Epistemic Injustice: Towards Uncovering Knowledge of Bisexual Realities in Social Work Research
AbstractLesbian, gay, bisexual, transgender and queer (LGBTQ) individuals experience health risks, with bisexuals experiencing higher levels of health risk compared to heterosexuals, gays and lesbians. These disparities are often attributed to stressors related to minority status. While similarities among LGBTQ experiences exist, it is plausible that bisexuals experience unique forms of marginalization, which may help explain the documented health disparities. Bostwick and Hequembourg highlight unique forms of marginalization that bisexuals experience vis-a`-vis microagressions, falling within the realm of the epistemic. Fricker’s work on epistemic injustice emphasizes marginalization particularly as it is related to knowledge and experience. Drawing on this scholarship, this paper provides a review of existing literature on the bisexual experience, and a discussion to provide a critical lens on bisexual marginalization in society and the minimal attention received in social work research. Approaches to increase bisexual visibility and attention in social work research will be discussed. Some approaches include: developing a queer theoretical perspective in practice and research to allow for greater problematization of social categories; and making a concerted effort to promote research that is inclusive of minority populations within the sexual and gender minority population group. This might include groups with intersecting points of marginalization, such as racialized and gender diverse individuals.
Baldick, C. (2015). The Oxford dictionary of literary terms. Oxford: Oxford University Press. doi: https://doi.org/10.1093/acref/9780198715443.001.0001
Bell, K. (2014). Exploring epistemic injustice through feminist social work research. Affilia, 29(2), 165-177. doi: https://doi.org/10.1177/0886109913516457
Bostwick, W., & Hequembourg, A. (2014). ‘Just a little hint’: Bisexual-specific microaggressions and their connection to epistemic injustices. Culture, Health & Sexuality, 16(5), 488-503. doi: https://doi.org/10.1080/13691058.2014.889754
Bostwick, W. B., Hughes, T. L., & Everett, B. (2015). Health behavior, status, and outcomes among a community-based sample of lesbian and bisexual women. LGBT Health, 2(2), 121-126. doi: https://doi.org/10.1089/lgbt.2014.0074
Bradford, M. (2004). The bisexual experience: Living in a dichotomous culture. Journal of Bisexuality, 4(1-2), 7-23. doi: https://doi.org/10.1300/J159v04n01_02
Brookfield, S. D. (1995). Becoming a critically reflective teacher. San Francisco: Jossey-Bass.
Burdge, B. J. (2007). Bending gender, ending gender: Theoretical foundations for social work practice with the transgender community. Social Work, 52(3), 243-250. doi: https://doi.org/10.1093/sw/52.3.243
Butler, J. (1991). Imitation and gender insubordination. In D. Fuss (Ed.), Inside/out: lesbian theories, gay theories (pp. 23–38). New York: Routledge.
Callis, A. S. (2009). Playing with Butler and Foucault: Bisexuality and queer theory. Journal of Bisexuality, 9, 213-233. doi: https://doi.org/10.1080/15299710903316513
Canadian Association of Social Workers [CASW]. (2000). National scope of practice statement. Ottawa: Author.
Case P., Austin, S. B., Hunter, D. J., Manson, J. E., Malspeis, S., Willett, W. C., & Spiegelman, D. (2004). Sexual orientation, health risk factors, and physical functioning in the Nurses’ Health Study II. Journal of Women’s Health (Larchmt), 13(9), 1033-1047. doi: https://doi.org/10.1089/jwh.2004.13.1033
Cox, N., Berghe, W. V., Dewaele, A., & Vincke, J. (2010). Acculturation strategies and mental health in gay, lesbian, and bisexual youth. Journal of Youth and Adolescence, 39, 1199-1210. doi: https://doi.org/10.1007/s10964-009-9435-7
Da ̈umer, E. D. (1999). Queer ethics; Or, the challenge of bisexuality to lesbian ethics. In M. Storr (Ed.), Bisexuality: A critical reader (pp. 152-161). New York: Routledge.
Diamant, A. L., & Wold, C. (2003). Sexual orientation and variation in physical and mental health status among women. Journal of Women’s Health (Larchmt), 12(1), 41-49. doi: https://doi.org/10.1089/154099903321154130
Dobinson, C., MacDonnell, J., Hampson, E., Clipsham, J., & Chow, K. (2005). Improving the access and quality of public health services for bisexuals. Journal of Bisexuality, 5(1), 39-77. doi: https://doi.org/10.1300/J159v05n01_05
Drover, G. (2013). Social work. Retrieved from http://www.thecanadianencyclopedia.ca/en/article/social-work/
Eady, A., Dobinson, C., & Ross, L. E. (2011). Bisexual people’s experiences with mental health services: A qualitative investigation. Community Mental Health Journal, 47(4), 378-389. doi: https://doi.org/10.1007/s10597-010-9329-x
Erickson-Schroth, L., & Mitchell, J. (2009). Queering queer theory, or why bisexuality matters. Journal of Bisexuality, 9(3-4), 297-315. doi: https://doi.org/10.1080/15299710903316596
Fantus, S. (2013). The dichotomy of sexuality: A narrative-epistemological framework for social work practice and research. Critical Social Work, 14(2), 99-113.
