Abstract
Across the lifespan, most sexual minority individuals experience the closet—a typically prolonged period in which no significant others know their sexual identity. This paper positions the closet as distinct from stigma concealment given its typical duration in years and absolute removal from sources of support for an often-central identity typically during a developmentally sensitive period. The Developmental Model of the Closet proposed here delineates the vicarious learning that takes place before sexual orientation awareness to shape one’s eventual experience of the closet; the stressors that take place after one has become aware of their sexual orientation but has not yet disclosed it, which often takes place during adolescence; and potential lifespan-persistent mental health effects of the closet, as moderated by the structural, interpersonal, cultural, and temporal context of disclosure. The paper outlines the ways in which the model both draws upon and is distinct from earlier models of sexual minority identity formation and proposes several testable hypotheses and future research directions, including tests of multilevel interventions.
Similar content being viewed by others
Notes
Table 1 summarizes hypotheses suggested by the model to guide future research.
References
Abreu, R. L., Riggle, E. D., & Rostosky, S. S. (2020). Expressive writing intervention with Cuban-American and Puerto Rican parents of LGBTQ individuals. The Counseling Psychologist, 48(1), 106–134. https://doi.org/10.1177/0011000019853240
Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: The influence of perceived discrimination based on sexual orientation. Journal of Youth and Adolescence, 38(7), 1001–1014. https://doi.org/10.1007/s10964-009-9397-9
Ambady, N., Shih, M., Kim, A., & Pittinsky, T. L. (2001). Stereotype susceptibility in children: Effects of identity activation on quantitative performance. Psychological Science, 12(5), 385–390. https://doi.org/10.1111/1467-9280.00371
Andersen, S. L., & Teicher, M. H. (2008). Stress, sensitive periods and maturational events in adolescent depression. Trends in Neurosciences, 31(4), 183–191. https://doi.org/10.1016/j.tins.2008.01.004
Baller, S., Dutta, S., & Lanvin, B. (2016). Global information technology report 2016. Ouranos.
Balsam, K. F., Beadnell, B., & Molina, Y. (2013). The daily heterosexist experiences questionnaire: Measuring minority stress among lesbian, gay, bisexual, and transgender adults. Measurement and Evaluation in Counseling and Development, 46(1), 3–25. https://doi.org/10.1177/0748175612449743
Baum, S. M., & Critcher, C. R. (2020). The costs of not disclosing. Current Opinion in Psychology, 31, 72–75. https://doi.org/10.1016/j.copsyc.2019.08.012
Beals, K. P., Peplau, L. A., & Gable, S. L. (2009). Stigma management and well-being: The role of perceived social support, emotional processing, and suppression. Personality and Social Psychology Bulletin, 35(7), 867–879. https://doi.org/10.1177/0146167209334783
Bell, A. P., & Weinberg, M. S. (1978). Homosexualities: A study of diversity among men and women. Simon and Schuster.
Bell, J. G., & Perry, B. (2015). Outside looking in: The community impacts of anti-lesbian, gay, and bisexual hate crime. Journal of Homosexuality, 62(1), 98–120. https://doi.org/10.1080/00918369.2014.957133
Bird, J. D. P., Kuhns, L., & Garofalo, R. (2011). The impact of role models on health outcomes for lesbian, gay, bisexual and transgender youth. Journal of Adolescent Health, 50(4), 353–357.
Bishop, M. D., Fish, J. N., Hammack, P. L., & Russell, S. T. (2020). Sexual identity development milestones in three generations of sexual minority people: A national probability sample. Developmental Psychology, 56(11), 2177–2193. https://doi.org/10.1037/dev0001105
Bohan, J. S., Russell, G. M., & Montgomery, S. (2002). Gay youth and gay adults: Bridging the generation gap. Journal of Homosexuality, 44, 15–41. https://doi.org/10.1300/J082v44n01_02
Bos, H. M. W., Sandfort, T. G. M., de Bruyn, E. H., & Hakvoort, E. M. (2008). Same-sex attraction, social relationships, psychosocial functioning, and school performance in early adolescence. Developmental Psychology, 44, 59–68. https://doi.org/10.1037/0012-1649.44.1.59
Bouman, T. K. (2003). Intra- and interpersonal consequences of experimentally induced concealment. Behaviour Research and Therapy, 41(8), 959–968. https://doi.org/10.1016/S0005-7967(02)00175-4
Bouton, M. E. (1993). Context, time, and memory retrieval in the interference paradigms of Pavlovian learning. Psychological Bulletin, 114(1), 80–99. https://doi.org/10.1037/0033-2909.114.1.80
Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108(1), 4–32. https://doi.org/10.1037/0033-295X.108.1.4
Boxer, A. M., Cook, J. A., & Herdt, G. (1991). Double jeopardy: Identity transitions and parent-child relations among gay and lesbian youth. In K. Pillemer & K. McCartney (Eds.), Parent–child Relations Throughout Life (pp. 59–62). Erlbaum.
Bowleg, L., Burkholder, G., Teti, M., & Craig, M. L. (2008). The complexities of outness: Psychosocial predictors of coming out to others among Black lesbian and bisexual women. Journal of LGBT Health Research, 4(4), 153–166. https://doi.org/10.1080/15574090903167422
Bränström, R., Hatzenbuehler, M. L., Tinghög, P., & Pachankis, J. E. (2018). Sexual orientation differences in outpatient psychiatric treatment and antidepressant usage: Evidence from a population-based study of siblings. European Journal of Epidemiology, 33(6), 591–599. https://doi.org/10.1007/s10654-018-0411-y
Broockman, D., & Kalla, J. (2016). Durably reducing transphobia: A field experiment on door-to-door canvassing. Science, 352, 220–224. https://doi.org/10.1126/science.aad9713
Burton, C. L., Clark, K. A., & Pachankis, J. E. (2020). Risk from within: Intraminority gay community stress and sexual risk-taking among sexual minority men. Annals of Behavioral Medicine, 54(9), 703–712.
Calzo, J. P., Antonucci, T. C., Mays, V. M., & Cochran, S. D. (2011). Retrospective recall of sexual orientation identity development among gay, lesbian, and bisexual adults. Developmental Psychology, 47(6), 1658–1673. https://doi.org/10.1037/a0025508
Camacho, G., Reinka, M. A., & Quinn, D. M. (2020). Disclosure and concealment of stigmatized identities. Current Opinion in Psychology, 31, 28–32. https://doi.org/10.1016/j.copsyc.2019.07.031
Campbell, A., Perales, F., & Baxter, J. (2021). Changes in sexual identity labels in a contemporary cohort of emerging adult women: Patterns, prevalence and a typology. The Journal of Sex Research, 58(5), 612–624. https://doi.org/10.1080/00224499.2020.1814092
Cass, V. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4(3), 219–235. https://doi.org/10.1300/J082v04n03_01
Cass, V. (1996). Sexual orientation identity formation: A western phenomenon. In R. P. Cabaj & T. S. Sten (Eds.), Textbook of homosexuality and mental health (pp. 227–251). American Psychiatric Press.
Cerezo, A., Cummings, M., Holmes, M., & Williams, C. (2020). Identity as resistance: Identity formation at the intersection of race, gender identity, and sexual orientation. Psychology of Women Quarterly, 44(1), 67–83. https://doi.org/10.1177/0361684319875977
Charmandari, E., Kino, T., Souvatzoglou, E., & Chrousos, G. P. (2003). Pediatric stress: Hormonal mediators and human development. Hormone Research, 59, 161–179. https://doi.org/10.1159/000069325
Chaudoir, S. R., Behari, K., Williams, S. L., & Pachankis, J. E. (2021). Why do brief online writing interventions improve health? Examining mediators of expressive writing and self-affirmation intervention efficacy among sexual minority emerging adults. Psychology of Sexual Orientation and Gender Diversity.
Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: Understanding disclosure decision making and post-disclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin, 136(2), 236–256. https://doi.org/10.1037/a0018193
Clark, K. A., Dougherty, L. R., & Pachankis, J. E. (2021). A study of parents of sexual and gender minority children: Linking parental reactions with child mental health. Psychology of Sexual Orientation and Gender Diversity. https://doi.org/10.1037/sgd0000456
Clark, K. A., Mennies, R. J., Olino, T. M., Dougherty, L. R., & Pachankis, J. E. (2020). Parent versus child report of children’s sexual orientation: Associations with psychiatric morbidity in the Adolescent Brain Cognitive Development study. Annals of Epidemiology, 45, 1–4. https://doi.org/10.1016/j.annepidem.2020.03.009
Cochran, S. D. (2001). Emerging issues in research on lesbians’ and gay men’s mental health: Does sexual orientation really matter? American Psychologist, 56(11), 931–947. https://doi.org/10.1037/0003-066X.56.11.931
Cohen, K. M. (2002). Relationships among childhood sex-atypical behavior, spatial ability, handedness, and sexual orientation in men. Archives of Sexual Behavior, 31(1), 129–143. https://doi.org/10.1023/A:1014043504661
Coleman, E. (1982). Developmental stages of the coming out process. Journal of Homosexuality, 7(2–3), 31–43. https://doi.org/10.1300/J082v07n02_06
Cox, W. T. L., Abramson, L. Y., Devine, P. G., & Hollon, S. D. (2012). Stereotypes, prejudice, and depression: The integrated perspective. Perspectives on Psychological Science, 7(5), 427–449. https://doi.org/10.1177/1745691612455204
Craig, S. L., & McInroy, L. (2014). You can form a part of yourself online: The influence of new media on identity development and coming out for LGBTQ youth. Journal of Gay & Lesbian Mental Health, 18(1), 95–109.
Critcher, C. R., & Ferguson, M. J. (2014). The cost of keeping it hidden: Decomposing concealment reveals what makes it depleting. Journal of Experimental Psychology: General, 143(2), 721–735. https://doi.org/10.1037/a0033468
Crocker, J., Luhtanen, R. K., Cooper, M. L., & Bouvrette, A. (2003). Contingencies of self-worth in college students: Theory and measurement. Journal of Personality and Social Psychology, 85(5), 894–908. https://doi.org/10.1037/0022-3514.85.5.894
Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108(3), 593–623. https://doi.org/10.1037/0033-295X.108.3.593
D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2008). Families of gay, lesbian, and bisexual youth: What do parents and siblings know and how do they react? Journal of GLBT Family Studies, 4(1), 95–115. https://doi.org/10.1080/15504280802084506
Davila, J., Feinstein, B. A., Dyar, C., & Jabbour, J. (2021). How, when, and why do bisexual+ individuals attempt to make their identity visible? Psychology of Sexual Orientation and Gender Diversity, 8(1), 94–105. https://doi.org/10.1037/sgd0000411
DeWall, C. N., Maner, J. K., & Rouby, D. A. (2009). Social exclusion and early-stage interpersonal perception: Selective attention to signs of acceptance. Journal of Personality and Social Psychology, 96(4), 729–741. https://doi.org/10.1037/a0014634
Diamond, G. M., Diamond, G. S., Levy, S., Closs, C., Ladipo, T., & Siqueland, L. (2012). Attachment-based family therapy for suicidal lesbian, gay, and bisexual adolescents: A treatment development study and open trial with preliminary findings. Psychotherapy: Theory, Research, & Practice, 49(1), 62–71. https://doi.org/10.1037/a0026247
Diamond, L. M. (2002). “Having a girlfriend without knowing it”: Intimate friendships among adolescent sexual-minority women. Journal of Lesbian Studies, 6(1), 5–16. https://doi.org/10.1300/J155v06n01_02
Diamond, L. M. (2003). Was it a phase? Young women’s relinquishment of lesbian/bisexual identities over a 5-year period. Journal of Personality and Social Psychology, 84(2), 352–364. https://doi.org/10.1037/0022-3514.84.2.352
Diamond, L. M. (2008). Female bisexuality from adolescence to adulthood: Results from a 10-year longitudinal study. Developmental Psychology, 44(1), 5–14. https://doi.org/10.1037/0012-1649.44.1.5
Diamond, L. M. (2016). Sexual fluidity in male and females. Current Sexual Health Reports, 8(4), 249–256. https://doi.org/10.1007/s11930-016-0092-zr
Dishion, T. J., Capaldi, D., Spracklen, K. M., & Li, F. (1995). Peer ecology of male adolescent drug use. Development and Psychopathology, 7(4), 803–824. https://doi.org/10.1017/S0954579400006854
Dunham, Y., Baron, A. S., & Banaji, M. R. (2008). The development of implicit intergroup cognition. Trends in Cognitive Sciences, 12(7), 248–253. https://doi.org/10.1016/j.tics.2008.04.006
Dyar, C., Feinstein, B. A., & London, B. (2015). Mediators of differences between lesbians and bisexual women in sexual identity and minority stress. Psychology of Sexual Orientation and Gender Diversity, 2(1), 43–51. https://doi.org/10.1037/sgd0000090
Dyar, C., & London, B. (2018). Longitudinal examination of a bisexual-specific minority stress process among bisexual cisgender women. Psychology of Women Quarterly, 42(3), 342–360. https://doi.org/10.1177/0361684318768233
Earnshaw, V. A., Watson, R. J., Eaton, L. A., Brousseau, N. M., Laurenceau, J. P., & Fox, A. B. (2022). Integrating time into stigma and health research. Nature Reviews Psychology. https://doi.org/10.1038/s44159-022-00034-2
East, P. L., & Rook, K. S. (1992). Compensatory patterns of support among children’s peer relationships: A test using school friends, nonschool friends, and siblings. Developmental Psychology, 28(1), 163–172. https://doi.org/10.1037/0012-1649.28.1.163
Elsharnouby, E., & Dost-Gözkan, A. (2020). Adolescents’ well-being with respect to the patterns of disclosure to and secrecy from parents and the best friend: A person-centered examination. Journal of Youth and Adolescence, 49(8), 1687–1701. https://doi.org/10.1007/s10964-020-01246-6
Erikson, E. H. (1959). Identity and the life cycle. WW Norton and Co.
Erikson, E. H. (1968). Identity: Youth and crisis. W. W. Norton & company.
Feinstein, B. A., Dyar, C., Milstone, J. S., Jabbour, J., & Davila, J. (2021). Use of different strategies to make one’s bisexual+ identity visible: Associations with dimensions of identity, minority stress, and health. Stigma and Health, 6(2), 184–191. https://doi.org/10.1037/sah0000225
Ferlatte, O., Hottes, T. S., Trussler, T., & Marchand, R. (2017). Disclosure of sexual orientation by gay and bisexual men in government-administered probability surveys. LGBT Health, 4(1), 68–71. https://doi.org/10.1089/lgbt.2016.0037
Finkenauer, C., Engels, R. C. M. E., & Meeus, W. (2002). Keeping secrets from parents: Advantages and disadvantages of secrecy in adolescence. Journal of Youth and Adolescence, 31(2), 123–136. https://doi.org/10.1023/A:1014069926507
Fishbein, M. J., & Laird, J. D. (1979). Concealment and disclosure: Some effects of information control on the person who controls. Journal of Experimental Social Psychology, 15(2), 114–121. https://doi.org/10.1016/0022-1031(79)99023-4
Flores, A. R., Hatzenbuehler, M. L., & Gates, G. J. (2018). Identifying psychological responses of stigmatized groups to referendums. Proceedings of the National Academy of Sciences, 115(15), 3816. https://doi.org/10.1073/pnas.1712897115
Foucault, M. (1980). Power/knowledge: Selected interviews and other writings, 1972–1977. Vintage.
