The Influence of Family Environment Factors on Self-Acceptance and Emotional Adjustment Among Gay,Lesbian, and Bisexual Adolescents

Abstract

The quality of an adolescent's family environment has been shown to contribute to their self-acceptance and emotional adjustment. Studies suggest that sexual minority adolescents face unique challenges while negotiating family relationships but few studies have specifically examined the relationships between these family environments and the adolescent's psychological adjustment. This study examined general aspects of family functioning (family cohesion, family expressiveness, family conflict, parental support) and parental attitudes toward homosexuality as predictors of self-acceptance of sexual orientation identity and emotional adjustment among 102 gay, lesbian, and bisexual adolescents ages 15 to 19 years. Family variables did not predict a significant amount of variance in self-acceptance of sexual orientation identity. However, measures of general family functioning and parental attitudes toward homosexuality accounted for significant amounts of variance in emotional adjustment.     

Sexual Orientation Victimization and Posttraumatic Stress Symptoms Among Lesbian,Gay, and Bisexual Youth

This cross-sectional study utilized data gathered from 350 lesbian, gay, and bisexual (LGB) youth, and examined the relationship between significant life experiences and posttraumatic stress symptoms (PSS), with an ultimate goal of analyzing contribution of sexual orientation victimization (SOV) to PSS among LGB youth. Results of bivariate analyses indicate that verbal and physical sexual orientation victimization, childhood gender atypicality, internalized homophobia, and stressful life events unrelated to sexual orientation were all individually related to PSS. Multivariate analysis showed that verbal and physical sexual orientation victimization explained a significant portion of variance, over and above the study's other variables. Internalized homophobia, stressful life events, and verbal sexual orientation victimization were found to be the most significant predictors of PSS among LGB youth.     

Lesbian,Gay, Bisexual,Sexual-Orientation Questioning Adolescents Seeking Mental Health Services

Summary

Lesbian, gay, bisexual, and sexual-orientation questioning (LGBQ) adolescents have many of the same health needs as straight adolescents. In addition, they must learn to manage a stigmatized identity that may create confusion, anxiety, and emotional turbulence for them. Beyond stigma, LGBQ youth are often found to be at higher risk for substance abuse, violence, depression, suicide, and sexual health problems. Based on responses given by urban adolescents seeking mental health services to a clinical self-assessment questionnaire (Adquest), this article examines the relationship between sexual identity and risk factors related to safety, health, sex, substance use, family and friends, worries, and their desire to talk about these in counseling. Findings indicate that LGBQ youth are at higher risk than straights, and express greater desire to talk about substance use, health, their personal lives, and their friends. Mental health practitioners working with these young persons must properly assess and address their risks by creating a sense of community and safe environment for open discussion.     

Empowering Lesbian,Gay, Bisexual,and Transgender Youth: Lessons Learned From a Safe Schools Summit

ABSTRACT

The bullying of lesbian, gay, bisexual, and transgender (LGBT) youth in schools is a significant problem in the United States. This study examined responses of youth participants at a statewide Safe Schools Summit to a survey of their experiences with school-based violence, harassment, and discrimination, and of the effects of their attendance at the Summit. Quantitative analyses found that 92% of respondents felt “more empowered” following participation in the Summit. Qualitative analyses found several emerging themes related to respondents' experiences with victimization (leading to a sense of powerlessness and attempts at self-protection) and to their experiences at the Summit itself (leading to catharsis, strengthened skills, and a commitment to confront bullies and to make schools safer). A conceptual model of the interaction of these factors is presented and implications for further research and practice are discussed.     

Patching Holes and Integrating Community: A Strengths-Based Continuum of Care for Lesbian,Gay, Bisexual,Transgender and Questioning Youth

This article describes an integrated model of service provision called a continuum of care (CoC), and illustrates the application of this approach to working with lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth through a case example. The CoC described in this article includes provision of individual and group counseling, case management, housing/family supports, socialization events, and prevention workshops, along with relevant outcomes. The relevance of a CoC model for LGBTQ youth due to the inclusion of community context and potential to empower service users is explored. Key recommendations for CoC models with LGBTQ youth include a focus on collaboration, provider education, and affirmative practice, and incorporating service user feedback.     

Lesbian,Gay, Bisexual,and Transgender Families

This article reviews new scholarship on lesbian, gay, bisexual, and transgender families. The past decade witnessed rapid expansion of data and strong research designs. The most notable advance was in studies on variation among mostly planned lesbian comother families. Cumulative evidence suggests that although many of these families have comparatively high levels of shared labor and parental investment, they may not be as “genderless” as previously depicted. Gay men's diverse paths to family formation and planned parenthood have also been explored, but almost no research studies their children's experiences. Conceptualizations of sexual orientation expanded to include bisexuals and others, and some understanding of the experiences of transgender people has begun to emerge. Future work should explore relationships among members of the families they create.     

