Reconciling Counselors’ Christian Beliefs and Lesbian,Gay, Bisexual,and Transgender Affirmation: A Grounded Theory

The purpose of this qualitative grounded theory study was to learn how 15 Christian heterosexual counselors successfully reconciled a perceived conflict between lesbian, gay, bisexual, and transgender (LGBT) affirmation and their religious beliefs. Obstacles to reconciliation, helpful factors, states, and participant characteristics were integrated into a grounded theory (the Relational Equilibrium Model) of religious‐based value conflict reconciliation to guide counselor educators and supervisors working with nonaffirming or conflicted Christian trainees to develop LGBT‐affirming dispositions and practices.     

Psychodynamics of Suicide in Lesbian,Gay, Bisexual,or Transgender Youth

Lesbian, gay, bisexual, and transgender (LGBT) youth are a vulnerable population at high risk of suicide and, as such, benefit from an informed psychotherapeutic approach to treatment. While it is clear that sexual orientation and gender identity are independent dimensions from psychopathology, LGBT youth are frequently marginalized and may face unique challenges with self-acceptance and identification with peers, family, and society, increasing risk of social isolation, which in turn increases vulnerability to anxiety, mood disorders, substance use, and suicide. We elaborate on the common phenomenon of ambivalent repression of the sexual self in adolescents associated with intertwined themes frequently expressed in suicidal lesbian, gay, transgender, bisexual, and queer patients on the inpatient adolescent unit: anger directed toward internal and external objects; desire for self-punishment, atonement, and possibly rebirth; and desperation and desire to escape psychic pain. We enhance our discussion with case examples and practical therapeutic considerations that emerge from these themes that can be harnessed across treatment settings.     

Creating Lesbian,Gay, Bisexual,and Transgender Allies: Testing a Model of Privilege Investment

Participants were assigned to 1 of 4 lesbian, gay, bisexual, and transgender ally‐development conditions; then, they completed measures of prejudice and propensity for social justice behavior. A structural equation model uncovered that propensity for social justice behavior was negatively related to prejudice and positively related to the emotional impact of experiences with discrimination in other domains of identity. Women, people of color, and individuals of lower social classes had the highest propensity for social justice behavior and the lowest prejudice.     

Long‐Term Outcomes of Lesbian,Gay, Bisexual,and Transgender Recalled School Victimization

The authors examined relationships among recalled and current bullying, shame‐focused coping, and fear of negative evaluation in an adult lesbian, gay, bisexual, and transgender (LGBT) sample. Findings indicated that attack self, withdrawal, and attack other shame‐focused coping fully mediated the relationship between recalled bullying and fear of negative evaluation. Fear of negative evaluation and current bullying victimization were predicted by shame‐focused coping. Findings suggested the importance of addressing histories of school‐related bullying and shame‐focused coping when counseling LGBT persons.     

Intake Interviewing with Lesbian, Gay, Bisexual, and Transgender Clients: Starting from a Place of Affirmation

Initial interactions between lesbian, gay, bisexual, or transgender (LGBT) clients and psychotherapists can reveal existing biases from both parties. LGBT clients may have previous experiences with the mental health establishment and legitimate concerns about being pathologized. Psychotherapists may approach clients with openness and acceptance, but are likely to have little training in working with LGBT individuals. In this article, we discuss affirmative practices as a framework for clinicians beginning the intake process with LGBT clients. Through a brief history and overview of LGBT mental health, we provide mental health professionals with an appreciation of the multiple influences on LGBT individuals’ well-being. We then discuss the intake interview process in relation to each subgroup of the LGBT acronym, as each of these four populations face different (yet inter-related) challenges. While there is clearly no “formula” for working with LGBT individuals, in keeping with the principles of multicultural competency (Sue, The Counseling Psychologist, 29:790–821, 2001), our goal is to encourage therapists to reflect on their existing biases and to gain knowledge and skills for working with this diverse population. Overall, we hope this article demonstrates to therapists how to conduct an affirmative intake interview that minimizes heterosexual and dualistic gender assumptions that remain so pervasive in our society and in therapeutic practice.     

