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. 相似文献
In the family therapy field we have often overlooked the elderly and in particular addressing sexual concerns within the context of couples therapy with the elderly (Van Amburg, Barber, & Zimmerman, 1996). The projected life-span of the elderly has increased due to improvements in medical technology and due to a better quality of life which promotes longevity. Included in this paper are the specific age-related physical, emotional, and sexual changes common in later life as well as a clinical case vignette of an elderly couple presenting with a sexual issue. Current sexuality education programs for the elderly are reviewed as well as clinical implications for therapists who treat the elderly. 相似文献
Research on relationship education (RE) programs generally shows their effectiveness, but it is important to understand what the mechanisms of change are, how they occur within programs, and what participants experience. The purpose of this study was to explore couples' perceptions of the key components of their experience as participants of a Prep-based RE program. Research questions included: How do couples describe their experience of taking an 8-hour relationship education class? What elements had the biggest impact on their relationship? How has their relationship changed as a result of participation? Interview data from 39 married and cohabitating couples who participated in RE were analyzed using grounded theory methods. Six categories emerged from the analytic process, resulting in a model that provided explanatory detail of a typical RE program experience and its impact on the participants. These categories were: intentionality and awareness, context, relationship, workshop, impact (of RE), and couple interview. Couples described these categories as developing in a relatively chronological order, with Intentionality and Awareness being a central category that cut across the process and helped explain the impact of the program on the couple relationship. Implications for research, program development, and program facilitators providing RE are discussed. 相似文献
ABSTRACTDo women with body hair continue to evoke disgust? Are men without body hair read only as athletes and/or gay? To explore contemporary sense-making practices around apparently counter-normative gendered body hair practice, we developed a two-stem story completion task. We collected stories from 161 undergraduate students (129 women and 32 men) about David, who had decided to start removing body hair, and Jane, who had decided to stop removing body hair. We analysed the data thematically within a constructionist framework, resulting in three themes: secrecy and shame; the personal benefits of going against the grain; and the personal is political. The personal benefits theme included four distinct (gendered) subthemes: increased heterosexual attractiveness; increased sporting prowess; removal of a hassle; and liberation from conformity. These story data gave access to familiar but also somewhat different accounts than those collected through typical self-report measures. 相似文献
Lesbian, gay, bisexual and same-sex-attracted (LGB/SSA) individuals in conservative religions often experience stigma, shame, and psychological distress in reconciling their religious and sexual identities, yet religion can also provide existential comfort and social support. We investigated relationships among self-esteem, participation in the Mormon Church, and sexual identity acceptance among 348 LGB/SSA Mormons and ex-Mormons in 2013–2014 and found that the two groups reported similar self-esteem. By testing plausible mediators (family support, gay/SSA identity acceptance, and agreement with Mormon Church policy prohibiting same-sex behaviour) through a path model, results revealed different pathways to self-esteem. Practicing LGB/SSA Mormons reported higher family support and lower gay/SSA identity acceptance than ex-Mormons, while those self-identifying as SSA but not gay reported lower gay/SSA identity acceptance. We suggest that religiously active Mormons demonstrate low self-acceptance of their gay/SSA identity while ex-Mormons suffer loss of familial and social support, resulting in equal self-esteem across church status groups. 相似文献
The purpose of this study was to examine the efficacy of the Prevention and Relationship Education Program (PREP) training on marital conflict and marital satisfaction among a sample of distressed couples in Iran. The research procedure was experimental with a pretest, posttest, and follow-up design, including a control group. The sample included 76 volunteer couples among a sample of distressed couples who were randomly selected and assigned to the experimental or control group. They completed demographic questions, the Marital Conflicts questionnaire, and a revised Marital Satisfaction Inventory in pretest, posttest and at the 1-year follow-up. Results showed that PREP training effectively led to decreased marital conflict and improvement of marital satisfaction of couples at posttest and at the 1-year follow-up. The result of covariance analysis showed significant differences between the experimental and the control groups' marital conflict and marital satisfaction at posttest and at the 1-year follow-up. 相似文献
Objective: This study investigates the impact of HIV diagnosis on subjective social status and if changes are linked to health outcomes.
Design: Two measures of subjective social status, socio-economic and standing in the community were examined in 342 Australian HIV-positive gay men in 2014. Participants recalled ratings at diagnosis were compared with current ratings.
Main outcome measures: Self-reported mental (psychological distress, self-esteem, positive mental health and satisfaction with life) and physical health (self-rated health, CD4 count, viral load).
Results: Half of the participants reported improvements in subjective socio-economic status (59%) or standing in the community (52%) since diagnosis, yet one quarter reported socio-economic status (25%) or standing in the community had decreased (23%). Increases in either measure of subjective social status were linked to higher self-esteem, positive mental health, satisfaction with life and better self-rated health. Decreases in subjective social status, however, were strongly linked to poorer outcomes on all mental health measures. Decreases in standing in the community were also associated with poorer physical self-rated health.
Conclusion: Most participants reported their subjective social status were the same or better since diagnosis. Changes in subjective social status following diagnosis were strongly linked to mental health outcomes. Those who reported a decrease in subjective social status were particularly vulnerable to mental health problems. 相似文献
Three patterns of mutual intimate partner violence (IPV) are proposed, based on frequency and severity: Male primary perpetrator
(MPP), female primary perpetrator (FPP), and symmetrical (SYM). Patterns and effects of ethnicity were examined with 445 African
American, Euro-American, and Mexican American low-income women experiencing mutual IPV. More relationships were classified
as MPP (54%) than SYM (35%) or FPP (11%). Comparing women's and men's perpetration of several types of IPV (e.g., threats,
severe physical) indicated MPP-pattern women experienced all IPV types more often and were more likely to sustain injury than
their male partners. Fewer gender differences were found in the FPP pattern. Racial/ethnic groups were more similar than different;
previously reported differences may be explained by variation in socioeconomic status.
The larger part of the study was funded by grant R49/CCR610508 from the National Center for Injury Prevention and Control
of the Centers for Disease Control and Prevention, awarded to the third author. This article was also made possible by grant
2001-WT-BX-0504 from the National Institute of Justice awarded to the first and third authors. These agencies are not responsible
for the results. Portions of this paper were presented by the first and third authors at the International Family Violence
Conference in Portsmouth, NH, July, 2003. 相似文献