父母消极教养方式对中国性少数心理健康的影响：基于Bifactor模型

中国性少数群体普遍存在严重的心理健康问题，家庭是其最大的压力来源。在性少数压力模型的背景下，本研究基于Bifactor模型探究父母消极教养方式对中国性少数（LGB）心理健康的特殊影响。采用父母教养方式问卷、抑郁-焦虑-压力量表和金赛量表对649名LGB进行网络问卷调查，结果发现：（1）父母消极教养方式的Bifactor模型存在部分差异；（2）对于LGB心理健康，父母消极教养方式的一般因子和拒绝特殊因子具有损害作用，过度保护特殊因子具有保护作用。     

You still feel different: the experience and meaning of women's self‐injury in the context of a lesbian or bisexual identity

This article reports an intensive qualitative study of the subjective experience and meaning of self‐injury for 16 women who identified as lesbian or bisexual and who had deliberately self‐injured on repeated occasions. In individual interviews, the women talked about their experiences of self‐injury and the role it played in their lives as lesbian or bisexual women. Interpretative Phenomenological Analysis (IPA) was used to elicit themes arising within their accounts. These highlighted a number of ways in which social and contextual factors contributed to the development of self‐injury. Although many of these factors seemed applicable to any woman who self‐injures, there were some aspects that were specific to the experience of lesbian and bisexual women. In addition, the women's accounts raised a number of important issues about the way in which mental health services respond to lesbian and bisexual women who self‐injure. It is argued that self‐injury can be understood as a coping response that arises within a social context characterized by abuse, invalidation, and the experience of being regarded as different or in some way unacceptable. These factors are especially salient in the lives of women, and they emerge particularly strongly as part of the experience of women who are developing a lesbian or bisexual identity. Copyright © 2004 John Wiley & Sons, Ltd.     

Effects of Self-Compassion and Social Support on Lesbian,Gay, and Bisexual College Students' Positive Identity and Career Decision-Making

The purpose of this study was to explore the serial mediating effects of self-compassion and social support on the relationship between positive identity and career decision-making self-efficacy (CDMSE) among lesbian, gay, and bisexual (LGB) college students. A total of 222 LGB (109 bisexual, 113 lesbian/gay) students participated in the study. Results supported the mediating roles of self-compassion and social support. Specifically, self-compassion and social support sequentially mediated the relationship between positive identity and CDMSE, and the patterns of the sequence of the mediators were different between the bisexual and lesbian/gay groups. Implications for career counselors and future research are discussed.     

Victimization of Lesbian,Gay, and Bisexual People in Childhood: Associations with Attempted Suicide

Higher rates of attempted suicide have been documented among people who identify themselves as gay, lesbian, and bisexual (LGB) compared with heterosexuals. This study sought to ascertain the association between childhood abuse and neglect and attempted suicide, comparing LGBs and heterosexuals. Childhood sexual abuse among men and childhood sexual and physical abuse among women were found to mediate the association between LGB identity and attempted suicide. The experience of childhood abuse likely plays a significant role in the relationship between LGB identity and attempted suicide, but other factors such as experience of discrimination are also important.     

Intimate Partner Violence Victimization among Heterosexual,Gay, Lesbian and Bisexual College Students: The Role of Pro-Abuse Peer Support

Most studies of peer support for intimate partner violence (IPV) at U.S. institutions of higher learning focused solely on male assaults on heterosexual women. As well, the bulk of this work only examined how all-male social networks perpetuate and legitimate this behavior. Using recent data from a survey administered at a large U.S. residential university, the main objective of this paper is to help fill a research gap by presenting findings on (1) how having peers who have perpetrated dating abuse and (2) peers’ encouragement to be abusive to dates contributes to IPV victimization in a campus lesbian, gay, and bisexual (LGB) community. The results show that LGB students report a higher rate of such victimization than heterosexual students and the two aforementioned types of pro-abuse peer support significantly predict victimization among both sexual orientation groups.     

Electronic Visibility Management of Lesbian,Gay, and Bisexual Identities and Relationships in Young Adulthood

Visibility management is a process the lesbian, gay, and bisexual-identifying (LGB) people use to manage the extent to which they will identify (“out”) themselves in various contexts such as school, work, family, and home-based settings. The purpose of this study then was to explore LGB persons' experiences of electronic visibility in online environments such as social networking sites and the manner in which LGB persons most commonly monitor their electronic visibility as individuals and in couple relationships. Analysis of the survey responses of 61 young adult participants indicated that this sample felt more positive about their identities overall compared with a national sample and that they frequently reported their sexual orientation online, most often on Facebook. In addition, participants reported online disclosure did not have an effect on their relationship satisfaction. Discussion and implications for research and clinical practice are presented.     