Frable, D. E., Blackstone, T., & Scherbaum, C. (1990). Marginal and mindful: Deviants in social interactions. Journal of Personality and Social Psychology, 59(1), 140–149. https://doi.org/10.1037/0022-3514.59.1.140
Frable, D. E. S., Platt, L., & Hoey, S. (1998). Concealable stigmas and positive self-perceptions: Feeling better around similar others. Journal of Personality and Social Psychology, 74(4), 909–922. https://doi.org/10.1037//0022-3514.74.4.909
Freeman, J. B., Johnson, K. L., Ambady, N., & Rule, N. O. (2010). Sexual orientation perception involves gendered facial cues. Personality and Social Psychology Bulletin, 36(10), 1318–1331. https://doi.org/10.1177/0146167210378755
Friedman, M. S., Marshal, M. P., Guadamuz, T. E., Wei, C., Wong, C. F., Saewyc, E. M., & Stall, R. (2011). A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health, 101(8), 1481–1494. https://doi.org/10.2105/AJPH.2009.190009
Friedman, M. S., Marshal, M. P., Stall, R., Cheong, J., & Wright, E. R. (2008). Gay-related development, early abuse and adult health outcomes among gay males. AIDS and Behavior, 12(6), 891–902. https://doi.org/10.1007/s10461-007-9319-3
Frijns, T., & Finkenauer, C. (2009). Longitudinal associations between keeping a secret and psychosocial adjustment in adolescence. International Journal of Behavioral Development, 33(2), 145–154. https://doi.org/10.1177/0165025408098020
Frijns, T., Finkenauer, C., & Keijsers, L. (2013). Shared secrets versus secrets kept private are linked to better adolescent adjustment. Journal of Adolescence, 36(1), 55–64. https://doi.org/10.1016/j.adolescence.2012.09.005
Frijns, T., Finkenauer, C., Vermulst, A. A., & Engels, R. C. M. E. (2005). Keeping secrets from parents: Longitudinal associations of secrecy in adolescence. Journal of Youth and Adolescence, 34(2), 137–148. https://doi.org/10.1007/s10964-005-3212-z
Gates, G. J. (2011). How many people are lesbian, gay, bisexual and transgender? UCLA: The Williams Institute. https://escholarship.org/uc/item/09h684x2
Gates, G. J. (2013). LGBT parenting in the United States. UCLA: The Williams Institute. https://escholarship.org/uc/item/9xs6g8xx
Gates, G. J. (2017). LGBT data collection amid social and demographic shifts of the US LGBT community. American Journal of Public Health, 107(8), 1220–1222. https://doi.org/10.2105/AJPH.2017.303927
Gilbey, D., Morgan, H., Lin, A., & Perry, Y. (2020). Effectiveness, acceptability, and feasibility of digital health interventions for LGBTIQ+ young people: Systematic review. Journal of Medical Internet Research, 22(12), e20158.
Goh, J. X., Kort, D. N., Thurston, A. M., Benson, L. R., & Kaiser, C. R. (2019). Does concealing a sexual minority identity prevent exposure to prejudice? Social Psychological and Personality Science, 10(8), 1056–1064. https://doi.org/10.1177/1948550619829065
Gordon, A. R., Conron, K. J., Calzo, J. P., White, M. T., Reisner, S. L., & Austin, S. B. (2018). Gender expression, violence, and bullying victimization: Findings from probability samples of high school students in 4 US school districts. Journal of School Health, 88(4), 306–314. https://doi.org/10.1111/josh.12606
Greenspan, S. B., Griffith, C., & Murtagh, E. F. (2017). LGBTQ youths’ school athletic experiences: A 40-year content analysis in nine flagship journals. Journal of LGBT Issues in Counseling, 11(3), 190–200.
Grossman, A., & D’Augelli, A. R. (2004). The socialization of lesbian, gay, and bisexual youth: Celebrity and personally known role models. In E. Kennedy & A. Thornton (Eds.), Leisure, media and visual culture: Representations and contestations (pp. 83–105). LSA Publications.
Haines, E. L., Deaux, K., & Lofaro, N. (2016). The times they are a-changing … or are they not? A comparison of gender stereotypes, 1983–2014. Psychology of Women Quarterly, 40(3), 353–363. https://doi.org/10.1177/0361684316634081
Hajek, C. (2018). Distinguished… or dissonant: Gay male midlife identity as emergent in intergenerational communication with younger gay men. Journal of Social and Personal Relationships, 35(3), 329–347. https://doi.org/10.1177/0265407516689309
Halperin, D. M. (2012). How to be gay. Belknap Press of Harvard University Press.
Hammack, P. L., Frost, D. M., Meyer, I. H., & Pletta, D. R. (2018). Gay men’s health and identity: Social change and the life course. Archives of Sexual Behavior, 47, 59–74. https://doi.org/10.1007/s10508-017-0990-9
Hammack, P. L., Hughes, S. D., Atwood, J. M., Cohen, E. M., & Clark, R. C. (2022). Gender and sexual identity in adolescence: A mixed-methods study of labeling in diverse community settings. Journal of Adolescent Research, 37(2), 167–220. https://doi.org/10.1177/07435584211000315
Harry, J. (1993). Being out: A general model. Journal of Homosexuality, 26(1), 25–40. https://doi.org/10.1300/J082v26n01_03
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A Psychological Mediation Framework. Psychological Bulletin, 135(5), 707–730. https://doi.org/10.1037/a0016441
Hatzenbuehler, M. L. (2016). Structural stigma and health inequalities: Research evidence and implication for psychological science. American Psychologist, 71(8), 742–751. https://doi.org/10.1037/amp0000068
Hatzenbuehler, M. L., Birkett, M. A., Van Wagenen, A., & Meyer, I. (2014). Protective school climates and reduced risk for suicide ideation in sexual minority youths. American Journal of Public Health, 104, 279–286. https://doi.org/10.2105/AJPH.2013.301508
Haupert, M. L., Gesselman, A. N., Moors, A. C., Fisher, H. E., & Garcia, J. R. (2017). Prevalence of experiences with consensual nonmonogamous relationships: Findings from two national samples of single Americans. Journal of Sex & Marital Therapy, 43(5), 424–440. https://doi.org/10.1080/0092623X.2016.1178675
Herdt, G. H. (Ed.). (1992). Gay culture in America: Essays from the field. Beacon Press.
Herdt, G. H. (1997). Same sex, different cultures: Perspectives on gay and lesbian lives. Westview Press.
