Sense of coherence as a protective factor for psychological distress among gay men: a prospective cohort study

Gay men face a greater risk of psychological distress than heterosexual men, yet research on protective factors among gay men has been limited. This prospective cohort study investigated whether a sense of coherence (SOC), as a form of coping, helps to protect against psychological distress among middle-aged and older gay men. A nationwide online survey was conducted among a baseline sample of 1135 Australian gay-identified men aged 40 years and older, with a follow-up survey 12 months later. SOC was measured using the 13-item SOC Scale. Psychological distress was measured using the K10 Psychological Distress Scale. Hierarchical regressions were conducted, with analyses controlling for several potential risk factors for distress. Over half of participants had moderate or high psychological distress. However, baseline distress was significantly lower among those with stronger baseline SOC. In addition, baseline SOC significantly predicted distress 12 months later. This predictive effect of SOC was independent of baseline distress levels and occurred despite a strong correlation between baseline and follow-up distress. With SOC appearing to be a protective factor, strategies among middle-aged and older gay men that strengthen SOC may assist in the prevention and treatment of anxiety and other psychological distress in this vulnerable population.     

“A boy cannot marry another boy”: adolescent boys' talk about ‘gay’ boys at school

This study explored how black South African adolescent boys talk about ‘gay’¹1 The term ‘gay’ is put in inverted commas to acknowledge that as an identity category it is a social construct. The author in this article is aware that the term ‘gay’ implies a more liberated or liberatory form of identity, but the boys in the study were using it pejoratively. in schools. Thirty two boys (age ranged from 13–18 years old) attending two high schools in a historically black South African township took part. Data on their understanding of being gay were gathered using individual interviews and focus group discussions. The data were analysed using Edley and Wetherell's (2001 Edley, N., & Wetherell, M. (2001). Jekyll and Hyde: Men's constructions of feminism and feminists. Feminism & Psychology, 11(4), 439–457. http://dx.doi.org/10.1177/0959353501011004002 doi: 10.1177/0959353501011004002[Crossref], [Web of Science ®] , [Google Scholar]) discursive interpretive framework. Findings suggest negative bias in the boys' attitudes towards ‘gay’ boys. The boys considered being ‘gay’ as ‘deviant’, ‘abnormal’, ‘un-Christian’ and ‘un-African’. Furthermore, ‘straight’²2 The term ‘straight’ is also put in inverted commas initially to acknowledge that this is also a social construct the participants used in the study to categorise and label each other. boys reported isolating themselves from ‘gay’ boys and avoiding practices stereotypically associated with being ‘gay’, such as wearing colorful pink clothes. Social constructions of hegemonic masculinity and homophobia appear present within an ordinary South African school setting.     

The Male Rape Survivor: Possible Meanings in the Context of Feminism and Patriarchy

This article covers a philosophical investigation into the possible meanings of rape for male survivors. The legal definitions of rape are investigated and the impossibility of male rape—from a legal, personal and social angle—described. An analysis of male rape in feminist theories and philosophies reveals that the dominant discourse on rape has the effect of silencing the voice of the male rape survivor. Prevailing social constructs about the perpetrator of male rape are challenged, and the physiological and psychological sequelae of rape described. A call is made for a conversation in which male and female survivors can participate and where the warrior psyche of the man can be transcended in order to facilitate healing.     

Personality and work-home interaction among dual-earner couples in South Africa: Testing an actor-partner interdependence model

This study aimed to investigate the effect of personality on work-home interaction crossover effects among dual-earner couples in South Africa. The participants were dual-earner couples (n = 264; 132 couples) with young children. They completed measures on work-home interaction and personality. Multilevel modelling was used to analyse predictions for six personality variables and four work-home interaction outcome variables. Additionally, we examined interaction effects between husbands’ and wives’ actor effects, as well as between their partner effects. Results suggest only wives’ Extraversion, Emotional Stability, and Openness positively influenced husbands’ experience of work-home interaction. Work-home personality crossover actor effects were more pronounced for wives. Partner effects were stronger for husbands in that an increase in Extraversion in wives will increase husbands’ experience of positive home-work interaction. A gendered effect appears to influence work-home interaction among South African working couples; this knowledge is important for interventions to establish balanced work and home lives.     