Sexual Debut Ages in Heterosexual,Lesbian, Gay,and Bisexual Young Adults in Norway

This study estimates sexual debut ages in young heterosexual, lesbian, gay, and bisexual men and women in Norway. A questionnaire survey was completed online by 27.2 % of a representative national web sample of 2090 persons aged 18–29 years. Three self-selected samples of 924 respondents completed an extended version of the survey online. Lesbian and bisexual women reported earlier experience of orgasm through masturbation than heterosexual women (median 13.1 vs. 15.2 years), and heterosexual men (median 13.5) reported earlier debut than heterosexual women. There was a statistically significant difference between heterosexual and lesbian and bisexual women’s age at the first experience of receptive vaginal sex (median 16.8 vs. 15.4 years). As regards experience of insertive vaginal sex, a significantly higher percentage of heterosexual men than women, and of heterosexual and lesbian and bisexual women, reported experience. It was more common among lesbian and bisexual women than heterosexual women to have had oral sex with another woman, but in neither group did the cumulative percent reach 50 % by the age of 29 years and the median could not be estimated. Gay and bisexual men reported earlier receptive anal sex debut than heterosexual men. With regard to insertive anal sex, gay and bisexual men accumulated experience earlier than heterosexual men, and lesbian and bisexual women acquired this experience earlier than heterosexual women. Compared to heterosexuals, LGB persons of both genders engage in more varied sexual activities. Lesbian and gay persons have same-sex experiences at an earlier age than bisexuals.     

Intergroup relations in action: Questions asked about lesbian,gay and bisexual issues in diversity training

This paper focuses on the questions which heterosexual trainees ask about lesbian, gay and bisexual (LGB) experience within diversity training about LGB issues. Drawing on a data corpus of 162 questions asked by trainees in 13 tape‐recorded training sessions, questions were coded into six categories: (1) general ‘understanding’ questions; (2) questions about the trainer's life, experience and practices; (3) professional practice questions; (4) questions about lesbian and gay related legislation, policies and procedures; (5) questions about specific people and projects and (6) questions about the meanings, derivations and correct use of terms and symbols. ‘Real’ questions are compared with the decontexualized questions (and answers to them) that are provided in training manuals and it is demonstrated that these questions differ markedly from how questions actually get asked and how they actually get answered. Recommendations are provided for improving training and the argument made for turning towards analyses of the real world in action, especially when considering intergroup relations. Copyright © 2008 John Wiley & Sons, Ltd.     

Sexual Minority Stress and Social Support Explain the Association between Sexual Identity with Physical and Mental Health Problems among Young Lesbian and Bisexual Women

Bisexual women report more physical and psychological health problems than lesbian women do, which may be attributed to greater sexual minority stress and less social support. However, many studies combine lesbian and bisexual women into a single group. The current study examined if sexual minority stress and social support mediated the association between women’s sexual identity (lesbian or bisexual) and health-related outcomes. A total of 650 U.S. young adult lesbian (n?=?227) and bisexual (n?=?423) women completed an online survey about sexual minority stress, social support, and physical and mental health problems. Bisexual women reported more physical and mental health problems. A sequential mediation model showed that bisexual women reported greater sexual minority stress than lesbian women, which in turn was associated with less social support, which was associated with more physical and mental health problems. Greater sexual minority stress and lower social support may help explain why bisexual women report more health-related problems than lesbian women. The results of the present study support the importance of examining risk and protective factors for health problems separately for lesbian and bisexual women. Health-related intervention programs that target sexual minority women may need to be tailored differently for lesbian and bisexual women.

     

Affirmative Lesbian,Gay, and Bisexual Counselor Education and Religious Beliefs: How Do We Bridge the Gap?

The position held by the American Counseling Association, reflecting acceptance, affirmation, and nondiscrimination of lesbian, gay, and bisexual (LGB) individuals, has created conflicts for some trainees who hold conservative religious beliefs about sexual orientation. This article explores the counseling profession's evolution regarding LGB‐affirmative counseling and examines the potential conflict this evolution can create for counselor educators who are training students with conservative religious viewpoints about sexual orientation. Recommendations for counselor educators to manage this dilemma are offered.     