Herek, G. M., & Capitanio, J. P. (1996). “Some of my best friends”: Intergroup contact, concealable stigma, and heterosexuals’ attitudes toward gay men and lesbians. Personality and Social Psychology Bulletin, 22(4), 412–424. https://doi.org/10.1177/0146167296224007
Herrick, A. L., Stall, R., Goldhammer, H., Egan, J. E., & Mayer, K. H. (2014). Resilience as a research framework and as a cornerstone of prevention research for gay and bisexual men: Theory and evidence. AIDS and Behavior, 18, 1–9. https://doi.org/10.1007/s10461-012-0384-x
Hu, X., & Wang, Y. (2013). LGB identity among young Chinese: The influence of traditional culture. Journal of Homosexuality, 60(5), 667–684. https://doi.org/10.1080/00918369.2013.773815
Huebner, D. M., Roche, K. M., & Rith, K. A. (2019). Effects of family demographics and the passage of time on parents’ difficulty with their lesbian, gay, or bisexual youth’s sexual orientation. Archives of Sexual Behavior, 48(5), 1581–1588. https://doi.org/10.1007/s10508-019-1430-9
Human Rights Campaign (2010). Growing up LGBT in America: HRC Youth Survey Report key findings. http://assets2.hrc.org/files/assets/resources/Growing-Up-LGBT-in-America_Report.pdf
Humphreys, L. (1970). Tearoom Trade: A Study of Homesexual Encounters in Public Places.
Hunger, J. M., & Tomiyama, J. (2014). Weight labeling and obesity: A longitudinal study of girls aged 10 to 19 years. JAMA Pediatrics, 168(6), 579–580. https://doi.org/10.1001/jamapediatrics.2014.122
International Lesbian, Gay, Bisexual, Trans and Intersex Association (ILGA) (2017). State sponsored homophobia 2017: A world survey of sexual orientation laws: criminalisation, protection and recognition. https://ilga.org/downloads/2017/ILGA_State_Sponsored_Homophobia_2017_WEB.pdf
Irish, M., Solmi, F., Mars, B., King, M., Lewis, G., Pearson, R. M., Pitman, A., Rowe, S., Srinivasan, R., & Lewis, G. (2019). Depression and self-harm from adolescence to young adulthood in sexual minorities compared with heterosexuals in the UK: A population-based cohort study. The Lancet Child & Adolescent Health, 3(2), 91–98.
Jackson, S. D. (2017). “Connection is the antidote”: Psychological distress, emotional processing, and virtual community building among LGBTQ students after the Orlando shooting. Psychology of Sexual Orientation and Gender Diversity, 4(2), 160–168. https://doi.org/10.1037/sgd0000229
Jackson, S. D., & Mohr, J. J. (2016). Conceptualizing the closet: Differentiating stigma concealment and nondisclosure processes. Psychology of Sexual Orientation and Gender Diversity, 3(1), 80–92. https://doi.org/10.1037/sgd0000147
Jackson, S. D., Wagner, K. R., Yepes, M., Harvey, T. D., Higginbottom, J., & Pachankis, J. E. (2022). A pilot test of a treatment to address intersectional stigma, mental health, and HIV risk among gay and bisexual men of color. Psychotherapy, 59(1), 96–112. https://doi.org/10.1037/pst0000417
John, L. K., Barasz, K., & Norton, M. I. (2016). Hiding personal information reveals the worst. Proceedings of the National Academy of Sciences of the United States of America, 113(4), 954–959. https://doi.org/10.1073/pnas.1516868113
Jourard, S. M. (1971). Self-disclosure. Wiley-Interscience.
Katz-Wise, S. L., & Hyde, J. S. (2012). Victimization experiences of lesbian, gay, and bisexual individuals: A meta-analysis. Journal of Sex Research, 49(2–3), 142–167. https://doi.org/10.1080/00224499.2011.637247
Katz-Wise, S. L., Rosario, M., Calzo, J. P., Scherer, E. A., Sarda, V., & Austin, S. B. (2017). Endorsement and timing of sexual orientation developmental milestones among sexual minority young adults in the Growing Up Today Study. Journal of Sex Research, 54(2), 172–185. https://doi.org/10.1080/00224499.2016.1170757
Keuroghlian, A. S., Ard, K. L., & Makadon, H. J. (2017). Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sexual Health, 14(1), 119–122. https://doi.org/10.1071/SH16145
Klein, K., Holtby, A., Cook, K., & Travers, R. (2015). Complicating the coming out narrative: Becoming oneself in a heterosexist and cissexist world. Journal of Homosexuality, 62(3), 297–326. https://doi.org/10.1080/00918369.2014.970829
Kroska, A., & Harkness, S. K. (2006). Stigma sentiments and self-meanings: Exploring the modified labeling theory of mental illness. Social Psychology Quarterly, 69(4), 325–348. https://doi.org/10.1177/019027250606900403
Kulick, A., Wernick, L. J., Espinoza, M. A. V., Newman, T. J., & Dessel, A. B. (2019). Three Strikes and You’re Out: Culture, Facilities, and Participation among LGBTQ Youth in Sports. Sport, Education and Society, 24(9), 939–953.
Laird, R. D., & Marrero, M. D. (2010). Information management and behavior problems: Is concealing misbehavior necessarily a sign of trouble? Journal of Adolescence, 33(2), 297–308. https://doi.org/10.1016/j.adolescence.2009.05.018
La Roi, C., Kretschmer, T., Dijkstra, J. K., Veenstra, R., & Oldehinkel, A. J. (2016). Disparities in depressive symptoms between heterosexual and lesbian, gay, and bisexual youth in a Dutch cohort: The TRAILS study. Journal of Youth and Adolescence, 45(3), 440–456.
Lattanner, M. R., Ford, J., Bo, N., Tu, W., Pachankis, J. E., Dodge, B., & Hatzenbuehler, M. L. (2021). A contextual approach to the psychological study of identity concealment: Examining direct, interactive, and indirect effects of structural stigma on concealment motivation across proximal and distal geographic levels. Psychological Science, 32(10), 1684–1696.
Layland, E. K., Murchison, G., Bränström, R., & Pachankis, J. E. (2022). Equality policies and timing and tempo of developmental milestones for lesbian, gay, and bisexual individuals across 28 European countries [Unpublished manuscript]. School of Public Health, Yale University.
Leussis, M. P., & Andersen, S. L. (2008). Is adolescence a sensitive period for depression? Behavioral and neuroanatomical findings from a social stress model. Synapse (new York, N. Y.), 62, 22–30. https://doi.org/10.1002/syn.20462
Link, B. G., Cullen, F. T., Struening, E. L., Shrout, P. E., & Dohrenwend, B. P. (1989). A modified labeling theory approach to mental disorders: An empirical assessment. American Sociological Review, 54(3), 400–423. https://doi.org/10.2307/2095613
Luk, J. W., Gilman, S. E., Haynie, D. L., & Simons-Morton, B. G. (2018). Sexual orientation and depressive symptoms in adolescents. Pediatrics, 141(5), e20173309.
Maner, J. K., Gailliot, M. T., Rouby, D. A., & Miller, S. L. (2007). Can’t take my eyes off of you: Attentional adhesion to mates and rivals. Journal of Personality and Social Psychology, 93, 389–401. https://doi.org/10.1037/0022-3514.93.3.389
Mansfield, C. D., McLean, K. C., & Lilgendahl, J. P. (2010). Narrating traumas and transgressions: Links between narrative processing, wisdom, and well-being. Narrative Inquiry, 20(2), 246–273. https://doi.org/10.1075/ni.20.2.02man
Marcia, J. E. (1966). Development and validation of ego-identity status. Journal of Personality and Social Psychology, 3(5), 551–558. https://doi.org/10.1037/h0023281
Maas, J., Wismeijer, A. A. J., van Assen, M. A. L. M., & Aquarius, A. E. A. M. (2012). Is it bad to have secrets? Cognitive preoccupation as a toxic element of secrecy. International Journal of Clinical and Health Psychology, 12(1), 23–37. http://hdl.handle.net/2066/102660
Massad, J. A. (2002). Re-orienting desire: The gay international and the Arab world. Public Culture, 14(2), 361–385.
