Homosexuality, ethics and identity synthesis.

Implicit metaphysical assumptions concerning the nature of sexual orientation are reflected in the language used to frame ethical debates concerning "reorientation" therapies. An alternative metaphysical construal is presented concerning sexual orientation and sexual identity development and synthesis. This alternative construal allows for humility concerning what we know and do not know about sexual orientation, underscores the client's self-determination and autonomy, and demonstrates regard for personal and religious valuative frameworks. Rather than focusing on therapies aimed specifically at sexual reorientation, clinicians would do well to provide clients with informed consent and to facilitate identity development and synthesis in keeping with their clients' requests for professional services.     

When psychologists work with religious clients: applications of the general principles of ethical conduct

Psychologists become more effective and relevant when they appreciate that many clients hold religious values and commitments. Greater awareness of religion and religious values in the lives of clients may aid clinicians' efforts to provide more accurate assessments and effective treatment plans. The authors use the American Psychological Association's (1992) "Ethical Principles of Psychologists and Code of Conduct" as a framework to examine many of the ethical issues relevant when psychologists work with religious clients. This article also provides suggestions for ways in which clinicians may obtain the skills needed to offer competent assessments and interventions with religiously committed clients.     

Narrative Sexual Identity Therapy

Sexual identity therapy is an alternative to the two polarized positions of sexual reorientation therapy and gay-integrative therapy for clients who present with sexual identity concerns. This alternative model focuses on sexual identity—the private and public acts of identifying and communicating one's sexual preferences—and how the decision to do so is informed by dominant stories about what sexual attractions mean to a client. As one expression of sexual identity therapy, this paper presents narrative sexual identity therapy, an approach that utilizes a narrative therapeutic approach and techniques to facilitate exploration of dominant narratives and counter-narratives that speak to sexual identity with the goal of achieving a synthesis that reflects felt congruence of clients' beliefs/values and behavior/identity.     

Intact Marriages in Which One Partner Dis-Identifies with Experiences of Same-Sex Attraction: A Follow-Up Study

This study is a one-year follow-up study of heterosexually married couples in which one partner reports having experienced same-sex attraction and both partners report satisfaction with their marriage despite facing such constraints. Questionnaires were sent to 32 individuals who had participated in the initial study. Of these, 30 returned completed questionnaires. The questionnaires contained open-ended questions about the participants' experiences, motivations, coping behaviors, and so on. Analysis suggested a number of themes related to vulnerability to extramarital relationships, coping activities, and satisfaction with marriage. Suggestions for clinical practice include exploring sexual identity issues, maintaining communication, and monitoring emotional connection in the marital dyad.     

Ethical issues in considering 'religious impairment' in diagnosis

There are several ethical implications of clinician assessment of clinically significant religious impairment (CSRI). This paper draws upon the American Psychological Association's (APA's) Code of Ethics (1992) to review relevant ethical principles and standards. It then presents a continuum of responses to the relationship between psychology and religion: (1) religion as harmful, (2) benign neglect of religion, (3) formal: problem-focused, (4) formal: domain-focused, and (5) religion as paradigmatic alternative. This continuum is followed by a discussion of three clinical vignettes and an examination of the potential ethical tensions for each model. The conclusions drawn from this review are that the formal: domain-focused model presents a rationale for inclusion of CSRI in assessment and is the most promising among alternative models for avoiding professional obsolescence, expanding alternatives for clients and clinicians, and enhancing ethical practice and professionalism.     

A Longitudinal Study of Forgiveness and Post-Disclosure Experience in Mixed Orientation Couples

Mixed-orientation couples (MOC) are under-represented in the literature. Often when sexual minorities disclose their sexual orientation it is a stressful experience for their spouse who progresses through stages and experiences both negative and supportive responses as they address disclosure-related issues. Participants completed an online survey and then repeated the same process a year later to measure changes in forgiveness and experience. Forgiveness was shown to play a role in how spouses progress through the post-disclosure stages. In addition, forward movement was seen in both forgiveness and stages over the course of one year. Implications for therapy with MOC are discussed.     

Shame in Sexual Minorities: Stigma,Internal Cognitions,and Counseling Considerations

Theorists, clinicians, and researchers have suggested that shame is a central concern in the lives of sexual minority individuals. Cognitive theorists believe that shame occurs when a person fails to achieve his or her standards, which are often based on social, cultural, and spiritual values. Although it is asserted that stigma causes shame among members of a sexual minority, the empirical evidence suggests that negative internal cognitions are partly responsible. By targeting negative beliefs, counselors can help sexual minorities reduce their sense of shame, particularly around issues related to sexual identity. The authors offer counseling strategies for reducing shame in sexual minority clients.     

Listening to Transgender and Gender Diverse Students on Christian College Campuses

Journal of Religion and Health - This study was an initial investigation of important areas of interest within the literature on transgender and gender diverse students, namely psychological...     

When Psychologists Work with Older Adults: A Survey of Ethical Beliefs and Practices

Despite the number of publications concerning legal and ethical issues faced by psychologists, and despite the increased interest in addressing specific concerns related to aging, little is known about the actual beliefs and practices of psychologists when they work with older adults. Given the changing demographics in the United States, many mental health professionals will have contact with older adult clients, and the focus of the present study was to examine the extent to which psychologists are prepared to work competently with older adult clients. Survey data were collected from 156 APA Division 12 (Clinical Psychology) and 17 (Counseling Psychology) members regarding the degree to which they engaged in each of 50 behaviors and the degree to which they considered each behavior ethical. Findings are presented in terms of percentages of responses to items on the questionnaire, and ANOVAs were performed on important demographic items to identify statistically significant differences among variables. Coursework in geropsychology or aging, specialization with older adults, and working with a high percentage of older adults were related to higher scores on the Overall Ethical Behavior scale. Females scored higher than males on the Overall Ethical Belief scale.     

Resilient Factors in Mixed Orientation Couples: Current State of the Research

This paper reviews the existing literature on mixed orientation couples with the purpose of identifying some of the key characteristics and dynamics of these couples. Special attention is paid to understanding relationship quality, satisfaction, and the factors that help maintain their relationship. Current literature shows a mixed representation of relationship quality and satisfaction among these couples, with themes of specific factors that seem to predict this. An understanding of this literature can inform counseling practice, and specific recommendations are offered for providing counseling to this unique population.