A Reply to Uttl and Morin’s (2010) Commentary of

In response to a commentary provided by Uttl and Morin (2010) regarding the recent study by Hughes and Nicholson (2010), we evaluate their suggestion to modify our study’s design to reduce ceiling effects (similar to that of Rosa, Lassonde, Pinard, Keenan, &; Belin, 2008). Also, the commentators failed to take into account our data on reaction times (a measure that is arguably less affected by ceiling effects), which help substantiate our conclusions regarding self-face and self-voice recognition. This rejoinder encourages readers to consider the relevance of the ecological validity of Hughes and Nicholson’s findings.     

Religious Experiences of GBTQ Mormon Males

This article examines the relationship between sexual orientation and religious experience of men from early adolescence to adulthood. Data have been obtained from an online survey of 1,042 males who were part of a larger sample of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) persons who are current or former members of the Church of Jesus Christ of Latter‐Day Saints (LDS, Mormon). While early religious experience was essentially identical to that of heterosexuals, the gap between religious norms and experience widened as these men moved through early and mid‐adulthood. Those who married did so at a later age, and experienced a high rate of divorce. Continued participation, integration, and conformity to LDS ideals was not attributable to faith in, or a departure from, fundamental doctrinal belief. Instead, the responsible variable was sexual orientation, measured by the Kinsey Scale scores across behavior, attraction, and identity. For those near the exclusively homosexual end of the spectrum, the failure to change sexual orientation after intense effort over many years resulted in loss of belonging, belief, and participation, along with increased negative emotions and a sense of mistreatment.     

“I’m Not Sure I Trust the System Yet”: Lesbian Service Member Experiences With Mental Health Care

The purpose of this research was to understand lesbian service member experiences with mental health care. Individual and organizational factors were explored, including the influence of military policy (e.g., “Don’t Ask, Don’t Tell”) on service member utilization of mental health services. Thirty-seven participants responded to a survey containing 16 open-ended items regarding the impact of “Don’t Ask, Don’t Tell” on one’s professional life, relational life, identity, and willingness to access mental health services. Data were analyzed through an open- and axial-coding and constant comparative method. The findings indicated a lesbian service woman’s likelihood of accessing mental health services was impacted by confidentiality concerns, fear of repercussions, and a sense that military culture lags behind policy changes. Recommendations for therapists included renewed focus on safety through affirmative practices, need for competency in military and lesbian/gay culture, and sensitivity to the effects of systemic oppression on self-esteem. Implications and future research are discussed.     

Making Good Use of Combined Therapeutic Modalities: Discussion of “Somatic Experiencing”

A positive view is taken of integrative analytic and bio-psychological Somatic Experiencing (SE) therapy for trauma. Levit’s case report is viewed as reflecting an early stage of the analyst’s development as an integrative clinician. A risk of integrative treatments is splitting between modalities of analytic functions including affect regulation. The present case is read closely. Commentary focuses on enactment and missed opportunities for analytic reflection, including (transference) meanings of SE interventions. Increased analytic attention to therapeutic process aims to open reflective space to discuss a wide range of experiences in treatment, including disappointments and other (more negative) aspects of transference, deepening the therapeutic experience, and reaching more broadly into sequelae of the patient’s developmental trauma than SE intervention alone. Integrated bio-psychological interventions are compared and contrasted with use of psychotropic medications in analytic therapy. Bio-psychological interventions such as SE have the advantage of adding resources for the analyst’s self-regulation as well.     

Fabry Disease Practice Guidelines: Recommendations of the National Society of Genetic Counselors

Identification and comprehensive care of individuals who have Fabry disease (FD) requires a multidisciplinary approach inclusive of genetic testing, test interpretation, genetic counseling, long term disease symptom monitoring, treatment recommendations, and coordination of therapy. The purpose of this document is to provide health care professionals with guidelines for testing, care coordination, identification of psychosocial issues, and to facilitate a better understanding of disease treatment expert recommendations for patients with Fabry disease. These recommendations are the opinions of a multicenter working group of genetic counselors, medical geneticists, and other health professionals with expertise in Fabry disease counseling, as well as representatives/founders of the two United States based Fabry disease patient advocacy groups who are themselves affected by Fabry disease. The recommendations are U.S. Preventive Task Force Class III, and they are based on clinical experience, a review of pertinent English-language articles, and reports of expert committees. This document reviews the genetics of Fabry disease, the indications for genetic testing, interpretation of results, psychosocial considerations, and references to professional and patient resources.