Navigating Intersectional Approaches,Methods, and Interdisciplinarity to Health Equity in LGBTQ+ Communities

Abstract

The broad spectrum of health services and wellness surrounding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities operates within multiple layers of social inequities. Research using intersectionality features numerous research methods purposed specifically for clarity toward increasing health equity. Generated in the scope of various research methods (e.g., quantitative, qualitative, mixed-methods), utilizing intersectionality illustrates potential to explore complex phenomena and outcomes within LGBTQ+?communities. As intersectionality thrives on interdisciplinarity, this article focuses on three overarching purposes: (a) accentuate health equity and social justice across an interdisciplinary scope for LGBTQ+?communities, (b) highlight formative principles grounded in intersectionality, and (c) supplement recommendations for research targeting health equity.     

The social movement for reproductive justice: Emergence,intersectional strategies,and theory building

This article reviews the literature on the reproductive justice social movement and provides an overview of its main theorical and empirical foundations and contributions. It begins by tracing the emergence of reproductive justice, grounding it in longstanding histories of resistance and Black feminist theorizing. It highlights intersectionality as a social movement strategy and tactic embraced by reproductive justice activists, and highlights reproductive justice organizing and scholarship that contributes to our theoretical understandings of the racial politics of reproduction and abolition. In so doing, this piece makes two interrelated contributions. First, it argues reproductive justice generates material and theoretical contributions beyond the scope of what is possible for reproductive health and rights frameworks. Second, it demonstrates that bringing reproductive justice into the focus of sociological inquiry is important for advancing social science scholarship.     

Women on strike: mobilizing against reproductive injustice in Poland

The paper employs a lens of reproductive justice (RJ) to discuss the events of the 2016 mobilization against a total abortion ban proposal in Poland. By presenting the context of women’s rights in Poland, especially the abortion debates, we argue that the 2016 Women’s Strike showed that taking a stand for reproductive justice was countered by governmental actions. By using a case study approach, the paper analyzes the Strike as a tumultuous act of women’s solidarity while simultaneously assessing its implications for RJ issues. We discuss the aftermath and the socio-political reticence to acknowledge the complexities of women’s lives and reproductive choices. Further, we provide arguments for applying the RJ framework into discerning the notion of ideal citizens and gendered social control in Poland. This localized analysis has a global relevance by reflecting the impact of worldwide trends in women’s rights activism and RJ in the context of resurfacing nationalisms and populism.     

Social Justice Advocacy Readiness Questionnaire

Summary

Social service providers of consultation, counseling, and education can benefit from determining their social justice awareness, knowledge, and skills to ensure culturally competent practice and to challenge the multiple oppressions facing clients and staff on individual, cultural, and institutional/systemic levels. The Social Justice Advocacy Readiness Questionnaire (SJARQ) provides a means to advocate for social justice with persons of multiple cultural identities, including all sexual orientations and gender identities. The SJARQ instrument contains three areas of self-assessment for social services staff: individual social justice advocacy awareness, comfort, and values; cultural social justice advocacy knowledge; and institutional/systemic social justice advocacy skills.     

Four elephants in the room: A reflective analysis of the wailing rage displayed by Baltimore youth after Freddie Gray’s death

Eliminating health disparities is our ethical and generational responsibility to protect and promote the health of all Americans. However, we cannot effectively eliminate health disparities in the United States unless we acknowledge and confront the three social culprits that threaten the elimination of health disparities: poverty, racism, and inequities. When addressing communal health, a multigenerational intentionality approach is needed to combat determinants of health. Retrospectively, we used the 2015 wailing rage demonstrated by youth in Baltimore City after the death of Freddie Gray Jr. to introduce our Multigenerational Intentionality to Communal Health conceptual framework. The conceptual framework directs any determinants of health process (i.e. planning, policy, programming, practice, etc.), to decisively utilize the looking backward-thinking forward method to explore the intersectionality of how generational determinants of health (e.g. poverty, racism, disparities and inequities) threaten communal health.     

Queering reproductive justice: Framing reproduction of gay men from a transnational perspective—Taiwan as a case

This article uses Taiwan as an example to argue that reproductive justice for gay men should be conceptualised within social, legal, and political contexts. Taiwan is the first Asian country to legalise same-sex marriage, yet the law favours heterosexual couples and denies LGBTQ+ reproductive rights. Thus, Taiwanese gay men seek third-party reproduction overseas to become parents. This article exemplifies gay men's unequal conditions from a non-Western perspective. I re-examine scholarly literature on the interlocking concepts of reproductive justice, stratified reproduction, and queer reproduction to answer what reproductive justice gay men need and how their injustice position situates within and beyond the nation-state borders. Drawing on the reproductive justice framework and studies of queer reproduction, this article proposes a transnational perspective to understand queer reproductive justice through the case that elucidates the specific context of Taiwanese gay men. This article aims to make two contributions. Firstly, it reconsiders the reproductive framework from a transnational perspective to argue that gay men's reproductive justice should be conceptualised at the intersection with other dimensions of injustice. Secondly, this article suggests that the transnational approach could be applied as a critical lens for future research in queer reproduction and reproductive justice.     

