Annotated Bib, post 2

Goldbach, Jeremy T, and Carl Andrew Castro. “Lesbian, Gay, Bisexual, and Transgender (LGBT) Service Members: Life After Don’t Ask, Don’t Tell.” Current Psychiatry Reports 18, no. 6 (June 2016): 56–56. https://doi.org/10.1007/s11920-016-0695-0.

 

 

Summary

71,000 military personnel identify as lesbian, gay, or bisexual with many others identified as transsexual. Though homosexual behavior has always been prohibited, being of gay or lesbian sexual orientation was not explicitly stated as being banned from the military until 1942. Over time, the list of objections to allow homosexuals join the service grew, including higher health care costs (primarily because of AIDS), erosion of military morale, violation of privacy/modesty rights of non-lesbian and gay service members, and violation of the Uniformed Code of Military Justice’s prohibition against sodomy. Though the intention DADT was to protect LGB members in the service, it did little to protect them from discrimination and may have actually made it easier to be identified and separated as a LGB service member.

Because LGB service members were prohibited, studies on them aren’t available, however, we see in this source like we did in “The Effect of Discrimination and Stress on Sexual and Behavioral Health among Sexual Minority Servicemen”, that there have been studies on LGB veterans and civilians. Civilian LGBT studies show increased amounts of stress and psychological vulnerability, specifically depression, anxiety, PTSD, and substance abuse.

 

Contrary to we saw from the small study in “The Effect of Discrimination and Stress on Sexual and Behavioral Health among Sexual Minority Servicemen” (but was also the belief based on civilian and veteran GB studies) LGBT civilians have increased risks for a variety of illnesses and diseases. Lesbians, tending to smoke more, have STIs, and lack screening, are at greater risks for cervical and breast cancer. Gays are at higher risk for HIV and anal cancer. In civilian literature, health issues are usually attributed to LGBT-unique individuals, called minority stress, which states that major life events can cause one to be less equipped to adapt and tolerate life stressors. This can lead to poor physical and mental health.

 

Before the repeal of DADT, members could be discharged for disclosing their homosexuality. Even after the repeal, this distrust remains. Only 70% stated comfort with discussing their sexual orientation, while only 56.7% believe the military cares for their health regardless of sexual orientation. We saw similar information in “The Effect of Discrimination and Stress on Sexual and Behavioral Health among Sexual Minority Servicemen.”

 

The lack of military health care providers’ knowledge on LGBT health issues is a large issue discussed in the source, considering that with the repealing of DADT occurring in 2011, any provider trained before this would have limited exposure to LGBT health considerations.

 

The last issue regarding personal views of mental health care providers regarding LGBT service members in that many in the military do not believe LGBT should be allowed to serve. While everyone is entitled to have their own views, it can cause concern for LGBT service members knowing that their healthcare providers may treat them with discrimination.

 

Final Thoughts

This source discusses the repeal of DADT and the effects following it, along with issues that still need to be dealt with, such as knowledge gaps on healthcare and discrimination in the medical field and in the service throughout. This source argues also that there needs to be more research on active duty service members and discusses about the issues before and after DADT concerning healthcare and discrimination, connecting it to the other annotations. This source is a recent, concise article that has numerous resources for evidence, making it credible. There isn’t any reporting of new evidence in this source, so it would have to be assumed that this article used credible sources itself.

 

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