Personal and Professional Discord: Examining Religious Conservatism and Lesbian‐, Gay‐, and Bisexual‐Affirmative Counselor Competence

Lesbian, gay, and bisexual (LGB) orientations can evoke strong reactions that are often based on personal beliefs that seemingly conflict with professional standards calling for LGB‐affirmative counseling. This study examined the relationship between religious conservatism and LGB‐affirmative counselor competence. Controlling for education level, political conservatism, and LGB interpersonal contact, the results indicate that, as religious conservatism increased, LGB competency significantly decreased. The strongest predictor of LGB‐affirmative counselor competency was religious fundamentalism, whereas multicultural course work was not a significant predictor.     

“We are better and happier if we are inclusive.” Therapist perspectives on the importance of LGB cultural competence in a mental health setting

Lesbian, gay and bisexual people are more likely than their heterosexual counterparts to report dissatisfaction after accessing a counselling or psychological service. Greater dissatisfaction may result from therapists who focus on psychopathology without considering cultural context. Research has demonstrated therapists' cultural competence (attitudes, knowledge and skills) may influence effective service provision to LGB people. Counsellors and psychologists (N = 10) were interviewed to determine the sources of information influencing the cultural competence and LGB cultural competence practices used by therapists in their clinical practice. Three themes were developed from semistructured interviews: (1) the importance of multiple sources of cultural competence; (2) applying cultural competence improves the therapeutic process; and (3) ensuring visual cues of affirmation are affirming, not pathologising. Theme 1 highlighted that initial professional training, cultural competence training and lived experience could be triangulated to assist therapists in improving their cultural competence. Theme 2 highlighted that cultural competence improves the therapeutic process by ensuring therapists can demonstrate affirming attitudes, knowledge about LGB people and culturally affirming skills to work effectively with LGB clients. The final theme explored the need for therapists to create an inclusive space for LGB clients. Recommendations for improving clinical practices and tools to enhance cultural competence are discussed.     

Counseling Transgendered,Transsexual, and Gender‐Variant Clients

The emergent consciousness and political activism within the transgender community has important implications for the field of counseling. In the current paradigm, the focus has shifted from using surgical and hormonal interventions and thereby enabling transgendered persons to “pass” within the traditional gender binary of society to affirming the unique identities of transgendered persons. To prepare counselors, counselor educators, and counseling supervisors for this important challenge, the authors describe the evolving nature of the transgender community, discuss mental health issues and counseling interventions for use with transgendered clients, and present a case study detailing the progression of counseling with 1 transgendered client.     

Breaking the Silence in the Counselor Education Classroom: A Training Seminar on Counseling Sexual Minority Clients

Lesbian, gay, and bisexual (LGB) individuals encounter internal and external barriers that affect their mental health, and they continue to be underserved by the counseling profession. A counselor training seminar on sexual orientation is presented in this article. The seminar incorporated popular songs, readings, and class discussion to increase awareness of sexual identity development, stereotypes, and counseling interventions for LGB clients. Results of evaluations from the graduate counseling students suggest that the seminar had a positive impact on knowledge, interest, and attitudes.     

Counselor Competence With Lesbian,Gay, and Bisexual Clients: Differences Among Practice Settings

Counselors from school and community practice, counseling students, and counselor educators (N= 468) participated in this study of competence to serve lesbian, gay, and bisexual (LGB) clients. Participants reported high LGB‐affirmative attitudes but lower knowledge and skills. School counselors reported significantly lower LGB competence than did counselors in other settings. Implications include the importance of graduate and postgraduate training to improve LGB knowledge and skills and the hope that LGB‐affirmative attitudes suggest receptivity toward such growth. Consejeros que trabajan en prácticas escolares y de comunidad, estudiantes de consejería y educadores de consejería (N= 468) participaron en este estudio sobre la competencia para servir a clientes lesbianas, gays y bisexuales (LGB). Los participantes comunicaron un nivel elevado de actitudes afirmativas hacia LGB, pero menores conocimientos y habilidades. Los consejeros escolares indicaron niveles de competencia en LGB significativamente menores que los consejeros en otros escenarios. Las implicaciones incluyen la importancia de la formación de estudiantes de grado y posgrado para mejorar sus conocimientos y habilidades sobre LGB y la esperanza de que las actitudes afirmativas hacia LGB sugieren receptividad hacia dicha formación.     