McAdams, D. P. (1993). The stories we live by: Personal myths and the making of the self. Morrow.
McAdams, D. P. (2001). The Psychology of Life Stories. Review of General Psychology, 5(2), 100–122. https://doi.org/10.1037/1089-2680.5.2.100
McDonald, R. I., Salerno, J. M., Greenaway, K. H., & Slepian, M. L. (2020). Motivated secrecy: Politics, relationships, and regrets. Motivation Science, 6(1), 61–78. https://doi.org/10.1037/mot0000139
McLean, K. (2007). Hiding in the closet? Bisexuals, coming out and the disclosure imperative. Journal of Sociology, 43(2), 151–166. https://doi.org/10.1177/1440783307076893
McLean, K. C., Shucard, H., & Syed, M. (2017). Applying the master narrative framework to gender identity development in emerging adulthood. Emerging Adulthood, 5(2), 93–105. https://doi.org/10.1177/2167696816656254
Meadows, E. (2018). Sexual health equity in schools: Inclusive sexuality and relationship education for gender and sexual minority students. American Journal of Sexuality Education, 13(3), 297–309. https://doi.org/10.1080/15546128.2018.1431988
Meidlinger, P. C., & Hope, D. A. (2014). Differentiating disclosure and concealment in measurement of outness for sexual minorities: The Nebraska Outness Scale. Psychology of Sexual Orientation and Gender Diversity, 1(4), 489–497. https://doi.org/10.1037/sgd0000080
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. https://doi.org/10.1037/0033-2909.129.5.674
Meyer, I. H., Luo, F., Wilson, B. D., & Stone, D. M. (2019). Sexual orientation enumeration in state antibullying statutes in the United States: Associations with bullying, suicidal ideation, and suicide attempts among youth. LGBT Health, 6(1), 9–14.
Meyer, I. H., Rossano, L., Ellis, J. M., & Bradford, J. (2002). A brief telephone interview to identify lesbian and bisexual women in random digit dialing sampling. The Journal of Sex Research, 39(2), 139–144. https://doi.org/10.1080/00224490209552133
Millar, B. M., Wang, K., & Pachankis, J. E. (2016). The moderating role of internalized homonegativity on the efficacy of LGB-affirmative psychotherapy: Results from a randomized controlled trial with young adult gay and bisexual men. Journal of Consulting and Clinical Psychology, 84(7), 565–570. https://doi.org/10.1037/ccp0000113
Miller, D. R., Alexander, F., & French, T. M. (1947). Psychoanalytic therapy: Principles and application. The American Journal of Psychology, 60(3), 453. https://doi.org/10.2307/1416935
Millett, G. A., Peterson, J. L., Wolitski, R. J., & Stall, R. (2006). Greater risk for HIV infection of Black men who have sex with men: A critical literature review. American Journal of Public Health, 96(6), 1007–1019. https://doi.org/10.2105/AJPH.2005.066720
Mittleman, J. (2019). Sexual minority bullying and mental health from early childhood through adolescence. Journal of Adolescent Health, 64(2), 172–178. https://doi.org/10.1016/j.jadohealth.2018.08.020
Mittleman, J. (2022). Intersecting the academic gender gap: the education of lesbian, gay and bisexual America. American Sociological Review, 87(2), 303–335.
Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development, 33(2), 66–90. https://doi.org/10.1080/07481756.2000.12068999
Mohr, J. J., & Kendra, M. S. (2011). Revision and extension of a multidimensional measure of sexual minority identity: The lesbian, gay, and bisexual identity scale. Journal of Counseling Psychology, 58(2), 234–245. https://doi.org/10.1037/a0022858
Morris, J. F. (1997). Lesbian coming out as a multidimensional process. Journal of Homosexuality, 33(2), 1–22.
Murphy, M. L. M., Slavich, G. M., Rohleder, N., & Miller, G. E. (2013). Targeted rejection triggers differential pro- and anti-inflammatory gene expression in adolescents as a function of social status. Clinical Psychological Science, 1, 30–40. https://doi.org/10.1177/2167702612455743
Newheiser, A., & Barreto, M. (2014). Hidden costs of hiding stigma: Ironic interpersonal consequences of concealing a stigmatized identity in social interactions. Journal of Experimental Social Psychology, 52, 58–70. https://doi.org/10.1016/j.jesp.2014.01.002
Newman, B. S., & Muzzonigro, P. G. (1993). The effects of traditional family values on the coming out process of gay male adolescents. Adolescence, 28(109), 213.
Ofosu, E. K., Chambers, M. K., Chen, J. M., & Hehman, E. (2019). Same-sex marriage legalization associated with reduced implicit and explicit antigay bias. Proceedings of the National Academy of Sciences, 116(18), 8846–8851. https://doi.org/10.1073/pnas.1806000116
Ott, M. Q., Corliss, H. L., Wypij, D., et al. (2011). Stability and change in self-reported sexual orientation identity in young people: Application of mobility metrics. Archives of Sexual Behavior, 40, 519–532. https://doi.org/10.1007/s10508-010-9691-3
Overstreet, N. M., Gaskins, J. L., Quinn, D. M., & Williams, M. K. (2017). The moderating role of centrality on the association between internalized intimate partner violence-related stigma and concealment of physical IPV. Journal of Social Issues, 73(2), 307–321. https://doi.org/10.1111/josi.12218
Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133(2), 328–345. https://doi.org/10.1037/0033-2909.133.2.328
Pachankis, J. E., & Bränström, R. (2018). Hidden from happiness: Structural stigma, sexual orientation concealment, and life satisfaction across 28 countries. Journal of Consulting and Clinical Psychology, 86(5), 403–415. https://doi.org/10.1037/ccp0000299
Pachankis, J. E., & Bränström, R. (2019). How many sexual minorities are hidden? Projectingthe size of the global closet with implications for policy and public health. PLoS ONE, 14(6), e0218084. https://doi.org/10.1371/journal.pone.0218084
Pachankis, J. E., Clark, K. A., Burton, C. L., Hughto, J. M. W., Bränström, R., & Keene, D. E. (2020a). Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health. Journal of Personality and Social Psychology, 119(3), 713–740. https://doi.org/10.1037/pspp0000282
Pachankis, J. E., Clark, K. A., Klein, D. N., & Dougherty, L. R. (2022). Early timing and determinants of the sexual orientation disparity in internalizing psychopathology: A prospective cohort study from ages 3 to 15. Journal of Youth and Adolescence, 51(3), 458–470.
Pachankis, J. E., Cochran, S. D., & Mays, V. M. (2015a). The mental health of sexual minority adults in and out of the closet: A population-based study. Journal of Consulting and Clinical Psychology, 83(5), 890–901.
Pachankis, J. E., & Goldfried, M. R. (2010). Expressive writing for gay-related stress: Psychosocial benefits and mechanisms underlying improvement. Journal of Consulting and Clinical Psychology, 78, 98–110. https://doi.org/10.1037/a0017580
Pachankis, J. E., Goldfried, M. R., & Ramrattan, M. E. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76(2), 306–317. https://doi.org/10.1037/0022-006X.76.2.306
Pachankis, J. E., & Hatzenbuehler, M. L. (2013). The social development of contingent self-worth in sexual minority young men: An empirical investigation of the “best little boy in the world” hypothesis. Basic and Applied Social Psychology, 35, 176–190. https://doi.org/10.1080/01973533.2013.764304
Pachankis, J. E., Hatzenbuehler, M. L., Bränström, R., Schmidt, A. J., Berg, R. C., Jonas, K., Pitoňák, M., Baros, S., & Weatherburn, P. (2021). Structural stigma and sexual minority men’s depression and suicidality: A multilevel examination of mechanisms and mobility across 48 countries. Journal of Abnormal Psychology, 130(7), 713–726.
