ABSTRACT
This chapter sets out to bring the different layers of analysis together and further develop theoretical understanding about how material and related discursive practices influence health care. It brings together the phenomenological experiences of pathologization and silencing in health care with an understanding of how such practices are resisted and negotiated through further exploration of how material differences such as the age, social class, or culture of participants mediated the discursive practices of pathologization and erasure. The chapter contends that that the mental health care experiences of silencing and pathologization described by participants were deleterious to their mental health and affected their access to care. The material-discursive analysis has provided indications of how dualisms operate in the field of mental health care for lesbians and gay men when they are coming out.
