Effects of a Workshop on Mental Health Practitioners' Attitudes Toward Homosexuality and Counseling Effectiveness

The effects of a training workshop on mental health practitioners' attitudes toward homosexuality and counseling behavior were compared with the effects of no intervention. Treated subjects (n = 21) were enrolled in a 3-day multimodal workshop about gay/lesbian counseling, and no-treatment comparison subjects (n = 31) were enrolled in other counselor education coursework. Before and after the workshop, subjects completed homosexuality attitude questionnaires and a quasibehavioral gay/lesbian counseling effectiveness measure. Treated subjects improved significantly more than comparison subjects on all measures, and the gains remained in evidence at an 8-week follow-up. The multimodal training workshop thus appears encouraging as a possible means of instilling needed attitudes and skills in counselors of gay and lesbian clients.     

Using Relational‐Cultural Theory in LGBTQQ Counseling: Addressing Heterosexism and Enhancing Relational Competencies

The authors describe the use of a relational‐cultural theory (RCT) lens (Miller, 1976 ) in counseling practice with lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQQ) clients. A review of LGBTQQ counseling and RCT literature is discussed. A case vignette of a counselor applying RCT tenets to work with a LGBTQQ client is described. Implications for using RCT as a counseling theoretical framework with LGBTQQ clients are reviewed.     

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.     

Family and couples therapy with gay and lesbian clients: acknowledging the forgotten minority

Family and couples therapy in the main concentrates on heterosexual clients, and has thus been described as limited in its outlook, or discriminatory. It is argued that family and couples therapy is at present not offered to gay and lesbian clients because of an absence of appropriate referrals, the inability of therapists to recognize the sexual orientation of their clients, a belief that skills held by therapists are not appropriate for this client group, or because of the homophobia of the therapist. It is suggested that family and couples therapy should be more readily available for gay and lesbian clients, and a number of different issues which these families might face are discussed. This includes problems associated with the gay adolescent and the gay or lesbian parent, as well as the gay or lesbian couple. It is concluded that established forms of intervention are effective with gay clients, provided that the specific needs and problems of the gay and lesbian community are addressed by the therapist.     

Legal and Ethical Implications of Using Religious Beliefs as the Basis for Refusing to Counsel Certain Clients

This article addresses potential legal and ethical implications of lawsuits that have been brought when counselors and counseling students have used their religious beliefs as the basis for refusing to counsel lesbian, gay, bisexual, and transexual clients. Four lawsuits are reviewed, issues relevant to the cases are identified, and implications for counselor educators and counseling students are discussed.     

Countertransference issues in psychotherapy with lesbian and gay clients

This article briefly reviews literature on responses towards same-sex (lesbian and gay) sexualities from psychoanalytic and ‘lesbian and gay affirmative’ psychotherapeutic perspectives. An analysis is presented of reports of countertransferential reactions to lesbian and gay clients, obtained from interviews with fourteen psychotherapists who work in a lesbian and gay affirmative manner and eighteen clients who had received affirmative psychotherapy. Data were subjected to grounded analysis. Participants consistently attended to the thoughts, feelings and values that therapists held in relation to lesbian and gay clients and how these affected the meanings and practices available to them. These were linked with the therapist's sexual identity among other factors. Negative countertransferential reactions were regarded as potentially occurring among heterosexual and lesbian and gay therapists and were seen as arising from therapists’ conscious and unconscious fears about same-sex sexualities. These findings indicate a need to continue debating these issues more widely in the professional arena.     

Gay and bisexual male clients' perceptions of counseling: the role of perceived sexual orientation similarity and counselor universal-diverse orientation

A recurring question in multicultural counseling is whether client-counselor similarity on sociodemographic characteristics benefits counseling. A related issue is how counselor orientation to diversity relates to counseling process and outcome, both as a main effect and in interaction with counselor-client sociodemographic match. This cross-sectional study investigated these questions in relation to gay and bisexual male clients' counseling experiences by examining clients' perceived similarity to their counselor in sexual orientation, as well as counselors' self-reported orientation to diversity (assessed in terms of level of universal-diverse orientation [UDO]). Data were from 83 male-male client-counselor dyads recruited from lesbian/gay/bisexual-affirming counseling practices, where clients identified as gay or bisexual and counselors identified as gay, bisexual, or heterosexual. Counselor UDO was positively and uniquely associated with client ratings of the working alliance, session depth, and session smoothness. Perceived sexual orientation similarity was not directly related to any of the counseling-related criterion variables. Moreover, when counselors reported low levels of UDO, perceived similarity was negatively associated with the client-rated alliance and perceived improvement. Client religious commitment-a control variable in all analyses--was uniquely and negatively associated with client ratings of perceived improvement in counseling.     

Christian counsellors' views on working with gay and lesbian clients: Integrating religious beliefs with counselling ethics

Thirty‐one counsellors who identified themselves as practising, committed Christians, returned completed questionnaires that investigated how they integrate their Christian beliefs with their professional ethical code when counselling gay and lesbian clients. It was found that although most respondents believed that they were able to accept gay and lesbian clients, a minority demonstrated incongruence in relation to members of this client group, and were judgmental about perceived gay/lesbian behavious. Counsellors who took a rational stance in their understanding of the Bible and Christianity expressed more open and accepting views. Counsellors with a literalist approach to the Bible appeared to be lacking in acceptance and were unaware that they may not be offering the core condition of respect to their gay or lesbian clients. These findings are discussed in terms of their implications for supervision, research and practice.     