Pachankis, J. E., Hatzenbuehler, M. L., Hickson, F., Weatherburn, P., Berg, R. C., Marcus, U., & Schmidt, A. J. (2015b). Hidden from health: Structural stigma, sexual orientation concealment, and HIV across 38 countries in the European MSM Internet Survey. AIDS, 29(10), 1239–1246. https://doi.org/10.1097/QAD.0000000000000724
Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015c). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037
Pachankis, J. E., Hatzenbuehler, M. L., & Starks, T. J. (2014). The influence of structural stigma and rejection sensitivity on young sexual minority men’s daily tobacco and alcohol use. Social Science and Medicine, 103, 67–75. https://doi.org/10.1016/j.socscimed.2013.10.005
Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020b). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146(10), 831–871. https://doi.org/10.1037/bul0000271
Pachankis, J. E., McConocha, E. M., Clark, K. A., Wang, K., Behari, K., Fetzner, B. K., Brisbin, C. D., Scheer, J. R., & Lehavot, K. (2020c). A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 88(7), 613–630. https://doi.org/10.1037/ccp0000508
Pachankis, J. E., Sullivan, T. J., & Moore, N. F. (2018). A 7-year longitudinal study of sexual minority young men’s parental relationships and mental health. Journal of Family Psychology, 32(8), 1068–1077. https://doi.org/10.1037/fam0000427
Pachankis, J. E., Westmaas, J. L., & Dougherty, L. R. (2011). The influence of sexual orientation and masculinity on young men’s tobacco smoking. Journal of Consulting and Clinical Psychology, 79(2), 142–152. https://doi.org/10.1037/a0022917
Pachankis, J. E., Williams, S. L., Behari, K., Job, S., McConocha, E. M., & Chaudoir, S. R. (2020d). Brief online interventions for LGBTQ young adult mental and behavioral health: A randomized controlled trial in a high-stigma, low-resource context. Journal of Consulting and Clinical Psychology, 88(5), 429–444. https://doi.org/10.1037/ccp0000497
Pakula, B., & Shoveller, J. A. (2013). Sexual orientation and self-reported mood disorder diagnosis among Canadian adults. BMC Public Health, 13, 209. https://doi.org/10.1186/1471-2458-13-209
Parker, C. M., Hirsch, J. S., Philbin, M. M., & Parker, R. G. (2018). The urgent need for research and interventions to address family-based stigma and discrimination against lesbian, gay, bisexual, transgender, and queer youth. Journal of Adolescent Health, 63(4), 383–393. https://doi.org/10.1016/j.jadohealth.2018.05.018
Pasupathi, M., McLean, K. C., & Weeks, T. (2009). To tell or not to tell: Disclosure and the narrative self. Journal of Personality, 77(1), 89–124. https://doi.org/10.1111/j.1467-6494.2008.00539.x
Pathela, P., Hajat, A., Schillinger, J., Blank, S., Sell, R., & Mostashari, F. (2006). Discordance between sexual behavior and self-reported sexual identity: A population-based survey of New York City men. Annals of Internal Medicine, 145(6), 416–425. https://doi.org/10.7326/0003-4819-145-6-200609190-00005
Pennebaker, J. W. (1989). Confession, inhibition, and disease. Advances in Experimental Social Psychology, 22, 211–244. https://doi.org/10.1016/S0065-2601(08)60309-3
Pennebaker, J. W. (1995). Emotion, disclosure, and health: An overview. In J. W. Pennebaker (Ed.), Emotion, disclosure, & health (pp. 3–10). American Psychological Association. https://doi.org/10.1037/10182-015
Perrotti, J., & Westheimer, K. (2002). When the drama club is not enough: Lessons from the safe schools program for gay and lesbian students. Beacon Press.
Poteat, V. P., Espelage, D. L., & Koenig, B. W. (2009). Willingness to remain friends and attend school with lesbian and gay peers: Relational expressions of prejudice among heterosexual youth. Journal of Youth and Adolescence, 38(7), 952–962. https://doi.org/10.1007/s10964-009-9416-x
Poteat, V. P., & Russell, S. T. (2013). Understanding homophobic behavior and its implications for policy and practice. Theory into Practice. https://doi.org/10.1080/00405841.2013.829729
Poteat, V. P., Sinclair, K. O., DiGiovanni, C. D., Koenig, B. W., & Russell, S. T. (2013). Gay–straight alliances are associated with student health: A multischool comparison of LGBTQ and heterosexual youth. Journal of Research on Adolescence, 23(2), 319–330.
Poteat, V. P., Yoshikawa, H., Calzo, J. P., Gray, M. L., DiGiovanni, C. D., Lipkin, A., Mundy-Shephard, A., Perrotti, J., Scheer, J. R., & Shaw, M. P. (2015). Contextualizing gay-straight alliances: Student, advisor, and structural factors related to positive youth development among members. Child Development, 86(1), 176–193. https://doi.org/10.1111/cdev.12289
Price-Feeney, M., Green, A. E., & Dorison, S. H. (2021). Suicidality among youth who are questioning, unsure of, or exploring their sexual identity. The Journal of Sex Research, 58(5), 581–588.
