Counseling Competencies for Sexual Minority Clients

Abstract

Being able to work effectively with clients from diverse backrounds has become a necessity in good counseling practice. Professional associations have acknowledged this in recent years by identifying and articulating multicultural competencies that inform both the practice of counseling, but also the training of counselors. Specific attention to competencies in working with LGBT clients has been identified as a sub-set of these overall cultural competencies. In this paper, leaders within the Association for Gay, Lesbian, and Bisexual Issues in Counseling present specific ways in which counselors can provide culturally sensitive counseling to sexual minority clients and their families that are in line with the counselor training guidelines established by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).     

Types of LGBT Microaggressions in Counselor Education Programs

Although previous research has identified common types of lesbian, gay, bisexual, transgender (LGBT) microaggressions, there is a lack of research that describes the specific experiences of LGBT students in counselor education programs. This study examined the microaggression experiences of 12 LGBT students in such programs. Data analysis revealed several thematic microaggression types. Implications for counselor educators are discussed.     

The Queer(y)ing of Australian Public Culture Discourse: Activism, Rights Discourse, and Survival Strategies

This essay examines the contemporary context of lesbian, gay, bisexual, and transgender (LGBT) activism in Australia situating the theoretical and practical concerns in the ambit of survival strategies and rights discourse. Drawing on media, interviews, and a specific piece of proposed legislation, the essay surveys and analyses the effects of LGBT strategies of survival that are demonstrated in public culture discourse. The socio-cultural and political terrain of late twentieth and early twenty-first century Australia bears witness to a public culture discourse that is deeply ambivalent about its LGBT dimensions.     

Denied Citizens of Turkey: Experiences of Discrimination Among LGBT Individuals in Employment,Housing and Health Care

The purpose of this article is to explore experiences of discrimination against lesbian, gay, bisexual and trans (LGBT) individuals in three domains of social policies: employment, housing and health care — domains in which LGBT individuals are not openly recognized as equal citizens and anti‐discrimination legislation is absent in Turkey. Drawing on qualitative content analysis of the data collected from 14 focus group interviews with 139 LGBT individuals conducted in ten provinces of Turkey in the first half of 2014, this article sheds light on diverse forms of discrimination facing LGBT individuals in employment, housing and health care in a largely under‐researched country. The article concludes that the contemporary understanding of Turkish citizenship and its practice are rooted in heterosexist universalism that does not recognize LGBTs as equal citizens, which, in turn, leads to systematic breaches of LGBTs' social rights in employment, housing and health care. The article shows that even strong and universalistic social policies fail to serve LGBTs on an equal footing with other citizens unless equal citizenship rights of LGBTs and anti‐discrimination principles are recognized and realized.     

The Cat and the Cloud: ACT for LGBT Locus of Control,Responsibility, and Acceptance

Advocating acceptance, committed action, and value-guided behavior over experiential avoidance, Acceptance and Commitment Therapy (ACT) may aid lesbian, gay, bisexual and transgender (LGBT) clients affected by hetero/homonormative social pressure. By conceptualizing LGBT paradigms of internal/external control/responsibility (IC-IR; EC-IR; IC-ER; EC-IR), ACT may be adapted to a myriad of multicultural worldviews. This article presents locus of acceptance as the attributed worth of internal/external cues perceived necessary by the client to achieve self-acceptance. Recognizing visibility and isolation as recurrent LGBT issues, locus of acceptances balances identity as individual (internal acceptance) with identity as community (external acceptance).     

Intersections of Identities

ABSTRACT

This paper addresses several key issues related to counseling lesbian, gay, bisexual, and transgender (LGBT) Asian-Americans. An understanding of the intersections of these identities is important, yet can be complex because of the diversity within Asian-American cultural groups (i.e., ethnicity, generation, skin color, religion, levels of minority stress, and acculturation) and within LGBT communities. These factors may influence counselors' selection of developmentally appropriate and culturally sensitive counseling approaches for LGBT Asian-American clients. We propose a framework for understanding the intersection of racial/ethnic and sexual identity development, the Racial Ethnic and Sexual Orientation Identification Chart (RSIC), which is designed to assist therapists in determining relevant counseling issues and strategies. A case study is included along with a discussion of multidimensional assessment and clinical implications.     