A Bioethics Approach to Social Work Practice With Transgender Clients

Increased advocacy for the informed consent model of transgender health care specifies that patients should be in control of access to receiving medical interventions such as hormone therapy or surgery. However, in practice, mental health clinicians, including clinical social workers, are increasingly called upon by medical providers to serve as gatekeepers for these processes. It is frequently the role of social workers to assess transgender clients’ baseline mental health and their understanding of the consequences of treatment, and to forward recommendations to medical providers regarding the readiness of patients to transition. Therefore, social workers assisting transgender clients must be aware of the ethical standards that are particularly pertinent to their work with this marginalized and oppressed population. They must also be prepared to address unique ethical dilemmas that may be especially challenging to resolve. In this article we apply the most commonly utilized bioethical framework known as Principlism to describe the ethical standards and values that are particularly important to consider when working with transgender clients, namely autonomy; beneficence; nonmaleficence; and social justice. Because clinical social workers are frequently in the position of balancing client self-determination with their role as gatekeepers, a framework for resolving resulting ethical dilemmas is described (I CARE) and applied to three case examples.     

Challenges of implementing restorative justice for intimate partner violence: An Islamic perspective

ABSTRACT

Intimate partner violence (IPV) is currently recognized as a critical public health concern and a human rights issue. Not surprisingly, Muslims – a religiously and socio-culturally diverse faith-based populace – are not an exception. To address this complex area of criminal justice and social policy, some scholars advocate implementing restorative justice (RJ) approaches. While RJ approaches have been traditionally used in Islamic cultures for conflict resolutions, to date, few studies have investigated how RJ operates in dealing with IPV in Muslim countries and communities. This article explores how RJ approaches towards IPV operate in some Muslim countries/communities, and offers insights into developing culturally and religiously appropriate ways of implementing RJ in IPV situations among Muslims. Given the prevalence of IPV among Muslims, the question is particularly important and timely. Taking exclusively limited examples of RJ approaches that have been used to mediate IPV cases in Muslim countries and communities, this paper found one significant challenge in the RJ approaches among Muslims: community acceptance of IPV. To reduce IPV in Muslim society, it is necessary to develop treatment models and techniques that meet cultural and religious needs. This paper found that since RJ is not alien to Islamic teachings, RJ approaches can be implemented effectively in dealing with IPV among Muslims by ensuring justice and equity of the abused woman. The findings of this paper will assist policymakers, practitioners, and service providers in providing religiously and culturally appropriate care when addressing IPV issues among Muslims.     

Social Justice in Career Services: Perspectives of University Career Center Directors

Research indicates that career development practitioners value social justice and desire additional skills to be able to advocate effectively. Many of these practitioners work on college campuses under the supervision of career center directors; however, directors' perspectives on social justice have been missing from the literature. Following the National Career Development Association's mandate to actively practice the professional value of honoring diversity and promoting social justice, we surveyed 11 career center directors regarding advocacy in career services. Results of thematic analysis yielded center directors' insights into both defining and promoting social justice. Participants addressed the roles and responsibilities of career counselors, career center directors, and institutional culture. Implications for practice include the importance of open communication and the need for collaboration inside and outside of the career center. These findings highlight potential areas for future research into best practices for integrating social justice and advocacy in university career services.     

The problem of intersectionality as an approach to digital activism: the Women’s March on Washington’s attempt to unite all women

ABSTRACT

This study examined the convergence of activism and intersectionality to understand how communicators create messages about social justice issues using social media. This is particularly relevant for public relations today, as digital activism almost ubiquitously involves bringing together conflicting publics who are active and social media-savvy, meanwhile maintaining an organizational brand/mission. Using the 2017 Women’s March on Washington (WMW) as an object of study, we explored how campaign messages reflected principles of intersectionality, consensus- and dissensus-based communication, and organizational self-reflection. We conducted a thematic analysis of posts from the WMW’s social media accounts as well as media quotes by the organizational leaders to get at the leaders’ intentions in their message design. Data suggested that messages of inclusivity as well as of necessary discord were employed to enact political change for WMW’s publics. We argue that although the WMW was not wholly intersectional, particularly in determining its political agenda, the efforts toward intersectionality are notable for theory-building and reflective practice, particularly for social mediated campaigns. The study proposes a theory for digital intersectional communication to guide future research and advocacy work.     

