Experiencing gay affirmative therapy: An exploration of clients' views of what is helpful

Gay affirmative therapy is a counselling approach that emphasises an affirming, non‐pathologising approach to therapeutic work with lesbian, gay and bisexual clients. In this study, lesbian and gay clients who had experienced counselling that they defined as affirming identified what they perceived to have been helpful. Questionnaires and interviews were used to collect the views of a sample of lesbian, gay and bisexual informants. The material gathered was analysed using a grounded theory approach, which generated six main categories: communicating a non‐pathologising perspective on homosexuality; the counselling relationship; the counselling space; what the counsellor brought to the relationship; humanity; and the counsellor adopting a holistic approach. Some of these identified affirming elements are unique to gay affirmative therapy and cannot be attributed to other factors. The possible significance of the findings for practitioners is discussed.     

Lesbian,gay and bisexual development: theory,research and social issues

Over the last 20 years there has been a marked increase in the number of published journal articles and books in the field of lesbian and gay psychology and psychotherapy. Much of this work has focused upon the negative effect of living as a lesbian, gay or bisexual adult in a heterosexual world. Despite our increased awareness concerning the problems lesbians, gay men and bisexuals face in society, little is understood about the process of development from the realization of sexual orientation through to identity formation and self-actualization. This article draws together various strands of research on lesbian, gay and bisexual development and addresses some of the theoretical and conceptual issues which surround this area of psychology. © 1997 John Wiley & Sons, Ltd.     

Exploring Normative Creativity: Testing the Relationship Between Cognitive Flexibility and Sexual Identity

Brown (1989) proposed that lesbian, gay, and bisexual individuals possess greater “normative creativity” and flexibility than heterosexuals because they have fewer norms for living in heterosexually dominated society. In this article we explore one possible individual difference between heterosexuals and nonheterosexuals in the domain of normative creativity by examining the relationship between cognitive flexibility and sexual identity among 358 university students. Participants with sexual identities not directed toward one gender exclusively (e.g., bisexual, biaffectionate, or queer) scored significantly higher on a measure of cognitive flexibility than did heterosexual and gay/lesbian participants; the latter two groups did not differ from each other. These results suggest that it is having a nonexclusive sexual identity, rather than a lesbian or gay identity, that is related to greater cognitive flexibility.     

Multiple identities and career development of GLB immigrants

There has been increasing interest in the study of career development and career counselling for the gay men, lesbian women and bisexual (GLB) people given the clear link between sexual orientation and career development in the past two decades. Yet, there is still a relatively dearth of literature in this area, especially, much is unknown about the career identity and other related identity development experiences of GLB immigrant adults whose acculturation process intersects with cultural identity, race and ethnicity and sexual identity as they rebuild their careers in the host country. This article aims to explore the connections between multiple cultural identities and their affect on career development. It builds upon the current literature, uses some career development theories, and proposes career development and career counselling interventions for the target group.     

Antecedents and Consequences of Victimization of Lesbian, Gay, and Bisexual Young People: A Structural Model Comparing Rural University and Urban Samples

Research indicates that antigay victimization is widespread and that lesbian, gay, and bisexual young people may be very vulnerable to such victimization. The current study builds upon previous work by Hershberger and D'Augelli (1995), who studied the consequences of sexual orientation-based victimization in 194 urban lesbian, gay, and bisexual youths. Using structural equation modeling, the present study models both antecedents and consequences (including psychological distress, self-esteem, and suicidality) of victimization via a secondary analysis of their data set. In addition, a second sample of 54 lesbian, gay, and bisexual youths from a rural university setting was examined to cross-validate and generalize the relationships found in urban settings. Results indicated that a revised model of victimization exhibited sufficient fit to the urban sample data and provided preliminary support for the generalizability of the model beyond the initial sample. Additional similarities were found between the urban and rural university community samples, including a high prevalence of reported suicide attempts: 42% of the urban sample and 32% of the rural university sample had attempted suicide at least once. Results indicated that victimization based on sexual orientation has similar correlates for young people in different community settings.     

Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the "gay-friendly" Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed.     

Career development and counselling needs of LGBTQ high school students

There is a dearth of research concerning the career development and counselling issues that are relevant for high school students who identify as lesbian, gay, bisexual, transgender and queer (LGBTQ). As such, little is known to understand LGBTQ students when it comes to their career-related struggles and needs. This article attempts to examine the career development needs of LGBTQ high school students, addressing and analysing career problems from the unique circumstances of this student population. To do so, it provides an overview of the various career-related issues afflicting LGBTQ high school students. It then proposes a series of career guidance and counselling intervention considerations that are tailored to address the specific career needs and challenges of the LGBTQ high school students.     

