A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

The co-occurrence of depression and alcohol dependence symptoms in a community sample of lesbians

Numerous studies have found an association between depression and alcohol use disorders in women. Little is known, however, about the relationship between depression and alcohol use among lesbians. We examined the prevalence of depression and alcohol dependence symptoms as well as the co-occurrence of these two health problems in a large community-based sample of women who self-identified as lesbian. Past year alcohol dependence symptoms were significantly associated with both past year and lifetime depression. Lifetime depression was higher among White and Latina lesbians than among African American lesbians. Younger women and those not currently in a committed relationship more commonly reported past year depression. Younger age was the strongest predictor of the co-occurrence of depression and alcohol dependence symptoms.     

Portrayals of the internal God among Ashkenazi Jewish Orthodox lesbians in Israel

Abstract

Most of the existing literature on Ashkenazi Orthodox Jewish lesbians focuses on sociological aspects, mainly the negative attitudes held by religious communities towards their sexual identity and the various problems that arise from these. Less attention has been paid to lesbians’ psychological coping mechanisms with the tensions between their two central identities: the religious and the sexual. Ashkenazi Orthodox lesbians find themselves in a complicated situation where they remain on the margins of both their “natural” communities: the religious one and the homosexual one. As a result, they feel rejected, isolated, and even punished by society. As believers, God is their ultimate refuge. But there are different conceptions of God, ranging from benevolent to persecutory, accepting or highly judgmental and punishing. This variance has not been considered in regard to the dual identity of Ashkenazi Orthodox lesbians. This article focuses on this neglected issue, examining Ashkenazi Orthodox lesbians’ conception of God and its relation to their managing the conflict between their apparently conflicting identities.     

Introduction: Special Issue on Old Lesbians: Exploring Community,Relationships, Friendship,and Well Being

This introduction begins with memories of homophobia the editors experienced to remind the reader of the general climate old lesbians faced in their younger years. Rationale for studying old lesbians and the relevance of the articles contained in this issue are described. Some different ways old lesbians identify that may affect policy decision and research analysis are included. Early significant research on the topic of old lesbians is noted and suggestions for future research studies are recommended.     

The Social Service Needs of Lesbians of Color

The social service needs of lesbians of color are complex because of multiple oppressions. Their needs are ambiguous because the coping abilities of many lesbians of color can mask those needs. This article reports the findings of an exploratory study of social workers' perceptions of the social service needs of lesbians of color. The findings of that study are analyzed from the standpoint of lesbians of color as articulated within their writing. That writing highlights the struggle for personal wholeness, political visibility, and social justice within multiple, often conflicting cultures. The need for sociocultural structural change is emphasized.     

Effective support for lesbians in rural communities: the role of psychotherapy

Most research involving lesbians has been conducted using urban or suburban samples. However, the challenges lesbians face in their rural communities differ from those encountered by lesbians in urban areas. Lesbians in rural areas face potential isolation due to the lack of a visible gay community, an overall lack of services and resources, and an often heightened experience of stigma. Rural areas tend to have a more conservative political climate with an emphasis on fundamentalist religious beliefs. Due to such strong heteronormist pressures, lesbians who decide to come out to their rural communities often face justifiable fears surrounding possible discrimination from employers, religious organizations, schools, and even their friends and family members. Therapists who work with lesbians in rural areas should be prepared to help their clients face and successfully deal with many unique challenges.     

Predictors of Depression Among Lesbian Women

ABSTRACT

There is a paucity of research on depression and lesbian women. This is surprising given that large numbers of women experience depressive episodes and lesbian women in particular face an increased number of stressors related to their sexual orientation. This study explored how social support from family, social support from friends, relationship involvement, and sexual orientation disclosure related to and predicted depression for a sample of lesbian women. Information from 117 questionnaires was compiled from self-identified lesbians recruited through various lesbian-positive groups and snowball sampling. Results indicated significantly lower depression rates for women who were in a relationship and moderate negative correlations between depression and social support from family, social support from friends, and sexual orientation disclosure. Standard multiple regression analysis showed that 38% of the variability in depression scores was predicted by knowing the scores on the four independent variables. These results suggest that each of the independent variables has a significant effect on level of depression for lesbian women in the sample.     

For the White Social Worker Who Wants to Know how to Work with Lesbians of Color

This article challenges white social workers who want to work effectively with lesbians of color to identify the patterns of privilege and to step outside of those patterns. Three layers of competence for patience with lesbians of color are described: awareness, knowledge, and skill. Awareness includes attitudes related to racism, sexism, heterosexism, and homophobia. Knowledge about lesbians of color is developed from their standpoint. Skills include the ability to deal with the multiple issues involved in "coming out," being women of color, being lesbian, experiencing transitional and environmental crises; identifying appropriate resources; and empowering lesbians of color to alleviate oppression.     