Exploring the Experiences of Lesbian,Gay, Bisexual,and Questioning Adolescents in Foster Care

This article is based on the findings from a subset of gender identity and sexual orientation questions from The Casey Field Office Mental Health Study (CFOMH). It aims to contribute the experiences of youth in the care of Casey Family Programs to the increasing body of research on lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth in foster care, as well as inform future studies in this area. The CFOMH study interviewed 188 adolescents ages 14 to 17 who were receiving foster care services from Casey Family Programs in 2006. The experiences in care of youth who identified as LGBQ (n = 10) are presented in narrative form, along with data from all youth in care (N = 188) regarding their perceptions of the foster care environment for LGBTQ youth. These findings are intended to underscore the need to conduct a larger, more in-depth study of the experiences of LGBTQ youth in foster care and the environment that foster care provides for them.     

Psychotherapy with Lesbian,Gay, Bisexual,and Transgender Older Adults

A small literature has addressed psychotherapy with lesbian, gay, bisexual, and transgender (LGBT) samples over the past two decades. Older adults have also been investigated in a growing number of psychotherapy research studies. However, psychotherapy specifically with LGBT older adults has not received adequate investigation. This review relies on converging lines of research to provide an integrated discussion of evidence-based psychological treatments (EBTs) with current research and clinical observations in the field of gerontology and suggests ways in which these topics can inform psychotherapy practice with LGBT older adults. We summarize current research on aging in several areas of practical interest to psychotherapists seeking to apply EBTs in their work with LGBT older adults. These areas include: adult development, coping, stigmatization, social context, and the effects of cohort membership. The results of these studies belie stereotypes regarding both the aging process, in general, and more specifically LGBT older adulthood, with significant implications for the practice of psychotherapy. EBTs are adaptable to a variety of issues encountered in later life by LGBT older adults, and these modifications to therapeutic technique are addressed throughout.     

Lesbian,Gay, and Bisexual Speaker Panels Lead to Attitude Change Among Heterosexual College Students

The contact hypothesis (Allport, 1954 Allport, G. W. 1954. The nature of prejudice, Cambridge, MA: Addison-Wesley.  [Google Scholar]) suggests that a speaker panel intervention may be effective in reducing prejudice toward sexual minorities among heterosexual individuals. Addressing methodological limitations of prior studies, the present study compared the effects of a speaker panel presentation versus a control condition in altering attitudes among 186 heterosexual university students. After controlling for context effects by collecting attitude measures presumably as part of a separate study, we found that students who received the speaker panel intervention generally demonstrated more positive attitudes afterward.     

Conducting Research Among Older Lesbian,Gay, and Bisexual Adults

Gerontologists and developmental researchers have neglected the study of sexual orientation among older adults. The apparent assumptions are either that it does not exist or that it is not necessary to know; consequently, older lesbian, gay, and bisexual (LGB) adults remain invisible groups with the exception of a relatively small number of studies using convenience samples. This article examines some conceptual, practical and ethical challenges involved in designing and conducting research among older LGB adults. The limitations and emphases of extant research and the challenges in conducting such research are examined. The design of two studies that focused on mental and physical health and on care-giving among older LGB adults are discussed to suggest ways of meeting the challenges.     

Gay,Lesbian, Bisexual,and Transgendered People and Chemical Dependency: Exploring Successful Treatment

This exploratory and quantitative study presents a model of treatment success of the nation's oldest and largest chemical dependency treatment provider for the gay, lesbian, bisexual, and transgender (GLBT) population. The main purpose is to examine the potential ability of the predictor variables’ degree of affiliation with Alcoholics Anonymous (AA), the severity of chemical use, the strength of a higher power relationship, attitudes about sexual orientation, and length of time in treatment to predict length of time clean and sober.

The proposed model demonstrated the ability to explain 29% of the variance in time clean and sober. Results lend tentative support for culturally competent treatment and include specific intervention recommendations for professionals, including social workers, chemical dependency counselors, and therapists.     

Older Gay,Lesbian, and Bisexual Adults: Tools for Age-Competent and Gay Affirmative Practice

This article presents a demographic snapshot of older GLB adults, discusses the barriers to service provision, and melds aging competencies with that of affirmative practice with GLB individuals. Its goals are to delineate the specific knowledge, attitudes, and skills recommended for age-competent and gay affirmative practice with an aging GLB population.     

Moral Identity in Friendships between Gay,Lesbian, and Bisexual Students and Straight Students in College

People construct moral identities for being a supportive affiliate of stigmatized groups. To extend past research that focused on such identities within formal organizations, this study seeks to identify the process of moral identity construction in a personal setting—friendships between gay, lesbian, and bisexual (GLB) people and straight people. Analyzing data from in‐depth interviews with college students, we show that straight students claim moral worth by emphasizing their deliberate decisions to develop and sustain friendships with GLB people and by highlighting how the friendships led them to personal enlightenment and political engagement. GLB students, as a stigmatized group, also claim moral worth by emphasizing their ability to transcend the community boundary and to be accepted in the larger society. Students make such claims as they strategically link these aspects of cross‐orientation friendships to existing moral discourses in the larger society and draw on resources available in the organizational and life course contexts.     