A Phenomenological Study of Identifying as Lesbian,Gay and Bisexual in an Islamic Country

Ten adult Kuwaitis (four women and six men) who self-identified as being gay, lesbian, or bisexual (GLB) participated in in-depth semi-structured interviews examining their experience of being a sexual minority and living in a socially conservative Islamic country. The data were analyzed using interpretive phenomenology and yielded four primary themes including the role of religion and culture, risks, coping, and influential political factors. These themes help understand the ways in which LGB individuals in Kuwait integrate their sexual identity with religious and cultural factors and navigate a socially conservative society. The results of the study have implications for political and social policies in Kuwait, and for more culturally-sensitive models of sexual identity development among Arab populations.     

The Mediating Role of Self-Discrepancies in the Relationship Between Media Exposure and Well-Being Among Lesbian,Gay, and Bisexual Adolescents

Extant research suggests that exposure to depictions of sexuality in the media may influence the well-being of lesbian, gay, and bisexual (LGB) adolescents. Far less is known about the underlying processes that may explain this relationship. Self-discrepancy theory was utilized to predict that relationships between media exposure and well-being among LGB adolescents would be mediated by self-discrepancies in identity. A national survey of 573 LGB adolescents revealed that exposure to gay- and lesbian-oriented media was positively related to the well-being of LGB teens. The relationship between gay- and lesbian-oriented media exposure and well-being was mediated by self-discrepancies in identity for LGB adolescents low in sexual identity commitment. This finding suggests that increased exposure to gay- and lesbian-oriented media could decrease uncommitted LGB teens' perceived differences between their actual selves and their ideal selves, which, in turn, could increase their well-being. A positive relationship between mainstream media exposure and well-being was not mediated by self-discrepancies. The discussion focuses on the role of media in the identity development and sexual socialization of LGB adolescents.     

Counselor Empathy; Religiosity; and Lesbian,Gay, and Bisexual Perspectives

Values-based conflicts, such as between counselor religiosity and ability to work with lesbian, gay, and bisexual (LGB) clients, can present a challenge for counselors and trainees who seek to provide ethical and competent care. Because empathy can facilitate understanding a client's frame of reference, the authors examined the relationships between counselor religiosity, empathy, and LGB perspectives, as well as the potential mediating effects of empathy on values conflicts. The authors discuss implications for counselor education and practice.     

Sexual orientation among Icelandic year 10 adolescents: Changes in health and life satisfaction from 2006 to 2014

Minority sexual orientation may add additional stresses to the period of adolescence thus affecting mental health and wellbeing. The whole population of year 10 students in 2006, 2010, and 2014 in Iceland were surveyed as part of the Health Behaviour in School‐aged Children Survey. Sexual orientation could be identified in 1,994 participants from 2006 (43.8% of population; 988 girls), 3,777 from 2010 (78.6%; 1,863 girls) and 3,526 in 2014 (80.1%; 1,731 girls). About 3.1%, 3.6%, and 4.4% were identified as lesbian, gay, or bisexual (LGB) in 2006, 2010, and 2014, respectively. Given the sampling proportions, the results reflect parameters (population values) rather than statistics (sample values). LGB adolescents were worse off across most of the psychosocial measures across the three surveys as compared with adolescents of unknown sexual orientation (USO). However, the gap between LGB and USO adolescents appears to be closing, at least for the 2010 to 2014 change, suggesting that outcomes for LGB adolescents have improved compared to four years earlier. Social support, liking school and one's classmates, being bullied, and physical and mental health all seem to play an important part in life satisfaction and general wellbeing. While advances have been made for LGB adolescents, gaps between LGB and USO adolescents still exist and need to be closed through evidence‐based school and society‐wide programs.     

A Trait‐Interpersonal Analysis of Suicide Proneness Among Lesbian,Gay, and Bisexual Community Members

Suicide remains a concerning issue for lesbian, gay, and bisexual (LGB) persons. The integrated effects of five‐factor model personality traits and interpersonal‐psychological theory of suicide (IPTS) constructs on suicide proneness in a community sample of 336 LGB adults were examined. Results supported a model inclusive of all five‐factor model domains predicting IPTS constructs leading to suicide proneness. Effects of neuroticism and extraversion were both mediated by perceived burdensomeness and thwarted belongingness. Thwarted belongingness mediated the effect of agreeableness on suicide proneness. Identified mediation pathways build on existing trait‐interpersonal theory and may inform clinical services for sexual minority persons.     