Factors influencing therapist selection among gays,lesbians and bisexuals

For this study 609 gay, lesbian and bisexual individuals were surveyed with respect to openness about sexual orientation and preference for a therapist with a particular sexual orientation. Other factors considered important in selecting a therapist such as licensure, referral source, gender, cost and specialty were also examined. Data for this study was collected using two different methods. In the first method, data was collected from respondents subscribing to internet listervers serving gay, lesbian and bisexual subscribers. In the second, more traditional method, surveys were distributed by mail or hand delivered to various organizations serving gay, lesbian, and bisexual communities in two southwestern states. Findings suggest that significantly more lesbians than gay men and bisexuals in the e-mail sample prefer a therapist of the same sexual orientation. No significant relationships were found between degree of openness and importance of the therapist's sexual orientation. Other factors related to therapist preference were explored, and results are discussed.     

The importance of feeling sexually attractive: Can it predict an individual's experience of their sexuality and sexual relationships across gender and sexual orientation?

Limited research exists on the implications of feeling sexually attractive for various aspects of sexuality and sexual relationships. This article examined associations between self‐perceived sexual attractiveness and sexual esteem, sexual satisfaction and amount of sexual experience, among both men and women who identified as heterosexual (n = 1017), gay or lesbian (n = 1225) or bisexual (n = 651). Results of the study demonstrated that positive self‐perceptions of sexual attractiveness predicted greater sexual esteem, greater sexual satisfaction, a higher frequency of sexual activity with others and a larger number of sexual partners among both men and women who identified as heterosexual, gay, lesbian or bisexual. The findings suggest that feeling sexually attractive may have implications for how an individual experiences their sexuality and sexual relationships regardless of their gender or sexual orientation. The importance of considering an individual's self‐perceptions of sexual attractiveness when they present with concerns related to their sexual experiences or relationships, and the potential benefits of educational and therapeutic interventions designed to enhance self‐perceptions of sexual attractiveness are discussed.     

Was it a phase? Young women's relinquishment of lesbian/bisexual identities over a 5-year period

There have been many anecdotal accounts of individuals who self-identify as lesbian, gay, or bisexual only to relinquish these identities later. The current study examines this phenomenon among a sample of young nonheterosexual women who underwent 3 interviews over a 5-year period. Over a quarter of these women relinquished their lesbian/bisexual identities during this period: half reclaimed heterosexual identities and half gave up all identity labels. These women did not differ from those who maintained lesbian/bisexual identities regarding the age at which they underwent sexual identity milestones, the factors that precipitated their sexual questioning, or their recollection of childhood "indicators" of same-sex sexuality. Women who relinquished their identities for heterosexual identities had smaller ratios of same-sex to other-sex attractions across the 5-year assessment period, but their attractions did not significantly change. Only 1 woman described her previous same-sex identification as a phase; the rest emphasized changes in how they interpreted or acted on their attractions.     

Sexual identity development in the context of compulsory heterosexuality

This study analyzed the implications of sexual identity development for global, political, religious, and occupational identity development in 358 college students. Participants completed a written survey packet including the Extended Objective Measure of Ego Identity Status (EOM-EIS) and measures of sexual identity, physical/sexual preference, and emotional/affective preference. Data from the EOM-EIS suggest that having a sexual minority identity (lesbian, gay, bisexual, or "other" nonheterosexual identity) and reporting strong same-sex sexual or physical preferences are linked with more advanced global, political, religious, and occupational identity development. Heterosexual-identified participants were more likely to score high on identity foreclosure, moratorium, and diffusion, while sexual-minority-identified individuals scored higher on identity achievement. Individuals with strong same-sex physical/sexual preferences showed a pattern of results similar to those of sexual-minority-identified participants. Themes coded from a free-response question highlighted the finding that sexual-minority-identified participants more often viewed their sexual identity as salient and involving an effortful process. These individuals also stressed the importance of having support or modeling for their sexual identity.     

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.     

In the Wake of Don't Ask Don't Tell: Suicide Prevention and Outreach for LGB Service Members

It is estimated that lesbian, gay, and bisexual (LGB) individuals are three to five times more likely to attempt suicide than their heterosexual counterparts. Factors linked to increased LGB suicide risk are overt and covert discrimination, internalized oppression, nondisclosure of sexual orientation, and lack of adequate social support. As the U.S. military adjusts to the repeal of Don't Ask Don't Tell (DADT), it will be imperative to understand and support service people who are struggling with many of these same issues. This article explores factors linked to suicidality and provides education for professionals working with LGB service people. Emphasis is placed on strategies for the provision of support and suicide prevention for members of this population.     

