A decade of changes: Within-group analysis of LGBTQ individuals' perceptions of their community context and the relevance for social service providers

The previous decade has seen a drastic shift in the social environment for lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. It is not surprising then to find that the perceived “best” and “worst” aspects of life for nonmetropolitan LGBTQ individuals have also changed. We use data from two cohorts of the Rainbow Illinois survey to examine differences between responses in 2000 and 2011. Furthermore, we examine demographic differences in the perception of what is “best” and “worst” among the 2011 cohort. Results suggest that although the general social climate has improved for some, it remains problematic for others. Implications for social service providers are thoroughly discussed.     

“To get the word out”: LGBTQ+ Young adults’ motivations for participating in qualitative research studies

Understanding why socially marginalized individuals, such as lesbian, gay, bisexual, transgender and/or queer (LGBTQ+) people, participate in research can improve qualitative research designs, as well as social services and policies. In providing a participant-centered foundation, we interviewed 65 LGBTQ+ young adults and asked “Why are certain LGBTQ+ young adults motivated to engage in qualitative social science studies?” Many LGBTQ+ young people said they were committed to enacting social change and promoting advocacy. Participants also highlighted supporting scientific research and knowledge production. Finally, LGBTQ?+ participants engaged with research to introspectively analyze their identity development processes. These findings can facilitate access to socially vulnerable and underrepresented groups through a methodological focus on participant benefits.     

“It Gets Better” … but How? Exploring Resilience Development in the Accounts of LGBTQ Adults

As reports of bullying and suicide increase, research on lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must expand its focus from vulnerabilities to resilience development. The purpose of this inductive qualitative study was to explore resilience development in the accounts of LGBTQ adults by analyzing videos posted for the It Gets Better social media campaign (n = 21). Four major themes emerged: (1) leaving hostile social environments; (2) experiencing “coming out” in meaningful ways; (3) remembering the social environment; and (4) turning challenges into opportunities and strengths. These findings suggest that, despite the campaign's premise, life did not automatically get better for the LGBTQ participants. Rather, the findings offer a nuanced look at the pathways to resilience development. Implications for social work practice are discussed.     

Voices from the stories untold: Lesbian,gay, bisexual,trans, and queer college students' experiences with campus climate

ABSTRACT

Twelve self-identified college students within the lesbian, gay, bisexual, transgender, and queer (LGBTQ) spectrum were interviewed on campus climate perceptions and their experiences of discrimination and isolation at their university. Thematic analysis was conducted to identify themes from the data. This process resulted in the emergence of three themes, identified as discrimination, isolation, and avoidance. The most salient experiences of discrimination and isolation reported by participants came from within LGBTQ organizations or from lesbian or gay male individuals that participants sought out for social support. LGBTQ intra-community discrimination was considered to be particularly damaging to participants' sense of belonging and involvement within the LGBTQ community. Discrimination and isolation from straight-identified organizations or individuals was reported mostly in the context of fraternities/sororities and religious organizations. Furthermore, actions by members of these latter groups caused participants to avoid these groups out of expectations of negative interactions. These results inform empirical research to bring awareness to acts of discrimination that continue to take place within the university toward LGBTQ students. Specific implications for social work practice with LGBTQ college students and future research on diverse LGBTQ populations and resources are discussed.     

The Lies That Bind: Heteronormative Constructions of “Family” in Social Work Discourse

The social work profession has an enduring history of commitment to American families; in fact, it has often led the way in embracing alternative family arrangements. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) families are gaining more political visibility and lobbying for rights and protections from which they were previously excluded. Therefore, this study is an analysis of social work's contemporary, defining representations of LGBTQ families. Twelve LGBTQ “family” research studies were culled from the database Social Work Abstracts, and subjected to queer discourse analysis in order to illuminate how these alternative family forms are being constructed within the discipline. This analysis details the multiple ways in which heterosexual norms are privileged throughout the research studies. For example, the heterosexual family is often constructed as an unchallenged index for psychological health, appropriate partnering, and child rearing practices, social acceptability, and general normative behavior. LGBTQ relationships often earn their “family” designations by their ability to approximate these legible, heteronormative “family” characteristics. As such, this queer discourse analysis indicates that LGBTQ families are ultimately invited to join, but not to change, the traditional terms of “family,” thus making the social work research less of an exploration of alternative family forms and more of an endorsement of same-sex, nuclear families.     

