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Instead, social ostracism, legal discrimination, internalization of negative stereotypes, and limited support structures indicate factors homosexual people face in Western societies that often adversely affect their mental health. Much literature on mental health and homosexual patients centered on their depression , substance abuse , and suicide. An individual homosexual, heterosexual or bisexual person may be masculine, feminine, or androgynous , and in addition, many members and supporters of lesbian and gay communities now see the "gender-conforming heterosexual" and the "gender-nonconforming homosexual" as negative stereotypes. Retrieved 12 September The national survey of sexual attitudes and lifestyles.
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Coming out of the closet is a phrase referring to one's disclosure of their sexual orientation or gender identity, and is described and experienced variously as a psychological process or journey. Heterosexism can include the presumption that everyone is heterosexual or that opposite-sex attractions and relationships are the norm and therefore superior. Outing is the practice of publicly revealing the sexual orientation of a closeted person. Studies of African Homosexualities. Marriages, Families, and Relationships. In recognition of the scientific evidence,  the American Psychiatric Association removed homosexuality from the DSM in , stating that "homosexuality per se implies no impairment in judgment, stability, reliability, or general social or vocational capabilities. In regard to male homosexuality, such documents depict an at times complex understanding in which relationships with women and relationships with adolescent boys could be a part of a normal man's love life.
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People with a homosexual orientation can express their sexuality in a variety of ways, and may or may not express it in their behaviors. Public Health Agency of Canada. From the second half of the 13th century, death was the punishment for male homosexuality in most of Europe. Social Behavior and Personality. They do, however, encourage gay affirmative psychotherapy.
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