The Meanings and Manifestations of Religion and Spirituality among Lesbian, Gay, Bisexual, and Transgender Adults

The present study employed a mixed method approach in the effort to explore religious and spiritual practices among lesbian, gay, bisexual, and transgender (LGBT) individuals, as well as the meanings ascribed to the terms religiosity and spirituality by LGBT adults. Data were collected via a cross-sectional survey consisting of open- and close-ended items among 498 LGBT (lesbian, gay, bisexual, transgender) identified individuals attending an annual Pride event in a large northeastern city. Both quantitative and qualitative findings suggested that consistent with other studies, spirituality was defined largely in relational terms (e.g., in terms of one’s relationship with God and with self). Religion, in contrast, was defined largely in terms of communal worship and in terms of its negative influences in the lives of individuals and communities. For this sample of LGBT persons, spiritual identities were more pronounced than religious ones, and this pattern may be explained by their understanding of the spiritual self in relation to prosocial engagement and interconnectedness with others, the world around them, and the universe. Further, religious affiliation and practices were explained, in part, by the religion in which the individual was raised, level of educational attainment, as well as the developmental stage in which the person is currently situated. The findings highlight the reality that a substantial number of LGBT individuals may remain committed to religious and spiritual life, which may be related to a motivation to make sense of one’s place in the world especially in light of societal misunderstandings and intolerance to LGBT individuals.     

Individual and Community Resilience Factors Among Lesbian,Gay, Bisexual,Queer and Questioning Youth and Adults in Israel

Drawing on resilience theories, this study examined the individual and community factors of Israeli lesbians, gays, bisexuals, queers, and questioning (LGBQs) that contribute to positive mental health and the degree to which individual and community protective factors mitigate the adverse effect of risk factors for poor mental health. Differences in resilience factors between LGBQ youth and adults were explored. Data were collected on 890 LGBQ youth and adults. Findings emphasize the role of community‐level resilience factors in the lives of LGBQs, and that these support systems differ slightly between the two age groups. Among youth, family support was both a strong predictor for well‐being and a protective factor for mental distress. Although family support was found as a resilience factor among adults as well, other community‐level factors (friends’ support, LGBT connectedness and having steady partner) were found as protective factors for poorer mental health. These findings suggest for efforts on fostering familial support for LGBQ youth and a multi‐level system that offers support at the familial, peer, relationship and community levels for both LGBQ youth and adults.     

An Argument for Separate Analyses of Attitudes Toward Lesbian, Gay, Bisexual Men, Bisexual Women, MtF and FtM Transgender Individuals

While past research has certainly investigated a variety of correlates of U.S. attitudes toward lesbians, gays, bisexual men, bisexual women, male-to-female (MtF) and female-to-male (FtM) transgender (LGBT) individuals, there are no U.S. quantitative studies that could be located that examined attitudes toward each of these groups separately. This is especially important because efforts to combat prejudices are likely to be most successful if they are based in research that explores how attitudes are both similar and different across specified targets of prejudice. Toward that goal, this essay underscores the significance of examining U.S. attitudes toward LGBT individuals as separate constructs. Both the gender and sexual orientation of the target of prejudice and the gender and sexual orientation of the respondent are highlighted as important constructs that should be considered when investigating U.S. attitudes toward LGBT individuals. First, I review previous U.S. studies that have examined attitudes toward LGBT individuals. Second, I offer arguments for how the intersections of gender and sexual orientation may affect attitudes toward LGBT individuals. Third, I discuss future considerations in studies of attitudes toward LGBT individuals in the context of multiple intersectionalities. I suggest that U.S. initiatives to reduce sexual stigma, gender nonconformity stigma, and transgender stigma should be grounded in research that highlights prejudicial attitudes as they vary by the target of prejudice and the respondents’ characteristics.     