Flanders, C. E., LeBreton, M. E., Robinson, M., Bian, J., & Caravaca-Morera, J. A. (2017). Defining bisexuality: Young bisexual and pansexual people's voices. Journal of Bisexuality, 17(1), 39-57. doi: https://doi.org/10.1080/15299716.2016.1227016
Foucault, M. (1978). The history of sexuality: Volume one. New York: Vintage Books.
Fredriksen-Goldsen, K. I. (2011). Resilience and disparities among lesbian, gay, bisexual, and transgender older adults. The Public Policy and Aging Report, 21(3), 3-7. doi: https://doi.org/10.1093/ppar/21.3.3
Fredriksen-Goldsen, K. I., Kim, H. J., Barkan, S. E., Balsam, K. F., & Mincer, S. L. (2010). Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100(11), 2255-2261. doi: https://doi.org/10.2105/AJPH.2009.177329
Fricker, M. (2007). Epistemic injustice. Oxford: Oxford University Press. doi: https://doi.org/10.1093/acprof:oso/9780198237907.001.0001
Fricker, M. (2008). Epistemic injustice Pre ́cis. Theoria, 61, 69-71.
Gates, G. J. (2011). How many people are lesbian, gay, bisexual and transgender? UCLA: The Williams Institute. Retrieved from http://escholarship.org/uc/item/09h684x2
Giffney, N. (2009). Introduction: The ‘q’ word. In N. Giffney & M. O’Rourke (Eds.), The Ashgate research companion to queer theory (pp. 1-13). Burlington: Ashgate.
Gorman, B. K., Denney, J. T., Dowdy, H., & Medeiros, R. A. (2015). A new piece of the puzzle: Sexual orientation, gender, and physical health status. Demography, 52(4), 1357-1382. doi: https://doi.org/10.1007/s13524-015-0406-1
Gringeri, C. E., & Roche, S. E. (2010). Beyond the binary: Critical feminisms in social work. Affilia, 25(4), 337-340. doi: https://doi.org/10.1177/0886109910384194
Gurevich, M., Bailey, H., & Bower, J. (2009). Querying theory and politics: The epistemic (dis)location of bisexuality within queer theory. Journal of Bisexuality, 9(3-4), 235-257. doi: https://doi.org/10.1080/15299710903316539
Hawley, K. (2011). Knowing how and epistemic injustice. In J. Bengson, & M. Moffett (Eds.), Knowing how: Essays on knowledge, mind, and action (pp. 283-299). Oxford: Oxford University Press.
Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay and bisexual adults. Journal of Consulting and Clinical Psychology, 67(6), 945-951. doi: https://doi.org/10.1037/0022-006X.67.6.945
Hershberger, S. L., Pilkington, N. W., & D’Augelli, A. R. (1997). Predictors of suicide attempts among gay, lesbian, and bisexual youth. Journal of Adolescent Research, 12(4), 477-497. doi: https://doi.org/10.1177/0743554897124004
Hequembourg, A. L., & Brallier, S. A. (2009). An exploration of sexual minority stress across the lines of gender and sexual identity. Journal of Homosexuality, 56(3), 273-298. doi: https://doi.org/10.1080/00918360902728517
Horn, S. K. (2012). Is social work the work of love?: Love practice and queer doing in the process for full self-determination (Thesis). Retrieved from http://scholarworks.smith.edu/theses/633/
Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: The National Academies Press.
Johnson, J., & Repta, R. (2012). Sex and gender: Beyond the binaries. In J. Oliffe & L. Greaves (Eds.), Designing and conducting gender, sex, and health research (pp. 17-37). Thousand Oaks, CA: Sage. doi: https://doi.org/10.4135/9781452230610.n2
Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: Results from a community survey of young and middle-aged adults. British Journal of Psychiatry, 180, 423-427. doi: https://doi.org/10.1192/bjp.180.5.423
Kerr, D. L., Santurri, L., & Peters, P. A. (2013). A comparison of lesbian, bisexual, and heterosexual college undergraduate women on selected mental health issues. Journal of American College Health, 61(4), 185-194. doi: https://doi.org/10.1080/07448481.2013.787619
King, M., & McKeown, E. (2003). Mental health and social well-being of gay men, lesbians and bisexuals in England and Wales: A summary of findings. London: MIND (National Association for Mental Health).