Contributions of Multicultural Counseling to Counselor Competence With Lesbian,Gay, and Bisexual Clients

This article outlines the contributions of multicultural counseling to 3 areas of counselor competence with lesbian, gay male, and bisexual male and female (LGB) clients: conceptualization of competence, counselor education, and assessment of counselor competence. The authors describe the foundations of multicultural counseling and extend the concepts to counselor competence with LGB clients. Este artículo resume las contribuciones de la consejería multicultural a tres campos de habilidad consejera con clientes homosexuales y hombres y mujeres bisexuales: la conceptualización de la competencia, educación del consejero, y evaluación de competencia para consejería. Los autores describen los fundamentos de la consejería multicultural y extienden estos conceptos a la competencia consejera con clientes homosexuales, lesbianas, y bisexuales.     

Identity and Therapy in the Black Community

Counselors working in the black community must understand the special problems of black people in discovering and affirming their identity. Black Power, proclaiming the integrity of the black community, has special relevance for black people in search of an identity. Counselors cannot ignore the new self-awareness which many black clients bring to counseling. An approach to counseling black clients is suggested, and some techniques are reviewed that may facilitate their full freedom. The role of the white counselor may be one of supervisor of lay therapists in the black community or change-agent and interpreter in the white community.     

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.     

Evaluating educational—vocational counseling: a model for change

This study sought to assess students' reactions toward their vocational and educational counseling at a university counseling center. Students receiving educational-vocational counseling during the 1968-69 academic year served as subjects whose responses to a 29-item questionnaire were used to determine their reactions to counseling. The majority of clients who were counseled by advanced trainees or doctorate level staff viewed their counseling experience positively. A large percentage of the clients of beginning practicum students viewed their counseling negatively. The findings suggested weaknesses in vocational counseling facilities, in counselors' skills, and in training of beginning practicum students. Implications for change are suggested and the need for assessment in counseling agencies is emphasized.     

A Phenomenological Inquiry of Clients’ Meaningful Experiences in Counseling With Counselors‐in‐Training

This study is a follow‐up to Sackett, Lawson, and Burge's ( 2012 ) study that explored the meaningful experiences of clients and counselors‐in‐training (CITs). Using the previous study's themes of clients’ experiences in counseling with CITs as a launching pad, the authors examined in greater depth the meaningful experiences of clients who are in counseling with CITs through qualitative phenomenological interviews. Findings, as well as implications for counselor education, supervision, and counseling, are discussed.     

Revisiting relationships between sex-related variables and continuation in counseling

This study examined the relationships between three sex-related variables (client sex, therapist sex, and dyad matching on sex) and continuation in counseling. 245 college students who were clients at three university counseling centers participated. Consistent with previous studies, women comprised 68.2% of the clients seeking services at these counseling centers. Clients' sex was significantly related to counseling duration, explaining 2.2% of the common variance. Female clients, on the average, attended 1.8 more sessions than male clients. However, neither the therapists' sex nor dyad matching on sex was significantly related to the duration of counseling. None of the sex-related variables correlated with premature termination of counseling. The results have implications for providing counseling and outreach services to male students. Despite relatively equivalent rates in the incidence of mental health problems, female students continue to comprise the majority of clients. Therefore, university counseling centers need to communicate their services better to male students in need of mental health services.     

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.     

How competent are trainee and newly qualified counsellors to work with Lesbian,Gay, and Bisexual clients and what do they perceive as their most effective learning experiences?