The Influence of Intersecting Identities on Self‐Harm,Suicidal Behaviors,and Depression among Lesbian,Gay, and Bisexual Individuals

Individuals with lesbian, gay, and bisexual (LGB) identities have higher prevalence of self‐directed violence, but very little is known about racial/ethnic differences between LGB populations. This study aimed to examine racial/ethnic differences in self‐harm, suicidal ideation, suicide attempt, and depression among LGB and heterosexual emerging adults. Data are compiled from the Fall 2008 and Spring 2009 National College Health Assessment and limited to respondents within emerging adulthood (ages 18–24) who indicated their sexual orientation and racial/ethnic identities (n = 89,199). Within each racial/ethnic group, LGB individuals were significantly more likely to report self‐harm, suicidal ideation, suicide attempt, and depression than non‐LGB individuals.     

Lesbian, Gay, and Bisexual Identity Scale (LGBIS): construct validation, sensitivity analyses and other psychometric properties

According to Mohr and Fassinger (2006), identity is seen as both self-identification and collective identification with values, beliefs, traits or behaviours and attachments. Their Lesbian, Gay, and Bisexual (LGB) multidimensional identity model accounts for important variables regarding the constitution of identities. This model not only accesses numerous dimensions of the lives of LGB individuals, but is also based on a body of research that recognizes how LGB difficulties are caused by societal intolerance and marginalization (Mohr & Fassinger, 2000). The Lesbian, Gay, and Bisexual Identity Scale (LGBIS; Kendra & Mohr, 2008) constitutes an operationalization of this multidimensional model, and the aim of this article is to present its construct validity by analysing its factor structure using a sample of Portuguese lesbian, gay and bisexual participants. Results from exploratory and confirmatory factor analyses, as well as from factor invariance analysis across sub-samples are presented. In a general way, the factor structure obtained in this study follows the original proposal of Kendra and Mohr's (2008) LGBIS. Moreover, scale sensitivity analyses are presented in order to check for eventual differences in the factor structure and/or factor intercorrelations regarding participant gender and sexual orientation. These results are then discussed in the light of LGB identity models.     

African American Counselors‐in‐Training,the Black Church,and Lesbian‐, Gay‐, and Bisexual‐Affirmative Counseling: Considerations for Counselor Education Programs

This article examines the challenges that may be particular to African American counseling students who identify as Christian in learning to provide competent and affirming counseling to lesbian, gay, and bisexual (LGB) clients. The role and importance of the Black Church, race survival consciousness, and cultural constructions of sexuality and mental health may present unique barriers for these students in affirming LGB clients. Recommendations for counselor education programs are discussed.     

Predicting Different Patterns of Sexual Identity Development Over Time Among Lesbian, Gay, and Bisexual Youths: A Cluster Analytic Approach

Recent research has suggested that the sexual identity development of lesbian, gay, and bisexual (LGB) youths may not follow a single pattern, but may follow a variety of pathways. Although some research documenting variability in identity development exists, unclear are the potential individual and social contexts that predict these different patterns, as well as the contexts that predict changes in identity integration over time. This report longitudinally examined these issues in an ethnically diverse sample of 156 LGB youths (ages 14-21) in New York City. Cluster analytic techniques identified two patterns of sexual identity formation (i.e., early and more recent), and three patterns of sexual identity integration (i.e., high, middling, and low). Gender and sexual abuse were found to predict identity formation; and, gay-related stress, social support, negative social relationships, sexual orientation, sexual identity, and gender were found to predict patterns of sexual identity integration and changes in integration over 1 year. These findings document different patterns of sexual identity development and identify potential contextual barriers and facilitating factors that may be used to develop interventions to promote healthy LGB identity development.     

A Preliminary Investigation of the Role of Religion for Family Members of Lesbian,Gay Male,or Bisexual Male and Female Individuals

Religious faith is an important aspect of many people's lives, but the doctrinal teachings of many faiths are that homosexuality is a sin. Little is known about the impact of these teachings on the family members of lesbian, gay male, or bisexual male and female (LGB) individuals. Eighty‐eight family members of LGB individuals were surveyed regarding the role of religion in acceptance of their family member and how they reconciled any conflicts between religious beliefs and family member's sexual orientation. The most commonly identified theme was believing that the unconditional love associated with God extended to their LGB family member. Implications for counselors are discussed.