King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. Bio Med Central Psychiatry, 8(70), 1-17. doi: https://doi.org/10.1186/1471-244X-8-70
Klein, N. A., & Dudley, M. G. (2014). Impediments to academic performance of bisexual college students. Journal of American College Health, 62(6), 399-406. doi: https://doi.org/10.1080/07448481.2014.917653
Kuyper, L., & Fokkema, T. (2011). Minority stress and mental health among Dutch LGBs: Examination of differences between sex and sexual orientation. Journal of Counseling Psychology, 58(2), 222-233. doi: https://doi.org/10.1037/a0022688
Lapinski, M. K., Braz, M. E. & Maloney, E. K. (2010). The down low, social stigma, and risky sexual behaviors: Insights from African-American men who have sex with men. Journal of Homosexuality, 57, 610-633. doi: https://doi.org/10.1080/00918361003712020
Laumann, E. O., Gagnon, J. H., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago, IL: University of Chicago Press.
Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting and Clinical Psychology, 79, 159-170. doi: https://doi.org/10.1037/a0022839
MacDowall, L. (2009). Historicising contemporary bisexuality. Journal of Bisexuality, 9(1), 3-15. doi: https://doi.org/10.1080/15299710802659989
Martin, B. (1996). Femininity played straight: The significance of being lesbian. New York: Routledge.
Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91(11), 1869-1876. doi: https://doi.org/10.2105/AJPH.91.11.1869
McGrady, P. B. (2012). Sexuality and larger bodies: Gay men's experience of and resistance against weight and sexual orientation stigma (Doctoral thesis). Retrieved from ProQuest Dissertations Publishing database (No. 3551162), http://diginole.lib.fsu.edu/islandora/object/fsu:183280/datastream/PDF/view
McPhail, B. A. (2004). Re-gendering the social work curriculum: New realities and complexities. Journal of Social Work Education, 44(2), 33-52. doi: https://doi.org/10.5175/JSWE.2008.200600148
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health & Social Behavior, 36, 38-56. doi: https://doi.org/10.2307/2137286
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697. doi: https://doi.org/10.1037/0033-2909.129.5.674
Mikkola, M. (2012). Feminist perspectives on sex and gender. In E. N. Zalta (Ed.), The Stanford encyclopedia of philosophy (Fall 2012, Online). Retrieved from http://plato.stanford.edu/archives/fall2012/entries/feminism-gender/
Miller, M., André, A., Ebin, J., & Bessonova, L. (2007). Bisexual health: An introduction and model practices for HIV/STI prevention programing. New York: National Gay and Lesbian Task Force Policy Institute, the Fenway Institute at Fenway Community Health, and BiNet USA.
Mitchell, R. C., Davis, K. S., & Galupo, M. P. (2014). Comparing perceived experiences of prejudice among self-identified plurisexual individuals. Psychology & Sexuality, 6(3), 245-257. doi: https://doi.org/10.1080/19419899.2014.940372
Mulé, N. J. (2008). Demarcating gender and sexual diversity on the structural landscape of social work. Critical Social Work, 9(1). Retrieved from http://www1.uwindsor.ca/criticalsocialwork/demarcating-gender-and-sexual-diversity-on-the-structural-landscape-of-social-work
Nadal, K. L., Rivera, D. P., & Corpus, J. H. (2010). Sexual orientation and transgender microaggressions. In D. W. Sue (Ed.), Microaggressions and marginality: Manifestation, dynamics, and impact (pp. 217-240). Hoboken, NJ: Wiley.
Page, E. H. (2004). Mental health services experiences of bisexual women and bisexual men: An empirical study. Binghamton, NY: Harrington Park/Haworth.
Pierce, C. (1970). Offensive mechanisms. In F. Barbour (Ed.), The Black seventies (pp. 265-282). Boston, MA: Porter Sargent.
Rainbow Health Ontario [RHO]. (2015). RHO fact sheet: Bisexual health fact sheet. Retrieved from http://www.rainbowhealthontario.ca/resources/bisexual-health-fact-sheet/
Rassi, S. L. (2011). US social work faculty and gender diversity concerns: Personal perspectives and curricular considerations (Doctoral dissertation, Michigan State University). Retrieved from https://deepblue.lib.umich.edu/bitstream/handle/2027.42/89752/mercury_1.pdf?sequence=1&isAllowed=y
Ristock, J. L. (2001). Decentering heterosexuality: Responses of feminist counselors to abuse in lesbian relationships. Women & Therapy, 23(3), 59-72. doi: https://doi.org/10.1300/J015v23n03_05
Robinson, M. (2017). Two-spirit and bisexual people: Different umbrella, same rain. Journal of Bisexuality, 17(1), 7-29. doi: https://doi.org/10.1080/15299716.2016.1261266
Ross, L. E., Dobinson, C., & Eady, A. (2010). Perceived determinants of mental health for bisexual people: A qualitative examination. American Journal of Public Health, 100(3), 496-502. doi: https://doi.org/10.2105/AJPH.2008.156307
Ross, L. E., O’Gorman, L., MacLeod, M. A., Bauer, G. R., MacKay, J., & Robinson, M. (2016). Bisexuality, poverty, and mental health: A mixed methods analysis. Social Science & Medicine, 156, 64-72. doi: https://doi.org/10.1016/j.socscimed.2016.03.009
Rust, P. R. (2000). Criticisms of the scholarly literature on sexuality for its neglect of bisexuality. In Bisexuality in the United States: A social science reader (pp. 5-10). New York: Columbia University Press.