Intersectionality in Gender Mainstreaming:Equity Organizing in Turkey

ABSTRACT

Historically, Turkey is home to multiple identities and cultures. In following with the critiques of Diversity Mainstreaming approach toward Gender Mainstreaming, this article argues that recognition of identities can be possible if an intersectional approach is adopted. To overcome the particular challenges of Gender Mainstreaming’s implementation in Turkey’s multicultural society, this article introduces a concept that supplements Gender Mainstreaming, called Equity Organizing, which further develops the views on intersectionality and equity that Diversity Mainstreaming proposes. It is different from Diversity Mainstreaming because it seeks to address the challenges to democracy in strong central and authoritarian leaning states. Equity Organizing is committed to the construction of progressive state policies for social justice through the realization of diverse identities.     

An exploration of the intersection of race,gender and generation in African American women doing social justice work

This article examines how Black women from varying generations articulate their perceptions about race. The 183 participants, ranging in age from 21 to 69, were Black women committed to social justice work. An under‐researched area is the exploration of generational perspectives about race among Black women social activists. Utilizing an exploratory sequential mixed‐methods design, data were collected through six in‐depth personal interviews, four focus groups, and an online survey. Intersectionality, standpoint and social identity theories were used in a complementary way to interpret the findings. Analysis of the data suggests that Millennials perceive race and social justice work differently than the Gen‐Xers and Baby Boomers. The Millennials more readily acknowledge the intersectionality of their multiple identities and tend to characterize their racial experiences as gendered. Furthermore, like the Baby Boomers and Gen‐Xers, the Millennials expressed a need for and a commitment to social justice work, but seemed more open to collaborating with other socially oppressed groups.     

A Gay and Lesbian Congregation Seeks Social Justice for Other Marginalized Communities

SUMMARY

The Cathedral of Hope in Dallas, Texas, is the world's largest gay and lesbian congregation. As an unabashedly liberal church, the Cathedral of Hope views social justice as the foundation of theological beliefs and the heart of community building activities with other marginalized and oppressed people. These actions of social justice and community building have produced an unexpected outcome. Social justice has been returned to this congregation in the form of community affirmation, acceptance, recognition, and advocacy. Thus, one significant way for gays and lesbians to achieve social justice is to work for the same with other oppressed people, devoid of strings or hidden agendas.     

Drug Courts and the Logic of Coerced Treatment1

This article examines the social and historical significance of coerced drug treatment within the criminal justice system. Drug courts, the most prominent example of this approach, serve as a case study to explore how seemingly contradictory perspectives on substance use—therapeutic and punitive—are merged to justify increased criminal justice oversight of defendants in the name of facilitating recovery. Drawing on an analysis of drug court organizational documents and interviews with key advocates, this article (1) examines the punitive, therapeutic, and medical knowledge drug court advocates draw on and construct to justify an increased role for the courts in solving the problem of addiction, and (2) links these theories historically to broader discussions about the causes of crime and the courts’ role in solving social problems. Overall, this article considers how scientific theories are fused with moral considerations in the name of an “enlightened” criminal justice approach to complex social problems.     

The City: A Social Studies Class

Teaching for economic justice can be challenging for upper elementary and middle school teachers. Many teachers may feel uncomfortable with the subject matter and thus avoid addressing sensitive social issues related to economic/financial inequities. This article describes how selected songs and works of visual art, expressions of social protest and social commentary from past and present, can be used appropriately as starting points for introducing the concept of economic justice. By using principles and strategies of Discipline-Based Arts Education (DBAE) and employing works of art as organizing centers for instruction, potentially sensitive social issues are simultaneously personalized and depersonalized. Music and art provide a relatively safe and comfortable means for teachers to promote student awareness and sensitivity towards economic injustices. Two sample lesson plans, the first for upper elementary students and the second for middle school students, are provided and discussed.     

Social work students’ perspective on environmental justice: Gaps and challenges for preparing students

ABSTRACT

The integration of environmental justice into social work education, research, and practice has grown substantially in the past decade. However, social workers still report feeling unprepared to address these challenges with their clients and communities. To understand the disconnect between education about and application of environmental justice principles, semi-structured qualitative interviews were conducted with graduate social work students (n = 14). Findings suggest this disconnect is catalyzed, in part, by the environment’s meta nature and a lack of facilitated education on the dynamic feedbacks between the physical environment and social justice issues. Implications for social work educators are discussed.     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.

     

The U.S. Criminal Justice System: A Role for Radical Social Work

ABSTRACT

Characteristics of the current United States criminal justice system include mass incarceration at a rate higher than that of any other Western country, extraordinarily long sentences, rampant racial discrimination, and discrimination against all low-income persons. The impact of this system goes beyond devastation of those subject to supervision of the system to their families, communities, and society at large. This article analyzes the current criminal justice system relative to neoliberalism and ongoing reform efforts. The possible roles of radical social work in facilitating reforms and connecting criminal justice advocacy and issues to larger structural issues as well as direct practice strategies are explored.