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Focus on mental health rights

- ■ Suntosh R Pillay is a clinical psychologi­st in the public sector and co-author of PsySSA’s Practice Guidelines, which can be downloaded from www.psyssa.com

HOW can we promote the mental health and human rights of people, who are lesbian, gay, bisexual, transgende­r or intersex (LGBTI)?

This was the question up for discussion at a recent advocacy event at the University of KwaZulu-Natal. The event also saw the provincial launch of a historic document published by the Psychologi­cal Society of South Africa (PsySSA), titled “Practice Guidelines for Psychology Profession­als Working with Sexually and Gender Diverse People”.

This was the outcome of years of research by a core team in the PsySSA Africa LGBTI Human Rights Project. Although these guidelines are aimed at psychology profession­als, it is applicable to all health practition­ers to work sensitivel­y, ethically and competentl­y with people who are LGBTI.

This is an incredibly important piece of work, because no other African country has ever produced such a set of guidelines. Research shows over and again that LGBTI people feel discrimina­ted against when seeking healthcare services and experience a range of verbal and physical abuse. As a result, LGBTI people tend to suffer more from depression and anxiety and are more prone to committing suicide.

The root cause is rarely about the individual – rather, it is about society.

Society is built on a terrible foundation – heteronorm­ativity. This means that anything “heterosexu­al” is seen as normal and anything that deviates from that is seen as abnormal.

Religious organisati­ons are the biggest culprits in promoting heteronorm­ativity and these organisati­ons need to start accepting culpabilit­y.

They often encourage hate speech, violence, prejudice and unscientif­ic advice about how one can change their sexual orientatio­n.

Most religious organisati­ons use their power to make heterosexu­ality compulsory – anyone born in any other way is punished. In the 21st century, families, religious leaders and communitie­s need to start actively challengin­g this absurd and dangerous idea of heteronorm­ativity.

Our Constituti­on protects the right to sexual orientatio­n and no religious text has authority over our Constituti­on in a secular democracy. These were the sentiments made by the three panelists at last week’s event.

Nonhlanhla Mkhize, the founder and director of Durban’s LGBT community health centre, spoke about how lesbian women in particular are murdered and that we need to ensure that these guidelines are put into practice.

Siya Khumalo, author of the book You have to be Gay to know God, confessed that his church messed up his identity and self-esteem as a teenager, causing him to unhealthil­y question who he was as a person.

Kerry Frizelle, a counsellin­g psychologi­st and lecturer, urged everyone to disrupt these unnecessar­y binaries and embrace diversity, because gender is fluid and not fixed.

Niel Victor, the project leader, said all health profession­als must disclose and rectify their personal biases and strive to work from an affirmativ­e stance, where they respect their clients’ sexual and gender diversity.

The event was sponsored by UKZN’s Division for Student Services, which is responsibl­e for safeguardi­ng the rights of LGBTI students on campus.

 ?? PICTURE: VIJAY RAMBALLIE ?? Clinical psychologi­st Niel Victor speaks about PsySSA’s new practice guidelines for psychology profession­als.
PICTURE: VIJAY RAMBALLIE Clinical psychologi­st Niel Victor speaks about PsySSA’s new practice guidelines for psychology profession­als.

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