The 'Pygmalion Syndrome': The Case of Mizrachi Lesbians in Israel

This article examines the mobilization of a lesbian identity in Israeli society by Mizrachi lesbians as a means to reach individual mobility through establishing social contacts with educated well-off professional Ashkenazi women. Based on interviews with ethnic lesbians living in steady relationships with educated professional women of the dominant group and with some of their partners, this study investigates how Mizrachi lesbians shoulder aside their distinctive features while mobilizing their lesbian identity as a means to establish connections, gain acceptance in the lesbian community, get better jobs, and succeed in schooling. Upon both professional and personal success, Mizrachi lesbians come to terms with their origins, redefine their identity components, and form a distinctive ethnic-lesbian identity to be supported with a strong ideology. While the obliteration of ethnic traits in favor of acceptance in the lesbian community allows mobility on a personal basis, it reinforces the invisibility of ethnic lesbians and reproduces the power relations between dominant and ethnic groups in Israel.     

Issues of Gender in Promoting Tolerance for Homosexuality

Although a recent review suggests that students' attitudes toward homosexuality change as a result of taking a human sexuality course, research in this area has not adequately addressed the issues of gender of target and gender of respondent. Attitude measures rarely distinguish between lesbians and gay men; respondents are expected to hold more negative attitudes toward homosexuals of their own sex; and women are expected to be more readily influenced in some situations. This study shows that women and men did not differ significantly in their attitudes toward lesbians and gay men, but attitudes toward lesbians were more easily changed than attitudes toward gay men regardless of the gender of the respondent.     

Lesbians Grieving the Death of a Partner: Recommendations for Practice

ABSTRACT

Spousal loss is a common event that has been associated with risk of depression, anxiety, and loneliness. Practitioners working with lesbians need comprehensive clinical guidelines that integrate research about lesbian partner loss with contemporary views of grief and bereavement. Using this literature, we make recommendations for clinical practice that address the possible contributions of several factors—social support, emotional closeness, relationship satisfaction, disclosure or non-disclosure of sexual identity and the relationship, faith and/or spirituality, and meaning-making—to the grieving process and positive psychological adjustment of lesbians grieving the death of a partner.     

Attitudes Toward Gay Men and Lesbians and Their Relationship with Gender Role Beliefs in a Sample of Chilean University Students

ABSTRACT. This paper analyzes the relation between gender role beliefs and prejudice toward gay men and lesbians in Chile. Participants were Chilean university students (N = 283). Results indicate that men are more prejudiced than women and religious people are more prejudiced than non-religious people. On the other hand, gender role beliefs mediate sex differences in prejudice. The participants' more traditional gender role beliefs hold more negative attitudes toward gay men and lesbians. Men are more prejudiced than women, particularly in their attitudes toward gay men. In addition, sex differences in attitudes toward lesbians and gay men are mediated by gender role beliefs.     

Attitudes Toward Lesbians and Gays Among American and Dutch Adolescents

Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the United States. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context dependent but also that certain beliefs are salient to attitudes across national contexts.     

Commitment in same-sex love relationships

This study sought to desribe and compare commitment structures among lesbian and gay male living-together relationships, and to develop an instrument which would measure different dimensions of commitment among gay dyads without some heterosexual biases inherent in traditional measures of interpersonal commitment. Questionnaire data collected from 32 lesbians and 50 gay males who had lived together for at least six months were factor analyzed, yielding three factors: (1) intradyadic commitment, (2) extradyadic commitment, and (3) commitment-as-trust. On all three of these indices the lesbians scored somewhat higher than did the gay males, but in fact there were surprisingly few significant differences between the gay men and the lesbians. Suggestions in the data that lesbians report somewhat less social supports and are more concerned with couple boundary maintenance, whereas gay males report somewhat more jealousy and dependency, are discussed in terms of their implications for such relationships.     