Addressing disparities: The impact of a lesbian,gay, bisexual,and transgender graduate counselling course

Background: Lesbian, gay, bisexual and transgender (LGBT) individuals experience serious mental health disparities and treatment inequities. Counsellor education has been identified as both a contributing factor to these problems as well as an ameliorating mechanism to address these inequalities. Aim: The purpose of the current study was to evaluate the impact of an LGBT‐affirmative counselling course. Method: A total of 23 students enrolled in a graduate LGBT counselling course were administered the Sexual Orientation Counselor Competency Scale (SOCCS, Bidell, 2005) and the Lesbian, Gay, and Bisexual Affirmative Counseling Self‐Efficacy Inventory (LGB‐CSI, Dillon & Worthington, 2003) pre‐ and post‐course. In addition, a comparison group of 23 matched counselling students was obtained from an existing data source in order to make further assessments of the course's effectiveness. Those in the comparison group were not enrolled in the LGBT course, but were administered the SOCCS at analogous time intervals. Results: After completing the LGBT course, enrolled students demonstrated significant improvements regarding their sexual orientation counsellor competency and self‐efficacy. In addition, these students showed significant gains in SOCCS scores versus those in the comparison group. Implications: Results from this study show the positive effect a full‐credit LGBT psychotherapy course can have on graduate counselling students' sexual orientation counsellor competency and self‐efficacy. The findings also indicate that such a course can significantly impact counselling skills, a facet of LGBT cultural competency found to be the most attenuated. Findings are discussed in conjunction with LGBT‐affirmative counsellor training and clinical practice.     

The search for evidence: Psychoanalytic practice and the male imaginary

In this paper, I will attempt to discuss the future of psychoanalytic practice in the wake of the National Institute of Health and Clinical Excellence’s (NICE) embrace of ‘evidence’-based practice. In 2005, NICE, whose task is to regulate the provision of health care across the National Health Service, adopted positivistic evidence-based protocols as the sole proof of the effectiveness of psychotherapy. Despite the success over the past 40?years of psychoanalytic and humanistic therapies in primary care and psychotherapy departments of psychiatric hospitals, NICE insists on restricting therapy, to those who can claim effectiveness as a result of using the data from client questionnaires commonly described as ‘outcome measures’ and it has gone on to promoting new modalities many of which have been imported from the States. As a consequence, most of the provision of psychotherapy in the public sector currently, whether as part of the National Health Service or the voluntary sector, has embraced evidence-based practice’ and many training organisations are promoting it, which will, in time, have an effect on private practice. I use some of the threads of the work of the feminist psychoanalyst Irigaray and others to understand this turn to positivistic science and how it can be understood as an instance of the retrenchment of the ‘male imaginary’ and a re-installation of the values of detachment and mastery. I query whether there are some problems within current theory, practice and institutionalisation which interfere with the emergence of a more progressive psychoanalytic practice.     

The Meaningfulness of Helping Others: Loren Eiseley's “The Star Thrower”

Freud and Klein describe projective processes—projection, projective identification, and the repetition compulsion—that cause interpersonal distortions not only in the psychotherapy relationship but in adult intimate relationships as well. Winnicott's theory of the use of an object describes a way of relating that is free of the distortions of projection, opening up the possibility of differentiation between intimate partners. Two case examples illustrate how addressing projective processes assisted one patient in extricating herself from a psychologically abusive relationship and helped a couple in treatment to move from object relating to object use. It is argued that the use of these psychoanalytic theories has an important role within a modern relational social work practice.     

Time Limited Treatment and C. G. Jung's Analytical Psychology

Abstract

The work of C. G. Jung has been largely neglected in recent discussions of time-limited psychotherapy. Notwithstanding this state of affairs, this paper argues that much is to be gained from familiarity with Jung's view on treatment. A brief overview of Jung's general system of psychology is presented, and contrasts are drawn to the work of Freud. Several distinctive characteristics of Jung's view of the clinical process are then identified, and a discussion of the course of treatment is provided with a brief reference to a case of Jung's and to the author's experience working with gay men.     

Restoration of Intimacy and Connection in the Treatment of Couples with Substance Abuse Issues

SUMMARY

Addictions destroy both individuals and in particular their intimate relationships. Couples remain together for many reasons and when one partner has an addiction, the spouse has the fantasy that when the addiction is addressed the couple relationship will return to ‘normal.’ This article focuses on couple issues that have not been addressed in addiction treatment facilities and examines the role of the couple therapist versus the addiction counselor. Techniques and clinical interventions with this population are discussed and illustrated by case examples.     

A Caring Framework for Enhancing Couples Therapy

As couples move away from role oriented patterns of relating they enter a transitional phase where marital expectations are less clearly defined. Frequently couples seeking therapy complain of a lack of caring in their relationships. They also express confusion about the appropriateness of their desire for more caring. In this article the authors present a caring framework based on their research with couples in "vital-total" marriages. They also suggest several ways this caring framework can be used in clinical work with couples.