Gay,Lesbian, and Bisexual Adolescents: A Critical Challenge to Counselors

Meeting the health care needs of gay, lesbian, and bisexual teenagers has become a public health imperative, and mental health professionals should be prepared for the challenge. The stigma of homosexuality often gives rise to psychosocial problems for adolescents, who are in the process of sexual identity development. The stigma also may complicate delivery of appropriate, ethical, and sound mental health treatment. Suggestions are offered to support healthy development, to assist recovery from stigma, and to avert the disastrous consequences of suicide and AIDS.     

Sexual Orientation and Developmental Challenges Experienced by Gay and Lesbian Youths

Youths with a homosexual orientation face different developmental challenges during adolescence than those faced by heterosexual youths or individuals who recognize their homosexual orientation later in life. We discuss the impact of “coming out,” or defining a homosexual orientation, on the development and identity formation of youths who come out during adolescence. The process of coming out is presented as entailing four broad dimensions: recognizing oneself as lesbian or gay; exploring one's sexual orientation through the gay and lesbian community; disclosing one's sexual orientation to others; and becoming more comfortable with one's sexual orientation. Some of the major challenges faced by these youths are described, and future directions for research efforts are discussed.     

Applying Person‐Centered Counseling to Sexual Minority Adolescents

Drawing attention to the very unique and complex needs of stigmatized sexual minority youth, the authors explore the therapeutic potential of person‐centered counseling in helping lesbian, gay, bisexual, transgender/sexual (LGBT) adolescents who are working toward the acceptance and disclosure of their sexual identity. They suggest that person‐centered counseling embodies 6 aspects that are particularly helpful to LGBT adolescent clients and propose 3 additional methods that compensate for the limitations of the person‐centered approach in this particular helping context.     

The impact of internalized homophobia on HIV preventive interventions

A growing body of research implicates internalized homophobia—the internalization of society's antihomosexual sentiments by gay and lesbian people—as a factor contributing to HIV-related sexual risk behavior in gay and bisexual men. Although accumulating evidence links internalized homophobia and sexual risk behavior, no study has explored the impact of internalized homophobia on efforts to prevent these behaviors. This paper examines the effect of internalized homophobia on gay and bisexual men's awareness of, participation in, and perceptions of programs offered by a community-based HIV prevention organization. In Study 1, 595 gay and bisexual men reported their levels of awareness of and participation in HIV prevention programming offered by one community organization. Internalized homophobia was negatively related to men's awareness of the services offered by the organization. However, among the men who were aware of at least one service, internalized homophobia did not further predict service utilization. Study 2 examined 89 gay and bisexual men who participated for a single session in a group-structured, community-based HIV preventive intervention. Pre- to immediate postintervention change in perceptions of condom use self-efficacy was inversely related to internalized homophobia. Internalized homophobia was also a significant negative predictor of the extent to which participants felt similar to and related well with other members of the group. Together, these findings suggest that internalized homophobia may pose multiple barriers to community-based HIV prevention efforts.     

WHO FILLS OUT A "LESBIAN" QUESTIONNAIRE?

Most research on lesbians has used self-report questionnaires, and assumed that respondents who complete a "lesbian" questionnaire self-identify as lesbians and engage in sexual relationships with women. The present study examined the degree to which 2,393 women who answered a "Lesbian Wellness Survey" are distributed on five aspects of lesbian sexuality and the coming-out process. The five aspects were: (a) Sexual Orientation (numerical rating of sexual identity from exclusively lesbian/gay to exclusively heterosexual); (b) Years Out (length of time of self-identity as lesbian/gay/bisexual); (c) Outness/Disclosure (amount of disclosure of sexual orientation to others); (d) Sexual Experience (proportion of sexual relationships with women); and (e) Lesbian Activities (extent of participation in lesbian community events). Mild but significant correlations were found among these dimensions, indicating that being lesbian is not a homogeneous experience. Closer examination by the demographic characteristics of race/ethnicity and age revealed a diversity of experience. African American, Native American, and Latina respondents had moderate correlations among these aspects of lesbian experience, whereas White and Asian American respondents evidenced only mild or nonsignificant correlations. The results indicate that researchers who are studying one aspect of the lesbian experience (e.g., outness to others) need to ensure that they are not assuming such behavior based on other dimensions (such as frequent participation in lesbian community activities or years of being out), especially among White and Asian American lesbians.     

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.     

Christian Parental Reactions When a LGB Child Comes Out

The purpose of this study was to understand how parents who identify as Christian responded to and coped with their child's disclosure of same-sex sexuality and/or having a lesbian, gay, or bisexual identity (LGB). Research has shown the effect parental responses can have on the psychological health of sexual minorities, as well as the emotions Christian parents may experience post disclosure. Little research highlights the struggle Christian parents can experience due to tension between their religious beliefs and the love they have for their child. This study highlights a unique aspect of how parents attempt to negotiate this tension.