Factors Related to Counselor Preference Among Gays and Lesbians

This study explored the preference for counselor's sexual orientation among gay and lesbian clients. Recognizing that the perceived reaction of participants to hypothetical situations may be a viable predictor of future choices, respondents were administered a comfort/discomfort index intended to probe a number of potential counseling concerns. Internalized homophobia (Hudson & Ricketts, 1977) and a scale measuring degree of same- or opposite-sex sexual preferences (Kinsey, Pomeroy, Martin, & Gebbhard, 1953) were also investigated in an attempt to account for variance in the comfort/discomfort ratings. Findings indicated that gay men and lesbians tend to prefer gay or lesbian counselors, although a sizable number believe that counselors' sexual orientations do not make a difference. Internalized homophobia was found to predict discomfort in discussing various topics with a counselor of unknown sexual orientation.     

Incorporating Lesbian and Gay Issues Into Counselor Training: A Resource Guide

In order for counselors to facilitate the growth of their lesbian and gay clients, they must be familiar with and become sensitive to the special needs of this population. However, most counselors and counselor trainees have had little exposure to these needs. One way of increasing their awareness and sensitivity is to incorporate lesbian and gay issues into counselor training programs. The focus of this article is to present a limited list of strategies and resources that can be used to supplement materials in traditional courses in counselor training so as to better prepare counselors for dealing with lesbian and gay clients.     

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.     

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.     

Gay Identity Issues Among Black Americans: Racism,Homophobia, and the Need for Validation

There is little available literature on gay and lesbian identity among Black Americans. This exploratory study involved interviewing a total of six Black-American gay men and lesbian women regarding gay identity development issues. Data pertaining to the interviewees' experiences of gay identity development were obtained through a questionnaire of six open-ended questions and an interview with each participant lasting 1 to 2 hours. This article presents some of the significant challenges faced by those who were interviewed regarding their sense of self-acceptance, both as Blacks in the predominantly White gay and lesbian community and as gay men and lesbian women in the predominantly heterosexual Black community. The implications of these issues for future research and counseling intervention are discussed. In this article the term gay identity is generally used in reference to both men and women. When women are being discussed exclusively, however, the term lesbian identity is used.     

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.     

Heterosexual Therapists Leading Lesbian and Gay Therapy Groups: Therapeutic and Political Realities

The authors describe the thought processes, plans, and reflections of two heterosexual therapists who decided to lead gay and lesbian therapy groups in a university counseling center. The debate regarding the viability of the heterosexual counselor and the gay and lesbian client pair is discussed, as are the practical issues informing and maintaining thegroups. Campus political issues regarding the groups and counselor homophobia are explored.     

Applying Social Empowerment Strategies as Tools for Self‐Advocacy in Counseling Lesbian and Gay Male Clients

Social empowerment is designed to prepare individuals to reconstruct their political, economic, psychological, and social environments. Addressing empowerment for lesbian and gay male populations is critical because of the numerous stereotypical situations that result in their powerlessness. The application of social empowerment strategies as tools for self‐advocacy with lesbian and gay male populations is presented as a consideration for counseling.     

Addictions Counselors' Attitudes and Behaviors Toward Gay,Lesbian, and Bisexual Clients

This study surveyed addictions counselors to determine factors that predict affirmative attitudes and behaviors with all clients and with gay, lesbian, and bisexual clients (GLB) in particular. Three factors were predictive with regard to all clients, and 5 factors were predictive with regard to GLB clients. Nonheterosexist organizational climate was the only factor predictive in both situations. The implications of these results are discussed with regard to practice, research, and training.     

Pro-Active Intercultural Pastoral Care and Counseling with Lesbian Women and Gay Men

Clinical work with persons from lesbian and gay communities requires a clear sense on the part of the clinicians about how understandings of homosexuality shape our interactions. The importance of the religious and theological claims of the counselor cannot be underestimated in their ability to support and nurture, or to damage, the spiritual lives of lesbians and gay men. This paper first describes four religious perspectives on homosexuality, arguing for one that is proactive and affirmative. Second, this paper explores the multiple issues presented by lesbian and gay clients, including the role of marginalization, racial and ethnic heritage, internalized homophobia and heterosexism. Third, this paper closes with an invitation to counselors to participate in the public debates about homosexuality as a way of making the world a safer and healthier place for lesbians and gays to live.     

The Impact of Contemporary Idealogy and AIDS on the Counseling of Gay Clients

The counseling of gay clients, historically an uncomfortable and unsatisfying experience for many clients and psychotherapists, has become even more of a problem because of the emergence of the political right, the revival of fundamental religiosity, and AIDS. We used survey data and published literature to support the thesis that the above developments have had both subtle and gross negative effects on the attitudes of counselors toward gay clients.     

Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual orientation.