In Afro-Brazilian possession cults in Belém do Pará, male sex roles are divided into two categories: bicha and man, with no term equivalent to the Western category of "homosexual." The paper describes the cults' beliefs, rites, and social organization, then analyzes folk explanations for the presence of many bichas in these groups. It argues that bichas gain social rewards within the cults, and that the structural relationship between homosexuality and the cults arises from their congruent marginality relative to mainstream society.
LGBTQA+ individuals who have used classic psychedelics emphasize that healthcare providers must examine their own biases and learn relevant language to build trust and ensure safety during preparation sessions. Providers should adopt a flexible, client-led approach when supporting identity exploration, particularly around returning from a 'universal consciousness' experience. They also need to thoughtfully modulate their presence during clients' psychedelic experiences. These findings highlight the need for psychedelic-assisted therapy protocols that acknowledge the varied experiences and needs of LGBTQA+ communities.