Religion and Suicide Risk in Lesbian,Gay and Bisexual Austrians

Religion is known to be a protective factor against suicide. However, religiously affiliated sexual minority individuals often report a conflict between religion and sexual identity. Therefore, the protective role of religion against suicide in sexual minority people is unclear. We investigated the effect of religion on suicide risk in a sample of 358 lesbian, gay and bisexual Austrians. Religion was associated with higher scores of internalized homophobia, but with fewer suicide attempts. Our data indicate that religion might be both a risk and a protective factor against suicidality in religiously affiliated sexual minority individuals.     

Gay,Lesbian, and Queer Theologies: Origins,Contributions, and Challenges

Abstract : Theologians and biblical scholars have been writing about Christianity and homosexuality for over three decades, but lesbian/gay and queer theologies are still unfamiliar. Since questions about lesbian, gay, and queer Christians are confronting many denominations, it is important to study these proposals. This essay argues that lesbian/gay theologies trace their histories to theologies of liberation, while queer theology is indebted to postmodern and queer theories. Recent Christological and anthropological proposals are presented, and the essay concludes by exploring the distinct political implications of these theological proposals.     

Changes in Religiosity Among Lesbian,Gay, and Bisexual Emerging Adults

Highly religious Americans are relatively likely to oppose lesbian, gay, and bisexual (LGB) rights and many churches are unwelcoming to sexual minorities, which may lead LGB Americans to retreat from religion. To assess this possibility, we investigate trajectories of religious change for sexual minorities and other emerging adults. We use two longitudinal data sources (National Longitudinal Study of Adolescent to Adult Health and the National Study of Youth and Religion) to explore how sexuality predicts the likelihood of decreasing religiosity in emerging adulthood. Results show that three different operationalizations of sexual minority status—attraction, behavior, and identity—are each strongly and consistently associated with disaffiliating from religion and declines in religious service attendance. On the other hand, sexual minority status has inconsistent and relatively small associations with changes in prayer. We conclude by discussing how these results further understanding of religion, sexual identity, and the current generation of emerging adults.     

Two Spirit: Counseling Native American Gay,Lesbian, and Bisexual People

The cultural world of the Two Spirit, the traditional role of Native individuals believed to possess both male and female spirit, is explored in both “old ways” and current‐day experiences. Cultural beliefs and meanings around sexual identity are discussed from a Native perspective with recommendations for counseling Two Spirit clients. El mundo cultural del Doble‐espíritu, el rol tradicional de indígenas que se creía que poseían espíritus masculinos y femeninos, se explora en formas tradicionales y experiencias actuales. Creencias culturales y significados acerca de la identidad sexual se analizan desde una perspectiva indígena con recomendaciones para el asesoramiento de clientes Doble‐espíritu.     

One Facility's Experience Using the Community Readiness Model to Guide Services for Gay,Lesbian, Bisexual,and Transgender Older Adults

The Community Readiness Model (CRM) is a change model that measures the readiness of communities/institutions to meet the needs of diverse clientele and to guide strategy development. This article presents model implementation with one long‐term care facility interested in enhancing their ability to serve gay, lesbian, bisexual, and transgender older adults.     

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.     

The Influence of Forgiveness on Lesbian,Gay, Bisexual,Transgender, and Questioning Individuals’ Shame and Self‐Esteem

This survey research examined relationships among self‐esteem, shame proneness, and forgiveness of self, situations, and others in a sample of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals (N= 657). Findings indicate that LGBTQ self‐esteem was largely predicted by higher self‐forgiveness and lower shame proneness. Forgiveness of self, others, and situations each partially mediated the relationship between shame proneness and self‐esteem. Implications for counseling include the importance of forgiveness as a psychological mechanism to reduce LGBTQ shame and enhance self‐esteem.     

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.