18 March 2017

The Huffington Post: The Epidemic of Gay Loneliness

For years I’ve noticed the divergence between my straight friends and my gay friends. While one half of my social circle has disappeared into relationships, kids and suburbs, the other has struggled through isolation and anxiety, hard drugs and risky sex. [...]

Still, even as we celebrate the scale and speed of this change, the rates of depression, loneliness and substance abuse in the gay community remain stuck in the same place they’ve been for decades. Gay people are now, depending on the study, between 2 and 10 times more likely than straight people to take their own lives. We’re twice as likely to have a major depressive episode. And just like the last epidemic we lived through, the trauma appears to be concentrated among men. In a survey of gay men who recently arrived in New York City, three-quarters suffered from anxiety or depression, abused drugs or alcohol or were having risky sex—or some combination of the three. Despite all the talk of our “chosen families,” gay men have fewer close friends than straight people or gay women. In a survey of care-providers at HIV clinics, one respondent told researchers: “It’s not a question of them not knowing how to save their lives. It’s a question of them knowing if their lives are worth saving.” [...]

The term researchers use to explain this phenomenon is “minority stress.” In its most direct form, it’s pretty simple: Being a member of a marginalized group requires extra effort. When you’re the only woman at a business meeting, or the only black guy in your college dorm, you have to think on a level that members of the majority don’t. If you stand up to your boss, or fail to, are you playing into stereotypes of women in the workplace? If you don’t ace a test, will people think it’s because of your race? Even if you don’t experience overt stigma, considering these possibilities takes its toll over time. [...]

For decades, this is what psychologists thought, too: that the key stages in identity formation for gay men all led up to coming out, that once we were finally comfortable with ourselves, we could begin building a life within a community of people who’d gone through the same thing. But over the last 10 years, what researchers have discovered is that the struggle to fit in only grows more intense. A study published in 2015 found that rates of anxiety and depression were higher in men who had recently come out than in men who were still closeted. [...]

“Gay and bisexual men talk about the gay community as a significant source of stress in their lives,” Pachankis says. The fundamental reason for this, he says, is that “in-group discrimination” does more harm to your psyche than getting rejected by members of the majority. It’s easy to ignore, roll your eyes and put a middle finger up to straight people who don’t like you because, whatever, you don’t need their approval anyway. Rejection from other gay people, though, feels like losing your only way of making friends and finding love. Being pushed away from your own people hurts more because you need them more. [...]

This helps explain the pervasive stigma against feminine guys in the gay community. According to Dane Whicker, a clinical psychologist and researcher at Duke, most gay men report that they want to date someone masculine, and that they wished they acted more masculine themselves. Maybe that’s because, historically, masculine men have been more able to blend into straight society. Or maybe it’s internalized homophobia: Feminine gay men are still stereotyped as bottoms, the receptive partner in anal sex.

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