Sands, R. G. (1996). The elusiveness of identity in social work practice with women: A postmodern feminist perspective. Clinical Social Work Journal, 24(2), 167-186. doi: https://doi.org/10.1007/BF02189730
Sarno, E., & Wright, A. J. (2013). Homonegative microaggressions and identity in bisexual men and women. Journal of Bisexuality, 13(1), 63-81. doi: https://doi.org/10.1080/15299716.2013.756677
Sedgwick, E. K. (2007). Melanie Klein and the difference affect makes. South Atlantic Quarterly, 106(3), 625-642. doi: https://doi.org/10.1215/00382876-2007-020
Smith, L. C., Shin, R. Q., & Officer, L. M. (2012). Moving counseling forward on LGB and transgender issues: Speaking queerly on discourses and microaggressions. The Counseling Psychologist, 40(3), 385-408. doi: https://doi.org/10.1177/0011000011403165
Steele, L. S., Ross, L. E., Dobinson, C., Veldhuizen, S., & Tinmouth, J. (2009). Women's sexual orientation and health: Results from a Canadian population-based survey. Women & Health, 49(5), 353-367. doi: https://doi.org/10.1080/03630240903238685
Steup, M. (2014). Epistemology. In E. N. Zalta (Ed.), The Stanford encyclopedia of philosophy. Retrieved from https://plato.stanford.edu/entries/epistemology/
Sue, D. W. (2010). Microaggressions in everyday life: Race, gender and sexual orientation. Hoboken, NJ: Wiley.
Sue, D. W., Bucceri, J., Lin, A. I., Nadal, K. L., & Torino, G. C. (2007). Racial microaggressions and the Asian American experience. Cultural Diversity and Ethnic Minority Psychology, 13, 72-81. doi: https://doi.org/10.1037/1099-9809.13.1.72
Tangenberg, K. M., & Kemp, S. (2002). Embodied practice: Claiming the body’s experience, agency and knowledge for social work. Social Work, 47(1), 9-18. doi: https://doi.org/10.1093/sw/47.1.9
Thoma, B. C., Huebner, D. M., & Rullo, J. E. (2013). Unseen risks: HIV-related risk behaviors among ethnically diverse sexual minority adolescent females. AIDS Education and Prevention: Official Publication of the International Society for AIDS Education, 25(6), 535-541. doi: https://doi.org/10.1521/aeap.2013.25.6.535
Thoits, P. A. (2011). Resisting the stigma of mental illness. Social Psychology Quarterly, 74, 6-28. doi: https://doi.org/10.1177/0190272511398019
Tjepkema, M. (2008). Health care use among gay, lesbian and bisexual Canadians. Health Reports, 19(1), 53-64.
Voss, G., Browne, K., & Gupta, C. (2014). Embracing the “and”: Between queer and bisexual theory at Brighton BiFest. Journal of Homosexuality, 61(11), 1605-1625. doi: https://doi.org/10.1080/00918369.2014.944055
Wallace, S. P., Cochran, S. D., Durazo, E. M., & Ford, C. L. (2011). The health of aging lesbian, gay and bisexual adults in California. Policy Brief (UCLA Center for Health Policy Research). Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698220/
Ward, B. W., Dahlhamer, J. M., Galinsky, A. M., & Joestl, S. S. (2014). Sexual orientation and health among US adults: National Health Interview Survey, 2013. National Health Statistics Report, 77, 1-10.
Weiss, J. T. (2003). GL vs. BT: The archaeology of biphobia and transphobia within the US gay and lesbian community. Journal of Bisexuality, 3(3/4), 25-55. doi: https://doi.org/10.1300/J159v03n03_02
Wong, Y.-L. R. (2004). Knowing through discomfort: A mindfulness-based critical social work pedagogy. Critical Social Work, 5(1). Retrieved from http://www1.uwindsor.ca/criticalsocialwork/knowing-through-discomfort-a-mindfulness-based-critical-social-work-pedagogy
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