B - LGBTQIA Healthcare Guild

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BDSM: (Bondage, Discipline/Domination, Submission/Sadism, and Masochism)

The terms ‘submission/sadism’ and ‘masochism’ refer to deriving pleasure from inflicting or receiving pain, often in a sexual context. The terms ‘bondage’ and ‘domination’ refer to playing with various power roles, in both sexual and social context. These practices are often misunderstood as abusive, but when practiced in a safe, sane, and consensual manner can be a part of healthy sex life. (Sometimes referred to as ‘leather.’)

Bear Community: 

The most common definition of a ‘bear’ is a man who has facial/body hair, and a cuddly body. However, the word ‘bear’ means many things to different people, even within the bear movement. Many men who do not have one or all of these characteristics define themselves as bears, making the term a very loose one. ‘Bear’ is often defined as more of an attitude and a sense of comfort with natural masculinity and bodies.  The community aims to provide spaces where one feels, wanted, desired, and liked.  It nourishes and values an individual’s process of making friends, of learning self-care and self-love through the unity and support of the community.  Bears, Cubs, Otters, Wolves, Chasers, Admirers and other wildlife comprise what has come to be known as the Brotherhood of Bears and/or the Bear community. 


A generic term used to refer to a third gender person (woman-living- man). The term ‘berdache’ is generally rejected as inappropriate and offensive by Native Peoples because it is a term that was assigned by European settlers to differently gendered Native Peoples. Appropriate terms vary by tribe and include: ‘one-spirit’, ‘two-spirit’, and ‘wintke.’

Bicurious / Bisexual:

Bicurious: A curiosity about having sexual relations with a same gender/sex person.  Bisexual: A person emotionally, physically, and/or sexually attracted to males/men and females/women. This attraction does not have to be equally split between genders and there may be a preference for one gender over others.

Bibliography of LGBTQIA Reading:

A list of books, articles, and other reading materials focused on LGBTQIA identities.  This section also includes academic bibliographies for healthcare providers.


A person whose gender identity is a combination of male/man and female/woman.


The process of flattening one’s breasts to have a more masculine or flat appearing chest.

Binary Gender System:

The assumption that there are only two “essential” genders in human development, male and female.  This follows other binary concepts of thinking, such as good and evil, gay and straight, god and devil, man and woman, yin and yang, etc.


The fear of, discrimination against, or hatred of bisexuals, which is often times related to the current binary standard. Biphobia can be seen within the LGBTQI community, as well as in general society.

Body Image:

The subjective picture or mental image of one’s own body.  In LGBT populations, trends include anorexia or bulimia with gay men and transgender women; or obesity in lesbian and bisexual women. 


Refers to people born female who feel that “female” is not an accurate or complete description of who they are. Other similar terms include “Butch,” “Boychick,” “Shape shifter,” and “Boss Grrl”. 

Bottom Surgery:

Surgery on the genitals designed to create a body in harmony with a person’s preferred gender expression.


A person who identifies themselves as masculine, whether it be physically, mentally or emotionally. ‘Butch’ is sometimes used as a derogatory term for lesbians, but it can also be claimed as an affirmative identity label.

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