We Need More Resources: Stories of QTPOC* Survival in the South

While men’s sexual violence against women is unarguably a social and public health issue, both nationally representative data and smaller studies tell us that rates for lesbian, gay, bisexual, transgender, and queer+ (LGBTQ+) individuals are equally or significantly higher. Despite this, there remains little structural support for LGBTQ?+?survivors. This article highlights the voices of 38 queer and trans people of color (QTPOC)-identified U.S. Southerners who have experienced sexual violence and came together across three focus groups to detail their interactions with advocates and other professionals and explore posttraumatic needs. Nearly all survivors reported that the level of awareness regarding sexual violence in their communities was limited, with most reporting that they did not successfully access mainstream services, due to concerns about homophobia, transphobia, and racism. To address sexual violence in LGBTQ?+?communities, survivors pointed to the importance of friendship and community networks “outside the system,” knowledge sharing about LGBTQ+-specific violence tactics (e.g., threats of outing a partner), and holding batterers accountable for their behavior within LGBTQ?+?circles. Findings highlight the need to move beyond “culturally competent” health care by proactively engaging LGBTQ?+?communities in education, networking, resource sharing, and anti-violence outreach.     

Lesbian,Gay, Bisexual,Transgender, Queer,and Questioning Youths' Perspectives of Inclusive School-Based Sexuality Education

Sexuality education is perceived as one way to prevent unhealthy sexual behaviors. However, current sexuality education materials are not tailored to fit the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, and many have been critiqued for disenfranchising these populations. This study solicited the perspectives of LGBTQ youth on their experiences with school-based sexuality education in order to create a framework of LGBTQ-inclusive sexuality education. Five semistructured focus groups (N = 30 LGBTQ participants) were conducted to investigate the sexuality education experiences of LGBTQ youth and to solicit youth suggestions for improving the inclusiveness of sexuality education curricula. Results indicate that LGBTQ youth perceive current sexuality education as primarily “exclusive,” although examples of “inclusive” sexuality education were provided. In addition, participants provided suggestions for creating a more inclusive experience, such as directly discussing LGBTQ issues, emphasizing sexually transmitted infection (STI) prevention over pregnancy prevention, and addressing healthy relationships. Educators and policymakers can use these ideas to help improve the quality of sexuality education—not only to make it more inclusive for LGBTQ youth but to make sexuality education more inclusive for all young people.     

Participation in LGBTQ Organizations in Colombia: Motivations and Impacts

Studies on sexual minorities have shown the positive impact of the lesbian, gay, bisexual, trans, or queer (LGBTQ) community on the well-being of individuals. Few studies, however, have been interested in the role that LGBTQ organizations specifically play. Using a qualitative approach, this article examines individuals’ motivations to participate in LGBTQ organizations and how they think such participation impacts their lives. Semi-structured interviews were conducted with 20 self-identified LGBTQ adults living in the Andean region of Colombia. Thematic analysis with inductive coding was used, and six themes were identified. Within these, two findings are particularly relevant to the existing literature. First, organizations play an important role as educational spaces where individuals can learn about their sexual identity. Second, organizations can also impact families of origin by promoting a better understanding and acceptance of participants’ sexual identity, and by promoting solidarity with LGBTQ community members.     

Barriers to involvement in nonmetropolitan LGBTQ organizations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) organizations are spaces in which LGBTQ individuals can access support and community, yet they have received little empirical attention, particularly outside urban areas. Given the benefits of LGBTQ community involvement, this study examined the barriers to involvement in nonmetropolitan LGBTQ organizations. Three qualitative methods were employed: interviews, focus groups, and participant observation sessions. Thematic analyses identified eight barriers originating within the individual (managing one's LGBTQ identity, individual characteristics), organization (lack of diversity, group dynamics, lack of awareness of programs, workplace/school climate), and community (size, hostility). Implications for reducing barriers in nonmetropolitan LGBTQ organizations are discussed.     