Marriage (In)equality: The Perspectives of Adolescents and Emerging Adults With Lesbian,Gay, and Bisexual Parents

The debate over whether same‐sex couples should be allowed to enter into civil marriages continues in the United States. Forty‐nine adolescents and emerging adults (ages 14–29) with lesbian, gay, and bisexual parents were interviewed for the current exploratory study, which examined how individuals perceived themselves and their families as being affected by marriage (in)equality, as well as the factors that shaped their perspectives. More than two thirds of participants voiced unequivocal support for marriage equality, citing numerous legal and symbolic benefits that their families were denied. One quarter of participants articulated critical perspectives of marriage or the fight for marriage equality, while also acknowledging the benefits associated with marriage. As the first study to examine the perspectives of individuals with lesbian, gay, and bisexual parents with regard to marriage (in)equality, this research has important implications for the marriage equality debate and provides a springboard for future studies on this topic.     

Gay, Lesbian, and Bisexual Aging into the Twenty-First Century: An Overview and Introduction

This paper provides an introduction and overview for the papers in the special issue of this Journal devoted to the latter half of life among gay men, lesbians, and bisexuals. Key issues are highlighted in terms of their impact on gay, lesbian, and bisexual cultural communities: the impact of the large aging population of baby boomers; the significance of age as a social organizer; and the areas of research included in this special issue (intimacy and relationships, HIV and AIDS among elders, and the identities and needs of those growing into middle and later life).     

Gay Youth

Abstract

In recent years there has been a growing awareness among parents and social service professionals of the complex sexual identity development of adolescents. Despite this, adolescents continue to struggle to define their sexual identity. Gay and lesbian adolescents in particular are at risk for a host of problems, including substance abuse and suicide. In this context it is important for social service researchers to study adolescent sexual identity and to report their findings in such a way as to be accessible to professionals and to the public.     

Building Community for Toronto's Lesbian,Gay, Bisexual,Transsexual and Transgender Youth

SUMMARY

This paper describes the development of Supporting Our Youth, an innovative grassroots program that builds community for lesbian, gay, bisexual, transsexual and transgender youth in Toronto. Hundreds of adults and youth have worked together to develop a broad range of arts, cultural, recreational, and employment training activities, as well as a very popular mentoring and housing program. Initiated in 1997, Supporting Our Youth has been developed according to underlying principles of community development and community building which value broad participation, diverse skills, partnerships, coalition building, and grassroots ownership and direction. As a model, it is transferable to other queer and trans communities, as well as to other marginalized populations.     

A Qualitative Analysis of Cultural and Social Vulnerabilities to HIV Infection Among Gay,Lesbian, and Bisexual Asian Youth

Abstract

The study reported here was undertaken to investigate cultural and social barriers that may increase HIV risk among gay, lesbian, and bisexual Asian youth. Interviews and focus groups were used to collect the data because they are well suited for this type of exploratory research. A total of 15 gay, lesbian, and bisexual Asian youth (7 females and 8 males) were recruited. Most of the participants (n = 11) self-identified as lesbian or gay. The mean age was 20.7, ranging from 17 to 24. Twelve participated in one of three focus groups while the remaining three were interviewed. Categories and themes identified include: (1) the lack of sex education at home, (2) homophobia in Asian families, (3) unresponsive health and social service providers, (4) lack of social support, (5) negative stereotypes, (6) ideal standards of beauty, and (7) negative perceptions of safer sex practices among Asian lesbian and bisexual women. HIV prevention strategies are suggested based on the recommendations and needs of our participants.     

Traversing the Margins: Intersectionalities in the Bullying of Lesbian,Gay, Bisexual and Transgender Youth

SUMMARY

This study explores the perspectives of service providers and youth advocates on bullying of lesbian, gay, bisexual and transgender (LGBT) youth and intersectionalities in LGBT peer victimization. In depth, semi-structured interviews were conducted with nine key informants (4 male, 4 female, 1 transgender male; 4 gay, 3 lesbian, 2 non-identified; 6 white, 1 South Asian, 2 Middle Eastern) recruited using purposive sampling from diverse education and social service settings. Narrative thematic analysis and a constant comparative method were used to identify themes. Five themes emerged from the data: (1) “transgressing gender norm boundaries”; (2) homophobic sexism vs. sexist homophobia; (3) “you choose sexuality or you choose race”; (4) newcomer youth and citizenship; and (5) “multiple wires together … create the cage.” Findings suggest the importance of an intersectional approach to conceptualizing and addressing LGBT bullying and to uncovering the differential experiences of bullying among LGBT youth. Bullying related to sexual orientation should not be assumed to be the only or primary form of violence shaping the lives of LGBT youth.