
Carlisle, Nicholas A.
서명/저자  
Turn On, Tune In, Drop Shame: Exploring the Unique Therapeutic Potential of Psychedelics for Sexual and Gender Minority Populations
발행사항  
[Sl] : The University of Alabama at Birmingham, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
132 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: A.
주기사항  
Advisor: MacCarthy, Sarah.
학위논문주기  
Thesis (Ph.D.)--The University of Alabama at Birmingham, 2025.
초록/해제  
요약Sexual and gender minority (SGM) individuals face significant disparities in mental and physical health compared to their heterosexual and cisgender counterparts, due in part to chronic exposure to distal and proximal minority stressors. Shame - a self-focused characterized by a global sense of personal deficiency or unworthiness - has emerged as a key intrapersonal mechanism linking minority stressors to adverse health outcomes. This dissertation explores the role of shame in SGM health inequities and investigates the emerging potential of psychedelics to reduce shame and improve health and wellbeing in these populations.This three-paper dissertation begins with a scoping review (Paper 1) that synthesizes empirical evidence on the effects of shame among SGM individuals in the U.S. Findings reveal that shame is consistently associated with distal and proximal minority stressors, general psychological processes, maladaptive coping behaviors (e.g., substance use, sexual compulsivity), and adverse physical and mental health outcomes. However, few interventions directly target shame in this population. The second paper draws on nationally representative data to examine the prevalence and predictors of major life changes following psychedelic use. Results indicate that 18.4% of adults who endorsed lifetime psychedelic reported at least one major life change, with SGM individuals significantly more likely to report changes related to sexual orientation or gender identity. The third paper analyzes trends in hallucinogen use among people living with HIV (PLHIV) across multiple U.S. sites. Findings show rising hallucinogen use, especially among younger, White, and sexual minority participants, and highlight significant regional variation in use patterns.Together, these studies provide conceptual and empirical support for a novel hypothesis: psychedelic-assisted interventions may help reduce shame related to sexual orientation and gender identity, thereby promoting adaptive coping strategies and improving health outcomes among SGM individuals. This dissertation offers a foundation for future longitudinal and intervention studies, including the development of culturally responsive psychedelic-assisted interventions that center SGM experiences and target shame as a modifiable mechanism of change.
일반주제명  
Public health
일반주제명  
Gender studies
일반주제명  
Mental health
일반주제명  
Sexuality
일반주제명  
Clinical psychology
키워드  
Sexual and gender minority individuals
키워드  
Psychedelics
키워드  
Proximal minority stressors
키워드  
Personal deficiency
키워드  
Sexual compulsivity
기타저자  
The University of Alabama at Birmingham Public Health
기본자료저록  
Dissertations Abstracts International. 87-03A.
전자적 위치 및 접속  
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MARC

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■1001  ▼aCarlisle,  Nicholas  A.
■24510▼aTurn  On,  Tune  In,  Drop  Shame:  Exploring  the  Unique  Therapeutic  Potential  of  Psychedelics  for  Sexual  and  Gender  Minority  Populations
■260    ▼a[Sl]▼bThe  University  of  Alabama  at  Birmingham▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a132  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  A.
■500    ▼aAdvisor:  MacCarthy,  Sarah.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Alabama  at  Birmingham,  2025.
■520    ▼aSexual  and  gender  minority  (SGM)  individuals  face  significant  disparities  in  mental  and  physical  health  compared  to  their  heterosexual  and  cisgender  counterparts,  due  in  part  to  chronic  exposure  to  distal  and  proximal  minority  stressors.  Shame  -  a  self-focused  characterized  by  a  global  sense  of  personal  deficiency  or  unworthiness  -  has  emerged  as  a  key  intrapersonal  mechanism  linking  minority  stressors  to  adverse  health  outcomes.  This  dissertation  explores  the  role  of  shame  in  SGM  health  inequities  and  investigates  the  emerging  potential  of  psychedelics  to  reduce  shame  and  improve  health  and  wellbeing  in  these  populations.This  three-paper  dissertation  begins  with  a  scoping  review  (Paper  1)  that  synthesizes  empirical  evidence  on  the  effects  of  shame  among  SGM  individuals  in  the  U.S.  Findings  reveal  that  shame  is  consistently  associated  with  distal  and  proximal  minority  stressors,  general  psychological  processes,  maladaptive  coping  behaviors  (e.g.,  substance  use,  sexual  compulsivity),  and  adverse  physical  and  mental  health  outcomes.  However,  few  interventions  directly  target  shame  in  this  population.  The  second  paper  draws  on  nationally  representative  data  to  examine  the  prevalence  and  predictors  of  major  life  changes  following  psychedelic  use.  Results  indicate  that  18.4%  of  adults  who  endorsed  lifetime  psychedelic  reported  at  least  one  major  life  change,  with  SGM  individuals  significantly  more  likely  to  report  changes  related  to  sexual  orientation  or gender  identity.  The  third  paper  analyzes  trends  in  hallucinogen  use  among  people  living  with  HIV  (PLHIV)  across  multiple  U.S.  sites.  Findings  show  rising  hallucinogen  use,  especially  among  younger,  White,  and  sexual  minority  participants,  and  highlight  significant  regional  variation  in  use  patterns.Together,  these  studies  provide  conceptual  and  empirical  support  for  a  novel  hypothesis:  psychedelic-assisted  interventions  may  help  reduce  shame  related  to  sexual  orientation  and  gender  identity,  thereby  promoting  adaptive  coping  strategies  and  improving  health  outcomes  among  SGM  individuals.  This  dissertation  offers  a  foundation  for  future  longitudinal  and  intervention  studies,  including  the  development  of  culturally  responsive  psychedelic-assisted  interventions  that  center  SGM  experiences  and  target  shame  as  a  modifiable  mechanism  of  change.
■590    ▼aSchool  code:  0005.
■650  4▼aPublic  health
■650  4▼aGender  studies
■650  4▼aMental  health
■650  4▼aSexuality
■650  4▼aClinical  psychology
■653    ▼aSexual  and  gender  minority  individuals  
■653    ▼aPsychedelics  
■653    ▼aProximal  minority  stressors
■653    ▼aPersonal  deficiency
■653    ▼aSexual  compulsivity
■690    ▼a0573
■690    ▼a0211
■690    ▼a0347
■690    ▼a0622
■690    ▼a0733
■71020▼aThe  University  of  Alabama  at  Birmingham▼bPublic  Health.
■7730  ▼tDissertations  Abstracts  International▼g87-03A.
■790    ▼a0005
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358516▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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