The Repository @ St. Cloud State

Open Access Knowledge and Scholarship

Date of Award


Culminating Project Type




Degree Name

Marriage and Family Therapy: M.S.


Community Psychology, Counseling and Family Therapy


School of Health and Human Services

First Advisor

Dr. Nicholas Newstrom

Second Advisor

Dr. Susan Dowds

Third Advisor

Dr. Tina Sacin

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Keywords and Subject Headings

LGBT, Bisexual, Plurisexual, Binegativity, Transgender, Sexual prejudice


Plurisexual individuals are at an increased risk of poor mental health, due in part to experiences of prejudice. The term “bisexual” has made it difficult for researchers to classify individuals who are attracted to more than one gender or, identify as a plurisexual. Using a cross-sectional design, a sample of 427 adults, participants were coded as plurisexual based on their label identification, sexual attraction, and sexual behavior to explore gender and sexual identity label differences in experienced binegativity, internalized binegativity, and depression among cisgender and transgender plurisexual adults. A series of factorial analyses of variance were used to identify gender and sexual identity group differences regarding binegativity and depression. A series of linear regressions to explore the associations between gender, sexual identity label and binegativity and depression. Results indicated that the transgender, cisgender male and non-bi+-identifying groups experienced greater amount of binegativity and than their cisgender and bi+ counterparts. Linear regressions revealed that binegativity predicted internalized binegativity and depression for all groups. These findings emphasize the importance of separating transgender and non-bi+-identifying individuals in research on plurisexuality and provide guidance for couple and family therapists working with plurisexual people.



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