“We thought it would be easy”: recruitment challenges,successes and best practices for low-income couple populations

Recruitment challenges present ongoing struggles for social science professionals. Especially problematic are recruiting endeavors when target populations are highly stressed, highly mobile, and are comprised of couples rather than individuals. Included in this study is a rationale supporting the need to study recruitment challenges coupled with a literature review discussing recent recruitment research summaries. Based upon a Delphi-type discussion with couples relationship education (CRE) experts, our team constructed a qualitative study to examine recruitment challenges in low-income CRE programs. Fourteen interviews were conducted with “successful” program leaders identified by federal regional managers within the Administration for Children and Families (ACF). Data were analyzed, and results detailing four main “challenge” themes, four “success” themes, and a seven-step best practice model are presented.     

A comprehensive approach to sexual and transgender prejudice

Prejudice and discrimination against lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals continues to have a detrimental impact on the mental health of this population. Research examining commonalities and uniqueness among negative attitudes toward specific sexual and gender minority groups is extremely limited. The authors propose that research examining sexual prejudice include attitudes toward diverse subgroups within the larger LGBTQ community in order to facilitate development of underlying constructs and identify unique contributing factors. Common and unique factors identified within existing research are organized into categorical themes, which are delineated in a conceptual factor model of sexual and transgender prejudice.     

“During my life so much has changed that it looks like a new world to me” A narrative perspective on migrating in time

Older individuals have witnessed a vast amount of cultural change during their lives. They are therefore living in a culture which differs radically from the one in which they grew up. Building on basic psychological processes of acculturation in migrants, this article develops a narrative theory on the dynamics of identity development in times of cultural change. Twenty-four individuals between 64 and 75 years, belonging to the “silent” generation and currently in their third age, were interviewed about cultural change. Content analysis of the narratives showed four themes: general remarks about cultural changes, expanding material opportunities, liberation of relationships, and increasing freedom of choice. Identifications with the past and with the present were found for each of these themes. Three ways of construing retirement, as extra time, enjoyment or liberation, were related to the identifications with past and present. The findings point out fundamental processes of identity development in a changing cultural context.     

Policy, Practice and People: Current Issues Affecting Clinical Practice

This commentary highlights current policy issues affecting lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the US with implications for mental and behavioral health care and social work services. These issues include conversion or reparative therapies, especially for young people, and conscience clauses that may exempt some students and practitioners from serving LGBTQ people and their families. While not a “policy” per se, emerging knowledge about health disparities that affect LGBTQ people will also be summarized because of its relevance to practice; many of these concern mental health and behavioral health. Finally, some resources for making health care organizations more responsive to the needs of LGBT people are identified.     

Sex counts: An examination of sexual service advertisements in a UK online directory

Internationally, sex work research, public opinion, policy, laws, and practice are predicated on the assumption that commercial sex is a priori sold by women and bought by men. Scarce attention has been devoted to lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) sex working as well as women who pay for sex. This is as much an empirical absence as it is a theoretical one, for the ideological claim that women comprise the “vast majority” of sex workers is rarely, if ever, exposed to empirical scrutiny. Focusing on the UK, we address this major gap in evidence in order to challenge the gendered and heterosexist logics that underpin contemporary debates. We do so by presenting large-scale data gained from the quantitative analysis of 25,511 registered member profiles of an online escort directory. Our findings point to heterogeneity rather than homogeneity in the contemporary sex industry including in terms of gender identity, sexual orientation, and advertised client base. For example, while two-thirds of advertisements self-identify as “Female,” one in four are listed as “Male;” less than half list their sexual orientation as “Straight;” and nearly two-thirds advertise to women clients. Our study thus challenges prevailing heteronormative assumptions about commercial sex, which erase LGBTQ sex workers and other non-normative identities and practices, and which we argue have important political, practical, and theoretical consequences.     

Intersecting Sexual,Gender, and Professional Identities Among Social Work Students: The Importance of Identity Integration

ABSTRACT

Discrimination toward lesbian, gay, bisexual, transgender, and queer (LGBTQ) social work students can negatively affect academic performance and personal and professional identity development. Intersectionality is a conceptual approach that states that social identities interact to form different meanings and experiences from those that could be explained by a single identity. This study explored how the educational experiences of LGBTQ social work students in the United States and Canada influenced their professional and personal identities. Using an intersectional analysis, three major themes emerged: the need for social work programs to better promote LGBTQ identity and emerging social work professional identity integration, a lack of LGBTQ content in the curriculum, and unsupportive LGBTQ school climates. Implications for social work education are considered.     

