Not in the Same Mental Drawer: Internalized Sexual Stigma, Dissociation, and the Role of Religion in a Sample of Italian Gay Men

J Homosex. 2020 Aug 23;67(10):1386-1400. doi: 10.1080/00918369.2019.1591786. Epub 2019 Mar 26.

Abstract

Several studies have highlighted the relationship between internalized sexual stigma (ISS) and dissociation. The aim of the present study was to empirically investigate this relationship through a quantitative study. The Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) and the Dissociation Scale (DIS) of the Trauma Symptom Inventory (TSI) were administered to 120 Caucasian participants who self-identified as gay men. Findings suggested that dissociative symptomatology, as measured by DIS-an estimation of the use of dissociation as a defense mechanism-was positively associated with MISS general index and all dimensions of MISS, especially the sexuality dimension (ISS-S). Moreover, the effect of the ISS-S on DIS was amplified in Catholic participants, suggesting a moderating role of religiosity. Implications for future research and clinical practice are discussed.

Keywords: Homosexuality; dissociation; gay men; homophobia; internalized homophobia; internalized sexual stigma; minority stress; psychotherapy; religion; sexual stigma.

MeSH terms

  • Adolescent
  • Adult
  • Catholicism
  • Defense Mechanisms*
  • Female
  • Homophobia
  • Homosexuality, Male / psychology*
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Psychological Tests
  • Religion and Sex*
  • Social Stigma*
  • Young Adult