‘Hidden identities’: perceptions of sexual identity in Beijing

This article draws upon responses given by volunteers who work in the Beijing LGBT Centre regarding perceptions of sexual identity, and how Chinese culture affects hidden or open sexual identities of Chinese lesbian and gay people in this region. The insights gained from those working carefully to create social change offers an important and original contribution to the field of gay and lesbian studies in China. The findings indicate the volunteers at the Beijing LGBT Centre are frustrated by the lack of acceptance of non‐heterosexual relationships among Chinese culture and society, and by the disregard of lesbian gay and bisexual (LGB) people by the Chinese government. The findings also illustrate stigmatization of homosexuality in China is enacted in structural terms (such as in the lack of policy, legislation and positive endorsement by governmental and socio‐political organizations), public expression (such as negative attitudes, beliefs or reactions towards LGB people) and internalized repression (through fear of stigmatization, and subsequent abuse due to negative societal attitudes and discrimination). Influenced by the Chinese tradition of conforming to group values, the findings from this study show that volunteers at the Beijing LGBT Centre believe LGB people in China are generally hesitant to disclose their sexual identities, and reject the idea that there had been a collective shift in Chinese culture regarding increased acceptance of LGB people. It also finds volunteers at the LGBT Centre in Beijing blame Chinese culture for its lack of acceptance of non‐heterosexual relationships, and state stigmatization of homosexuality in China is due to deep‐rooted cultural homophobia.     

Yet another minority issue or good news for all? Approaching LGBT issues in European social work education

ABSTRACT

This article addresses the questions of why to include and how to approach LGBT issues in the context of European social work education. Referring to social work’s commitment to LGBT people, the article points out its ongoing relevance as questions of marginalisation and discrimination point far beyond formal equality in legislation and normalisation of homosexuality within existing societal institutions. Furthermore, new questions and dynamics in rapidly changing and highly diverse societal contexts bring about new challenges in addressing LGBT issues. Against this background, the article discusses problems of representation and knowledge and underlines the potential of a queer approach. A queer perspective questions taken-for-granted assumptions about sexual orientation, gender identity and intimate relationships. It challenges normalising categories of sex, gender and desire and brings out possibilities existing beyond the heteronormative order. This way, it offers social work education a powerful theoretical lens to address issues on sexual orientation and gender identity not only as yet another minority issue, but as transversal matter and as good news for all. In this article, we use the acronym LGBT to refer to lesbian, gay, bisexual and trans people. LGBT is meant to include and at the same time emphasise the differences between people who do not (exclusively) define themselves as heterosexual and who cannot or do not want to match or identify with binarities of sex, gender and desire. We do not use the acronym LGBTI because we find it problematic to include intersex people without taking explicitly into account their specific situations and needs. Making a plea for a queer approach, we share – of course – a critical view on categorisations and identity labels.     

Preparing social workers for practice with LGBT populations affected by substance use: perceptions from students,alumni, and service providers

Trends in the field of service among those with alcohol and other drug addictions highlight the urgent need for schools of social work to effectively train students to serve clients with substance use disorders, and have cultural humility to effectively serve disproportionately affected LGBT consumers. Online surveys and interviews examined perceptions of graduate social work students and alumni in a certified alcohol and drug counselor program, along with several service providers within an urban setting in the US. Results indicated that students and alumni did not feel adequately prepared through coursework to practice with LGBT populations affected by substance use, while feeling more clinically competent to practice with LGB individuals, than with transgender consumers. Similar findings related to unique differences associated with perceptions of faculty support, along with field preparedness to practice with LGB individuals when compared to transgender individuals. Service providers noted an overall commitment and to serve LGBT consumers as well as positive perceptions of students and alumni to do the same. Implications examine the role of faculty in addressing challenges related to preparation of social work students to practice with LGBT consumers affected by substance use disorders, along with suggestions for curricular changes, and ongoing field trainings.     