Prinstein, M. J., & La Greca, A. M. (2004). Childhood peer rejection and aggression as predictors of adolescent girls’ externalizing and health risk behaviors: A 6-year longitudinal study. Journal of Consulting and Clinical Psychology, 72(1), 103–112. https://doi.org/10.1037/0022-006X.72.1.103
Quinn, D. M. (2005). Concealable versus conspicuous stigmatized identities. In Stigma and Group Inequality: Social Psychological Perspectives (pp. 83–103). Psychology Press. https://doi.org/10.4324/9781410617057
Quinn, D. M., & Chaudoir, S. R. (2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97(4), 634–651. https://doi.org/10.1037/a0015815
Quinn, D. M., & Earnshaw, V. A. (2011). Understanding concealable stigmatized identities: The role of identity in psychological, physical, and behavioral outcomes. Social Issues and Policy Review, 5(1), 160–190. https://doi.org/10.1111/j.1751-2409.2011.01029.x
Quinn, D. M., & Earnshaw, V. A. (2013). Concealable stigmatized identities and psychological well-being. Social and Personality Psychology Compass, 7(1), 40–51. https://doi.org/10.1111/spc3.12005
Quinn, D. M., Williams, M. K., Quintana, F., Gaskins, J. L., Overstreet, N. M., Pishori, A., Earnshaw, V. A., Perez, G., & Chaudoir, S. R. (2014). Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE, 9(5), e96977. https://doi.org/10.1371/journal.pone.0096977
Rahman, M., & Valliani, A. (2016). Challenging the opposition of LGBT identities and Muslim cultures: Initial research on the experiences of LGBT Muslims in Canada. Theology & Sexuality, 22(1–2), 73–88. https://doi.org/10.1080/13558358.2017.1296689
Raifman, J., Moscoe, E., Austin, S. B., & McConnell, M. (2017). Difference-in-differences analysis of the association between state same-sex marriage policies and adolescent suicide attempts. JAMA Pediatrics, 171(4), 350–356. https://doi.org/10.1001/jamapediatrics.2016.4529
Rice, C. E., Vasilenko, S. A., Fish, J. N., & Lanza, S. T. (2019). Sexual minority health disparities: An examination of age-related trends across adulthood in a national cross-sectional sample. Annals of Epidemiology, 31, 20–25. https://doi.org/10.1016/j.annepidem.2019.01.001
Rieger, G., Linsenmeier, J. A. W., Gygax, L., & Bailey, J. M. (2008). Sexual orientation and childhood gender nonconformity: Evidence from home videos. Developmental Psychology, 44, 46–58. https://doi.org/10.1037/0012-1649.44.1.46
Roberts, A. L., Rosario, M., Slopen, N., Calzo, J. P., & Austin, S. B. (2013). Childhood gender nonconformity, bullying victimization, and depressive symptoms across adolescence and early adulthood: An 11-year longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 52(2), 143–152. https://doi.org/10.1016/j.jaac.2012.11.006
Romeo, R. D., Bellani, R., Karatsoreos, I. N., Chhua, N., Vernov, M., Conrad, C. D., & McEwen, B. S. (2006). Stress history and pubertal development interact to shape hypothalamic-pituitary-adrenal axis plasticity. Endocrinology, 147(4), 1664–1674. https://doi.org/10.1210/en.2005-1432
Rosario, M., Corliss, H. L., Everett, B. G., Russell, S. T., Buchting, F. O., & Birkett, M. A. (2014). Mediation by peer violence victimization of sexual orientation disparities in cancer-related tobacco, alcohol, and sexual risk behaviors: Pooled youth risk behavior surveys. American Journal of Public Health, 104, 1113–1123. https://doi.org/10.2105/AJPH.2013.301764
Rosario, M., Hunter, J., Maguen, S., Gwadz, M., & Smith, R. (2001). The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: Stipulation and exploration of a model. American Journal of Community Psychology, 29(1), 133–160. https://doi.org/10.1023/A:1005205630978
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2004). Ethnic/racial differences in the coming-out process of lesbian, gay, and bisexual youths: A comparison of sexual identity development over time. Cultural Diversity and Ethnic Minority Psychology, 10(3), 215–228. https://doi.org/10.1037/1099-9809.10.3.215
Rosario, M., Schrimshaw, E. W., Hunter, J., & Braun, L. (2006). Sexual identity development among gay, lesbian, and bisexual youths: Consistency and change over time. Journal of Sex Research, 43, 46–58. https://doi.org/10.1080/00224490609552298
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2009). Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: Critical role of disclosure reactions. Psychology of Addictive Behaviors, 23(1), 175–184. https://doi.org/10.1037/a0014284
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2011). Different patterns of sexual identity development over time: Implications for the psychological adjustment of lesbian, gay, and bisexual youths. Journal of Sex Research, 48(1), 3–15.
Rosenfeld, D., Bartlam, B., & Smith, R. D. (2012). Out of the closet and into the trenches: Gay male baby boomers, aging, and HIV/AIDS. The Gerontologist, 52(2), 255–264. https://doi.org/10.1093/geront/gnr138
Rubin, D. C., Rahhal, T. A., & Poon, L. W. (1998). Things learned in early adulthood are remembered best. Memory & Cognition, 26(1), 3–19. https://doi.org/10.3758/BF03211366
Rule, N. O. (2017). Perceptions of sexual orientation from minimal cues. Archives of Sexual Behavior, 46, 129–139. https://doi.org/10.1007/s10508-016-0779-2
Russell, G. M., & Bohan, J. S. (2005). The gay generation gap: Communicating across the LGBT generational divide. The Policy Journal of the Institute for Gay and Lesbian Strategic Studies, 8, 1–8.
Russell, S. T., & Fish, J. N. (2019). Sexual minority youth, social change, and health: A developmental collision. Research in Human Development, 16(1), 5–20. https://doi.org/10.1080/15427609.2018.1537772
Salway, T. J., Morgan, J., Ferlatte, O., Hawkins, B., Lachowsky, N. J., & Gilbert, M. (2019). A systematic review of characteristics of nonprobability community venue samples of sexual minority individuals and associated methods for assessing selection bias. LGBT Health, 6(5), 205–215. https://doi.org/10.1089/lgbt.2018.0241
Santos, C. E., & VanDaalen, R. A. (2016). The associations of sexual and ethnic-racial identity commitment, conflicts in allegiances, and mental health among lesbian, gay, and bisexual racial and ethnic minority adults. Journal of Counseling Psychology, 63(6), 668–676. https://doi.org/10.1037/cou0000170
Santuzzi, A. M., & Ruscher, J. B. (2002). Stigma salience and paranoid social cognition: Understanding variability in metaperceptions among individuals with recently-acquired stigma. Social Cognition, 20(3), 171–197. https://doi.org/10.1521/soco.20.3.171.21105
Sarno, E. L., Mohr, J. J., Jackson, S. D., & Fassinger, R. E. (2015). When identities collide: Conflicts in allegiances among LGB people of color. Cultural Diversity & Ethnic Minority Psychology, 21(4), 550–559. https://doi.org/10.1037/cdp0000026
Savin-Williams, R. C., & Cohen, K. M. (2015). Developmental trajectories and milestones of lesbian, gay, and bisexual young people. International Review of Psychiatry, 27(5), 357–366. https://doi.org/10.3109/09540261.2015.1093465
Savin-Williams, R. C., Joyner, K., & Rieger, G. (2012). Prevalence and stability of self-reported sexual orientation identity during young adulthood. Archives of Sexual Behavior, 41, 103–110. https://doi.org/10.1007/s10508-012-9913-y
Schrimshaw, E. W., Downing, M. J., & Cohn, D. J. (2018). Reasons for non-disclosure of sexual orientation among behaviorally bisexual men: Non-disclosure as stigma management. Archives of Sexual Behavior, 47(1), 219–233. https://doi.org/10.1007/s10508-016-0762-y
Schrimshaw, E. W., Siegel, K., Downing, M. J., & Parsons, J. T. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally-bisexual men. Journal of Consulting and Clinical Psychology, 81, 141–153. https://doi.org/10.1037/a0031272
Sedgwick, E. (1990). The epistemology of the closet. University of California Press.
Sedlovskaya, A., Purdie-Vaughns, V., Eibach, R. P., LaFrance, M., Romero-Canyas, R., & Camp, N. P. (2013). Internalizing the closet: Concealment heightens the cognitive distinction between public and private selves. Journal of Personality and Social Psychology, 104(4), 695–715. https://doi.org/10.1037/a0031179
Seidman, S., Meeks, C., & Traschen, F. (1999). Beyond the closet? The changing social meaning of homosexuality in the United States. Sexualities, 2(1), 9–34.
Sheldon, K. M., & Kasser, T. (2008). Psychological threat and extrinsic goal striving. Motivation and Emotion, 32(1), 37–45. https://doi.org/10.1007/s11031-008-9081-5
Singer, J. A., & Salovey, P. (1993). The remembered self: Emotion and memory in personality. Free Press.
Slepian, M. L., Chun, J. S., & Mason, M. F. (2017). The experience of secrecy. Journal of Personality and Social Psychology, 113(1), 1–33. https://doi.org/10.1037/pspa0000085
Slepian, M. L., Greenaway, K. H., & Masicampo, E. J. (2020). Thinking through secrets: Rethinking the role of thought suppression in secrecy. Personality and Social Psychology Bulletin, 46(10), 1411–1427. https://doi.org/10.1177/0146167219895017
Smart, L., & Wegner, D. M. (1999). Covering up what can’t be seen: Concealable stigma and mental control. Journal of Personality and Social Psychology, 77(3), 474–486. https://doi.org/10.1037/0022-3514.77.3.474
Smart, L., & Wegner, D. M. (2000). The hidden costs of hidden stigma. In T. F. Heatherton, R. E. Kleck, M. R. Hebl, & J. G. Hull (Eds.), The social psychology of stigma (pp. 220–242). Guilford Press.