Aim: Professional therapy organisations promote the importance of working with difference, yet subtle negative biases towards lesbian, gay, and bisexual (LGB) clients continue. Issues of competence in this area have only recently been addressed. This research aims to study the effectiveness of training to support therapists working with LGB clients in Britain. Method: Students (past and present) of an integrative counselling diploma course completed questionnaires including: background details, a Sexual Orientation Counselor Competence scale (Bidell, 2005), and two qualitative questions about previous learning relating to LGB issues. Quantitative analysis utilising a one way ANOVA test was used to compare the levels of competence at different times in training, and grounded theory to analyse the qualitative responses. Results: Results show that students have a high level of awareness, although a lower level measured in year two of the programme. The qualitative results indicate the learning value of personal experiences. Further themes describe the ways in which students learnt about LGB issues. Discussion: The reduction in scores for awareness may indicate that training facilitates a deeper understanding of self. Key themes indicate the importance of challenging old internal working models of sexual orientation. Implications for practice: The results will enable competences and effective learning experiences to be mapped in the curriculum.     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

Religiosity,Gender, and Preferences for Religious Interventions in Counseling: A Preliminary Study

The authors sought to determine whether relationships existed between religiosity, gender, and preferences for a counselor's use of religious interventions in counseling. First, it was hypothesized that students with high religiosity would express stronger preferences for a counselor's use of religious interventions than would students with low religiosity. Second, it was hypothesized that women would express stronger preferences for religious interventions in counseling than would men. Results supported both hypotheses, and the findings may have important implications for counselors working with clients who indicate adherence to religious views or faith.     

Inclusion of Substance Abuse Training in CACREP‐Accredited Programs

Professional counselors and counselors‐in‐training continue to serve clients who have substance abuse issues, yet systematic training in substance abuse counseling is not available to many counselors. The authors investigated the extent to which students in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP; 2001) are exposed to clients presenting with substance abuse issues and the relationship between state licensure or certification in substance abuse and the resulting perception of the need for the inclusion of substance abuse training in these programs. Three methods are presented for possibly including substance abuse training in CACREP standards.     

Factors Predicting the Inclusion of Lesbian,Gay, and Bisexual Affirmative Content Taught in Couple and Family Therapy Courses

Abstract

This study explored the relationship between Couple and Family Therapy (CFT) faculty members’ Lesbian, Gay, and Bisexual (LGB) clinical competence and the level of LGB affirmative therapy content they teach in their courses. Hierarchical regression analyses of 117 faculty in accredited CFT programs suggest that faculty members’ own reported competence to work with LGB clients predicted their inclusion of LGB affirmative course content in the courses they teach. Important gender effects also emerged suggesting that women faculty are more likely than men to teach LGB affirmative course material. Results suggest important implications for CFT faculty, training programs, and accreditation standards.     

Research and Theory Religion and Spirituality in Coping With Stress

Relations among and between religion, spirituality, and the ability to cope with stress were examined using a sample of 115 graduate students in counseling. Religion and spirituality positively correlated with coping with stress. Counseling students who expressed spirituality through religious beliefs had greater spiritual health and immunity to stressful situations than counseling students who identified themselves as spiritual but not religious. Counseling students with a religious/spiritual affiliation indicated more discomfort counseling clients hostile to religion compared with counseling students with a spiritual‐only affiliation. The results have implications for preparing counseling students to work with clients with religious/spiritual issues.     

Solution‐Focused Counseling for Clients With Religious and Spiritual Concerns

Solution‐focused counseling is presented as a framework for clients with religious and spiritual concerns. The theory of solution‐focused counseling is described. Implications for using this model with religious and spiritual clients are considered. A case example is provided to illustrate the application of solution‐focused counseling for a client dealing with religious and spiritual issues.     

Social Media as Social Capital of LGB Individuals in Hong Kong: Its Relations with Group Membership,Stigma, and Mental Well‐Being

Social media are found to facilitate social information exchange among lesbian, gay, and bisexual (LGB) individuals who are subjected to social stigma. This study tested the protective role of LGB‐tailored social media uses and gratifications in promoting LGB group membership, which we hypothesized to reduce LGB stigma and enhance mental health among LGB individuals in Hong Kong. Based on a sample of 233 Chinese LGB individuals in Hong Kong, structural equation modeling showed evidence for our hypotheses, χ_(df=62)² = 88.20, GFI = 0.95, CFI = 0.98, NNFI = 0.98, SRMR = 0.07, RMSEA = 0.04. Community surveillance, identity expression, and emotional support on social media may promote mental health by instilling a sense of group membership and reducing stigma. Social media may build camaraderie and bolster resilience among LGB individuals that may otherwise be difficult in conservative regions.