Migrant Assimilation in Europe: A Transnational Family Affair1

The paper advances our empirical and theoretical understanding of migrant assimilation. It does so by focusing on a very particular group of individuals who appear more likely than other migrant types to “go native.” We call these individuals “mixed nationality relationship migrants” (i.e., migrants who have committed to a life outside their home country because of the presence of a foreign partner). The paper argues that the transnational family milieus that emerge from this form of international migration are critical to the assimilation process. Empirical material from 11 in‐depth interviews with female migrants in Britain (Sheffield) and France (Paris) supports our argument. We also suggest that such “extreme” assimilation is more likely within a regional migratory system – like the EU – where the “identity frontiers” crossed in the formation of a transnational family are relatively shallow.     

Beyond resilience: Resistance in the lives of LGBTQ youth

Resilience has come to define a wide breadth of impactful research on marginalized groups, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. This resilience framework shifted the deficit “at-risk” model of research on marginalized populations to a more nuanced strengths-based perspective. In this critical review article, we examine this research trend to understand how the shift to resilience has shaped patterns of LGBTQ youth research. In doing so, this piece calls for a more sophisticated engagement with operationalizing resilience–which is vaguely defined and often upholds dominant relations in society, such as capitalistic, heteronormative values of success and happiness. We show how a shift to understanding resistance, joy, and pleasure in LGBTQ youth's lives promotes a more dynamic and complicated look at how marginalized groups navigate their social worlds and exert power in shaping these worlds. Acknowledging and uplifting LGBTQ youth's resistance and power are necessary in pushing scholarly dialogue and the possible interventions informed by research towards a more fully transformative framework in changing and dismantling oppressive societal structures.     

“Parent Advocacy” as an Ideological Code: LGBTQ Parents Engage with Disability Services

What does the work that LGBTQ parents do to find resources for their disabled children reveal about the social organization of services? This article presents findings from an institutional ethnography study based on interviews with 15 lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) parents and six key community informants in Toronto, Canada. The analysis focused on the work parents did to engage with disability service systems on behalf of their children, and the ways in which families’ social privilege and/or marginalization affected their experiences. Particular attention was paid to the ways in which “parent advocacy” was taken up, responded to, and critiqued in these interviews. “Parent advocacy” was found to operate as what Dorothy Smith has called an “ideological code” (Smith 1999), offloading systemic responsibilities onto parents, shielding inequities, and promoting individualized competition between service users. This study suggests that the systemic organization that makes “parent advocacy” necessary also renders parents’ relative privilege or marginality central to what their children receive.     

Sexual Life of Women with Multiple Sclerosis: A Qualitative Study

Objectives: To define the thoughts, emotions, experiences and perceptions of women with multiple sclerosis (MS) and to determine sexual, physical, and emotional effects of MS on patients. Methods: Twenty-one women were included into this qualitatively designed study. Results: Three baseline themes were defined as “uncertainty” arising from complaints due to numbness in extremities and loss of sense, balance or vision, “alterations in sexual life,” and “inability” as a result of deformities in marital status and gender role. Conclusion: Healthcare providers should evaluate MS patients meticulously as to sexual life and refer such patients to appropriate health centers.     

Needs and Perceptions of LGBTQ Caregivers: The Challenges of Services and Support

Increasing attention has been paid to the lack of services and support afforded older lesbian, gay, bisexual, transgender, and queer (LGBTQ) women in same-sex relationships, including caregivers. This study was designed to investigate the needs and perceptions of LGBTQ women from ages 35 to 91, including informal caregivers and older adults regarding services and support from health care providers. Questionnaires were completed by older LGBTQ women (N = 76), and follow-up interviews were conducted with 25% of caregiver respondents. The majority of subjects indicated a fear of future challenges and discrimination. Four main themes emerged when analyzing the open-ended responses: the need for health care workers who were both supportive and knowledgeable about LGBTQ issues; better and consistent recognition of same-sex partners and their rights to make decisions as primary caregivers; increased sensitivity training regarding the needs of LGBTQ patients and caregivers; and more open and accepting environments where LGBTQ patients and caregivers could feel comfortable discussing issues with the staff.