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Minority stress

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minority stress · minority stress model

A model for health gaps in sexual minorities: chronic stress from prejudice and concealment, not the identity itself.

Minority stress is a model that explains why marginalized groups — sexual minorities among them — so often carry a heavier mental-health burden. The psychologist Ilan Meyer articulated it systematically. Its central claim matters: what drives the health gap is not being a sexual minority, but the chronic stress of living in an environment full of prejudice, discrimination, and hostility.

That stress tends to come in two layers. Distal (external) stressors are the discrimination, exclusion, violence, and unfair treatment that actually happen. Proximal (internal) stressors are the constant vigilance about being rejected, the need to hide, and the absorbing of outside stigma into self-rejection. Day after day, these accumulate and genuinely affect body and mind.

Register note: this is a standard framework in clinical psychology and public health. Its value is in getting the causation right — the problem lies in environmental pressure, not in the person being “disordered” (see mental health).

Common misuse: reading it as “sexual minorities are inherently more fragile.” The opposite is true — the model says that removing stressors and adding support and acceptance narrows the gap. If this pressure is more than you can carry right now, support resources and urgent help are here.