LGBT Ally Training and Counselor Competency: A Mixed-Methods Study

This mixed-methods study was designed to explore the effectiveness of a university-sponsored lesbian, gay, bisexual, and transgender (LGBT) ally training on the LGBT competency of counselors-in-training. Thirty-seven students completed training and pre/posttest assessments to measure LGB competency. The authors found a statistically significant difference in pre/post test scores in Knowledge, Skills, and total scores. Ten students participated in interviews, five themes were identified (self-awareness, professional development, ally development, intersectionality of identities, and transgender clients). Limitations include small sample and lack of a control group. The implications focus on using university and community partnerships to foster competency. Limitations include small sample size, lack of measure to address transgender competency, and absence of control group.     

Queer Domicide

ABSTRACT

This article examines lesbian, gay, bisexual, and trans (LGBT) experiences of displacement, home loss, and rebuilding in the face of natural disasters. LGBT vulnerability and resilience are little studied in disaster research; this article begins to fill this gap, focusing on LGBT domicide—how LGBT homes are “unmade” in disasters. To do this, we critically read a range of non-government, scholarly, and media commentaries on LGBT experiences of natural disasters in various settings over 2004–12, including South Asia, the USA, Haiti, and Japan. Additionally, we utilize preliminary data from pilot work on LGBT experiences of 2011 disasters in Brisbane, Australia, and Christchurch, New Zealand. we find that disaster impacts are the first stage of ongoing problems for sexual and gender minorities. Disaster impacts destroy LGBT residences and neighborhoods, but response and recovery strategies favor assistance for heterosexual nuclear families and elide the concerns and needs of LGBT survivors. Disaster impact, response, and recovery “unmakes” LGBT home and belonging, or inhibits homemaking, at multiple scales, from the residence to the neighborhood. we focus on three scales or sites: first, destruction of individual residences, and problems with displacement and rebuilding; second, concerns about privacy and discrimination for individuals and families in temporary shelters; and third, loss and rebuilding of LGBT neighborhoods and community infrastructure (e.g. leisure venues and organizational facilities).     

“What About the Rest of Us?” An Overview of LGBT Poverty Issues and a Call to Action

In this article, I argue that, despite the myth of gay affluence, existing research is conclusive enough to claim that lesbian, gay, bisexual, and transgender (LGBT) adults are overall less financially secure than their heterosexual, cisgendered counterparts. I demonstrate that LGBT poverty is a broad social issue that can no longer be viewed as affecting only specific subpopulations of LGBT communities. I argue that the social work profession and the LGBT movement need to recognize LGBT poverty as a social issue. I then present a call to action for social work practitioners, researchers and LGBT organizations.     

Endorsement for Civil Rights for Lesbian,Gay, Bisexual,and Transgender People Among Heterosexual College Students: Informing Socially Just Policy Advocacy

In the past decade, advocacy efforts to establish social policies that legally recognize same-sex relationships and protect lesbian, gay, bisexual, and transgender (LGBT) people from employment discrimination have increased considerably throughout the country. To inform these advocacy campaigns, we investigate endorsement for LGBT civil rights among heterosexual college students (n = 1,714). Students, overall, were moderately supportive of LGBT rights. Twenty-one variables were found to be significant in the initial analyses; however, only seven retained significance in the final analysis which controlled for all variables. Results suggest that political ideology and specific LGBT attitudes are most influential. Religiosity and having LGBT extended family members are also important. Implications for LGBT advocacy efforts are discussed.     

