LGBTQ and Straight Professionals Working Together to Advance LGBTQ Health Care

Welcome to Theodora Sirota, who is now a contributor to our blog!  

As an advanced practice psychiatric nurse, I am aware that heterosexism has dominated most LGBTQ health care. Sexual minority communities experience health care disparities Sirotamainly due to homophobia and lack of appropriate education and /or interest in LGBTQ health care needs within the largely straight health care system. I am also aware that LGBTQ health care policy and initiatives have been spearheaded by LGBTQ professionals and it seems obviously appropriate that they should be taking the lead. However, as a straight ally interested in advancing LGBTQ health care, I want to be able to network and connect to others with the same agenda and especially to LGBTQ health care providers who can help extend and shape my own point of view.

Last year I had a very interesting and somewhat disturbing experience as I attended and presented some research at a conference related to LGBTQ health care. The attendees were LGBTQ physicians, nurses, psychologists and others with LGBTQ health-related clinical and research interests. Some, including myself, were straight allies interested in advancing LGBTQ health and human rights. In fact, as my career as a psychiatric mental health nursing clinician and nurse educator and researcher has progressed, LGBTQ health has become my primary professional interest and concern. This was my first conference experience where I knew I’d have the opportunity to meet and talk with prominent leaders and thinkers in the LGBTQ health care community. I was also excited and interested to attend presentations that would allow me to get more immersed in hearing LGBTQ professionals’ current perspectives on LGBTQ health care. Unfortunately, I believe most straight allies have too little direct experience listening to their LGBTQ colleagues and I really wanted to learn as much as I could.

However, at that conference, I experienced a kind of reverse homophobia, or “heterophobia.” It was immediately clear to me, as a straight woman, that I was part of a small minority attending the conference. That in itself was OK; interestingly, my brain isn’t geared to thinking of myself as being in a minority anywhere I go and this realization in itself was revelatory and instructive. But, although a few people did react warmly to me, I felt basically shunned, marginalized, ignored, and very much alone, even when I tried to reach out to interact with people who had been introduced to me. Honestly, at that conference I felt like I was wearing an invisible scarlet letter on my bosom: the big “S” for “straight”. This was a rather eye-opening experience; now I can say that I can truly understand what LGBTQ people must feel in a room filled with mostly hetero folks.

As a straight person who wishes to help eliminate health care disparities and is supportive of social justice for LGBTQ individuals and populations, I don’t intend to stop my scholarship or my clinical interest in advancing LGBTQ health care. However, my experience at the conference made me painfully aware of the fact that there remains a lot of suspicious skepticism and distrust among LGBTQ folks toward straight people who sincerely wish to share and advance their interests. From a historical perspective, I can understand why this is so. However, I would suggest that, at this point in time, not only do straight people need to continue to examine and adjust their homophobic attitudes toward LGBTQ people, but LGBTQ people also need to be more self-reflective about their feelings toward heterosexual allies and attempt to be less heterophobic around straight people who support them. Working on this is critical in a health care climate dominated by heterosexual professionals. Thorough, sensitive health care for LGBTQ individuals and communities cannot be realized until LGBTQ professionals and straight professionals conscientiously work toward forging alliances and mutual understanding that will benefit the advancement of LGBTQ health. LGBTQ professionals need to realize that not all of us are the enemy and not all of us have nefarious agendas. It is imperative that LGBTQ professionals and straight professionals form caring and collaborative partnerships to help end health care disparities faced by LGBTQ people.

About nursted

I am an advanced practice psychiatric-mental health nursing clinician and associate professor of Nursing at Caldwell University, Caldwell, NJ. My research interests are in the areas of gay parenting and improving LGBTQ health care through appropriate attitudinal investigation and curriculum development for nurses and other health care professionals.
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3 Responses to LGBTQ and Straight Professionals Working Together to Advance LGBTQ Health Care

  1. Vera says:

    I am surprised at the reception you received. When I have attended LGBT events and workshops during college health conferences I attend annually, I am warmly welcomed.
    I have personally experienced heterophobia only once at a recent HIV information update evening workshop. A transgender woman I approached concerning the organization I volunteer, about our website for LBT women and requested feedback on the information posted for transgender persons gave me the cold shoulder. On the other hand, when I went to a local fundraiser, I was greeted warmly and the person who spoke to me about doing a national presentation was a transgender woman who is a member of the GLMA board. On the other, when I attended an oncology nurses conference in Palm Beach, I was really kept at a distance. One of the nurses threw our palm cards back to me. I am not sure what that was about! Essentially, I feel as a heterosexual woman and health care provider the reception from the gay community has been very positive and I have learned a lot.

  2. Mickey says:

    thanks for sharing this experience. We all have so many communities where we have varying degrees of belongingness and outsiderness. I remember my first GLMA conference as feeling very much on the outside as a non-physician. There’s so many ways that we can create connection or disconnection. Let’s aim to make the Nursing Summit this year as inclusive as possible.

  3. I am sorry you received this reception. Your experience is a great opener for discussions around “belongingness.” I identify as a gay male but still encounter LGBT groups who do not accept me. As an example, I am the faculty advisor for a very active university LGBT student group. We have over 70 registered members. I’ve been advising them for nearly 2 years and they still have yet to fully accept me, but they are definitely coming along. When I first took on this role, I thought they would accept me with open arms because I identified as gay, but that obviously was not the case. But I also think that part of this is because of my own perception.

    On a side note about conferences, I always feel very disconnected at every conference I attend. At first I thought it was because people didn’t welcome me, but then I realized it was the nature of a conference event where you bring together a bunch of people that may share similar interests but most often do not know each other very well. But like Mickey said, we are really trying to create a very inclusive atmosphere at the GLMA Nursing Summit this year. Hope to see you there!

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