Neutralizing the political threat of the marginal woman: Lesbians’ beliefs about bisexual women

One might expect lesbian and bisexual women to form a strong alliance because of their common marginalization in a heterosexist and sexist society. But previous research has shown that tension exists between lesbian and bisexual women and that some segments of the lesbian community consider bisexuality a threat to lesbian politics. In this article I report data on beliefs about bisexual women gathered from 346 self‐identified lesbians via self‐administered questionnaires and discuss the relationship between lesbian and bisexual women as a special case of intergroup relations. Most lesbian respondents believed that bisexual identity is more likely than lesbian identity to be a phase or a way of denying one's true sexuality and that bisexual women are less personally and politically loyal and more willing and able to pass as heterosexual than are lesbians. Lesbians’ beliefs about bisexual women were uncorrelated with demographics, but lesbians who reported having some heterosexual feelings were less inclined to hold derogatory beliefs about bisexual women than were lesbians whose feelings were exclusively homosexual. On the basis of intergroup relations theory, I argue that lesbian‐bisexual relations are in the “amicable consensus” stage of political development (Jackman & Senter, 1983) and that lesbians’ attitudes are likely to change as the nascent bisexual political movement grows in strength. Methodological issues pertaining to the measurement of lesbians’ attitudes toward sexuality, including the reactivity of these attitudes to various measurement strategies, are discussed.     

The politics of "disregarding": addressing Zainichi issues within the lesbian community in Japan

This article discusses the difference in positionality between Japanese lesbians and Zainichi (literally, "resident in Japan") Korean lesbians. The author first presents a narrative written by a Zainichi Korean lesbian, in which she expresses her anger toward Japanese lesbians. Setting her narrative as a starting point, the author retraces the controversial incident that occurred during the second Asian Lesbian Network (ALN) conference that was held in Japan in 1992. Through a re-reading of a series of narratives with regard to the second conference, the author demonstrates how the unequal power relations between Japanese lesbians and Zainichi Korean lesbians operate in what she calls the politics of "disregarding," where Zainichi Korean lesbians are continuously omitted from the consciousness of Japanese lesbians. doi:10.1300/ J155v10n03_05.     

COLLEGE STUDENTS' ATTITUDES TOWARD GAYS AND LESBIANS

A variety of pedagogical techniques have shown promising results in promoting acceptance and affirmation of gays and lesbians among students in social work, allied health, and education professions. In this article we examine whether 211 students enrolled in a human sexuality course in a southeastern university changed their attitudes toward gays and lesbians and identify differences in attitudes by demographic groups. At pretest the sample scored moderately negative on the Index of Attitudes Toward Homosexuality. Scores were significantly lower at posttest. Males scored significantly higher than females at pretest, but their scores changed more at posttest. Human sexuality courses that incorporate an exposure component are one way social work educators can change negative attitudes toward gays and lesbians.     

Lesbians’ Negative Affect Toward Sexual Minority People with Stereotypical Masculine and Feminine Characteristics

Abstract

We investigated lesbians’ negative affect toward gay and lesbian scenarios with feminine/negative characteristics. Seventy-one Italian lesbians responded to self-report questionnaires. Analyses tested that feminine gay man scenario (GF) would elicit negative affect more than the other three scenarios (feminine/masculine lesbian woman and masculine gay man) and that participants’ internalized sexual stigma would be a moderator of the relation between their self-perceived femininity and negative affect. When lesbians reported low self-perceived femininity, stigma levels did not affect the evaluation of the GF. Instead, when self-perceived femininity were higher, lesbians with high stigma reported more negative emotions than lesbians with low stigma.     

Invisibility,Illegibility, and Stigma: The Citizenship Experiences of Divorced Gays and Lesbians

The campaign for marriage equality emphasized that without access to legal marriage, gays and lesbians were relegated to “second-class citizenship.” Following the U.S. Supreme Court’s decision in Obergefell v. Hodges (2015), gays and lesbians find that marrying can lead to greater acceptance and support from family, friends, and colleagues, suggesting that marriage helps gays and lesbians achieve citizenship, defined in terms of belonging and inclusion. However, it remains unclear whether such acceptance and support then disappears or diminishes after divorce. In this article, the informal social consequences associated with same-sex divorce were explored by drawing on in-depth interviews with a small convenience sample of recently divorced gays and lesbians. Results indicate that same-sex divorce is largely invisible, which leads divorced gays and lesbians to worry that their life circumstances will make them illegible to others. In turn, some also withdraw from social interaction, and others report experiencing stigma.     

Sexual Harassment of Lesbians in the Workplace

Abstract

This article explores the literature addressing sexual harassment of lesbians and discusses the ways in which one form of prejudice, that against lesbians, contributes to this problem. The first section of the article discusses the lesbian experience of violence, harassment, and discrimination. In exploring the above experiences of lesbians it becomes apparent that lesbians are the victims of a specific form of prejudice–homophobia. Homophobia impacts lesbians in two ways: (1) in the form of negative attitudes and denigrating or destructive acts; and (2) by means of actual discrimination, whether overt or subtle. Unlike sexism and racism, homophobia has had little public discussion, and the article concludes with a discussion of the impact of homophobia on lesbians in the workplace.