Soulliard, Z. A., Layland, E. K., Smith, J. C., Kipke, M. D., & Bray, B. C. (2022). Body image concerns, correlates, and community connection among black and latinx sexual minority cisgender men and transgender/gender nonconforming young adults. LGBT Health, 9(2), 122–130. https://doi.org/10.1089/lgbt.2021.0237
Sprecher, S., & Hendrick, S. S. (2004). Self-disclosure in intimate relationships: Associations with individual and relationship characteristics over time. Journal of Social and Clinical Psychology, 23(6), 857–877. https://doi.org/10.1521/jscp.23.6.857.54803
Staub, E., & Vollhardt, J. (2008). Altruism born of suffering: The roots of caring and helping after victimization and other trauma. American Journal of Orthopsychiatry, 78(3), 267–280. https://doi.org/10.1037/a0014223
Stein, A. (1999). Becoming lesbian: Identity work and the performance of sexuality. The Columbia Reader on Lesbians and Gay Men in Media, Society, and Politics, 81–92.
Steinberg, L., & Monahan, K. C. (2007). Age differences in resistance to peer influence. Developmental Psychology, 43(6), 1531–1543. https://doi.org/10.1037/0012-1649.43.6.1531
Steinke, J., Root-Bowman, M., Estabrook, S., Levine, D. S., & Kantor, L. M. (2017). Meeting the needs of sexual and gender minority youth: Formative research on potential digital health interventions. Journal of Adolescent Health, 60(5), 541–548.
Sun, S., Hoyt, W. T., Tarantino, N., Pachankis, J. E., Whiteley, L., Operario, D., & Brown, L. K. (2021). Cultural context matters: Testing the minority stress model among Chinese sexual minority men. Journal of Counseling Psychology. https://doi.org/10.1037/cou000053
Suppes, A., van der Toorn, J., & Begeny, C. T. (2021). Unhealthy closets, discriminatory dwellings: The mental health benefits and costs of being open about one’s sexual minority status. Social Science and Medicine, 285, 114286. https://doi.org/10.1016/j.socscimed.2021.114286
Tankard, M. E., & Paluck, E. L. (2017). The effect of a Supreme Court decision regarding gay marriage on social norms and personal attitudes. Psychological Science, 28(9), 1334–1344. https://doi.org/10.1177/0956797617709594
Taylor, H. E. (2000). Meeting the needs of lesbian and gay young adolescents. The Clearing House., 73(4), 221–224.
Thoma, B. C., Eckstrand, K. L., Montano, G. T., Rezeppa, T. L., & Marshal, M. P. (2021). Gender nonconformity and minority stress among lesbian, gay, and bisexual individuals: A meta-analytic review. Perspectives on Psychological Science. https://doi.org/10.1177/1745691620968766
Tilcsik, A., Anteby, M., & Knight, C. R. (2015). Concealable stigma and occupational segregation: Toward a theory of gay and lesbian occupations. Administrative Science Quarterly, 60(3), 446–481. https://doi.org/10.1177/0001839215576401
Toomey, R. B., Card, N. A., & Casper, D. M. (2014). Peers’ perceptions of gender nonconformity: Associations with overt and relational peer victimization and aggression in early adolescence. The Journal of Early Adolescence, 34(4), 463–485. https://doi.org/10.1177/0272431613495446
Toomey, R. B., Ryan, C., Diaz, R. M., Card, N. A., & Russell, S. T. (2013). Gender-nonconforming lesbian, gay, bisexual, and transgender youth: School victimization and young adult psychosocial adjustment. Developmental Psychology, 46(6), 1580–1589. https://doi.org/10.1037/a0020705
Troiden, D. R. R. (1989). The formation of homosexual identities. Journal of Homosexuality, 17(1–2), 43–74. https://doi.org/10.1300/J082v17n01_02
Troiden, R. R. (1979). Becoming homosexual: A model of gay identity acquisition. Psychiatry, 42(4), 362–373. https://doi.org/10.1080/00332747.1979.11024039
Vollhardt, J. R. (2009). Altruism born of suffering and prosocial behavior following adverse life events: A review and conceptualization. Social Justice Research, 22(1), 53–97. https://doi.org/10.1007/s11211-009-0088-1
van der Star, A., Bränström, R., & Pachankis, J. E. (2021a). Lifecourse-varying exposure to structural stigma, minority stress reactions, and mental health among sexual minority male migrants. European Journal of Public Health. https://doi.org/10.1093/eurpub/ckab032
van der Star, A., Pachankis, J. E., & Bränström, R. (2019). Sexual orientation openness and depression symptoms: A population-based study. Psychology of Sexual Orientation and Gender Diversity, 6(3), 369–381. https://doi.org/10.1037/sgd0000335
van der Star, A., Pachankis, J. E., & Bränström, R. (2021b). Country-level structural stigma, school-based and adulthood victimization, and life satisfaction among sexual minority adults: A life course approach. Journal of Youth and Adolescence, 50(1), 189–201. https://doi.org/10.1007/s10964-020-01340-9
Villicana, A. J., Delucio, K., & Biernat, M. (2016). “Coming out” among gay Latino and gay White men: Implications of verbal disclosure for well-being. Self and Identity, 15(4), 468–487. https://doi.org/10.1080/15298868.2016.1156568
Watson, R. J., Wheldon, C. W., & Puhl, R. M. (2020). Evidence of diverse identities in a large national sample of sexual and gender minority adolescents. Journal of Research on Adolescence, 30, 431–442. https://doi.org/10.1111/jora.12488
Wells, J. E., McGee, M. A., & Beautrais, A. L. (2011). Multiple aspects of sexual orientation: Prevalence and sociodemographic correlates in a New Zealand national survey. Archives of Sexual Behavior, 40, 155–168. https://doi.org/10.1007/s10508-010-9636-x
Willis, P. (2012). Witnesses on the periphery: Young lesbian, gay, bisexual and queer employees witnessing homophobic exchanges in Australian workplaces. Human Relations, 65(12), 1589–1610. https://doi.org/10.1177/0018726712457795
Wohlfeiler, D., Hecht, J., Raymond, H. F., Kennedy, T., & McFarland, W. (2011). How can we improve HIV and STD prevention online for MSM? Assessing the preferences of website owners, website users, and HIV/STD directors. http://www.ncsddc.org/wp-content/uploads/2017/08/how_can_we_improve_hiv_and_std_prevention_online_for_msm_full_report_0.pdf
Acknowledgements
We would like to thank Kirsty Clark, Mark Hatzenbuehler, Danya Keene, Eric Layland, Anthony Maiolatesi, and Katie Wang for helpful feedback on an earlier version of this manuscript. We would also like to thank Benjamin Eisenstadt, Benjamin Fetzner, and Jared Shelby for technical assistance with manuscript preparation.
Funding
Preparation of the manuscript was funded in part by the David R. Kessler, MD ’55 Fund for LGBTQ Mental Health Research at Yale. Skyler D. Jackson was also supported by a career development award from the National Institute of Mental Health (K01MH122316-01A1). The content contained herein is the authors’ own and does not necessarily represent the viewpoint of the funders.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have not disclosed any conflict of interest.
Ethical Approval
This paper is not empirical research and did not involve human subjects.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Pachankis, J.E., Jackson, S.D. A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth. Arch Sex Behav 52, 1869–1895 (2023). https://doi.org/10.1007/s10508-022-02381-w
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-022-02381-w