Examining Cohort Differences and Resilience among the Aging LGBT Community: Implications for Education and Practice among an Expansively Diverse Population

The aging lesbian, gay, bisexual, and transgender (LGBT) community continues to grow considerably while often being faced with unique and unmet needs separate from younger LGBT cohorts or their non-LGBT counterparts. This article explores some of the differences in attitudes among generational cohort groups regarding coming out decisions; sexual risk and safety; the impact of evolving policies within systems and society; as well as the demonstrated strengths and resiliencies of the aging LGBT community. Implications and suggestions for education, training, and best practices among this expansive and diverse population are considered as well as continued research in the field of LGBT aging.     

A Person‐Centered Perspective to Welfare‐to‐Work Services: In Pursuit of the Elusive and the Unattainable

Because of changes in legislation regarding the U.S. welfare system, there is an urgency now that has never before existed, except perhaps during the Great Depression, for career counselors to advocate for those of their clients who are on welfare and for their minor dependents. E. B. Lent (2001) has revitalized the debate over the role Rogers's person‐centered perspective should play in career development with welfare‐to‐work (WTW) clients. The usefulness of such an approach with today's clients was explored within the context of inherent limitations of Rogers's person‐centered perspective. Potential ethical conflicts for career counselors working with WTW clients were identified.     

Abuse and older lesbian,gay bisexual,and trans (LGBT) people: a commentary and research agenda

With increasing visibility of older lesbian, gay, bisexual and trans (LGBT) people, there is an urgent need to understand abuse in their lives. This is an under-researched area, which this scoping study (based on a literature review and a small subset of data taken from a larger project) serves to demonstrate. The content of this article formed the basis of a paper presented at a workshop on ‘LGBT Elder Abuse’ held at Keele University(UK) in 2017, convened and chaired by the author. It considers LGBT elder abuse in terms of polyvictimisation, intersectionality and the abuse of power. The identifies knowledge gaps, proposes a research agenda, and explains why such an agenda matters. In particular, the need for researchers of elder abuse, LGBT domestic abuse and organisational abuse to cut across their traditional boundaries of inquiry in order to address how the abuse of older LGBT people intersects with each domain     

Lesbian Parent Activism and Meaning-Making in the Current Political Environment

This article discusses the impact of lesbian mothers' activism on legislation and personal well-being. Using a meaning reconstruction framework, the activism of lesbian parents is evaluated as a source of resilience and strength in the current political climate. A case history of one community where lesbian mothers formed a local coalition in response to a statewide proposition to ban same-sex marriage in Texas is described. This community example shows how the activism of lesbian parents can transform both community and activists. Implications for community organizers, therapists and LGBT parents/allies are discussed.     

Virginity Definitions and Meaning Among the LGBT Community

The literature on lesbian, gay, bisexual, and transgender (LGBT) virginity is almost nonexistent. Thus this exploratory study was completed to understand virginity in the LGBT community. The research questions asked members of two LGBT student groups to define virginity, discuss its meaning, and share experiences. Data were collected from two focus groups and six individual follow-up interviews and were analyzed. Results indicate that there is a range of virginity definitions, there is little discussion of the topic, and that “coming out” is a more important rite of passage than virginity among these LGBT community members. Future research needs are discussed.     

“Family” Support for Family Violence: Exploring Community Support Systems for Lesbian and Bisexual Women Who Have Experienced Abuse

ABSTRACT

“Family” is a euphemistic term that lesbian, gay, bisexual, and transgender (LGBT) people use among ourselves to designate membership in lesbian, gay, bisexual, and transgender communities. Ironically, this “family” may be the most sought, yet least successful, support for dealing with the intimate partner violence that occurs within LGBT families. This study of 11 lesbian and bisexual women's experiences seeking support revealed several tiers of unmet needs within the LGBT community. They rarely used services in the general community, although these services are often the focus of both criticism and efforts to build support systems for LGBT victim/survivors. A model presents the different stages and potential sources of support.