Identity Development and Exploration Among Sexual Minority Adolescents: Examination of a Multidimensional Model

Based on a multidimensional model of sexual identity development, the current study examined self-labeling, romantic, and sexual experiences among middle and late adolescent sexual minorities. Eighty-two youths between the ages of 14 and 21 were recruited from gay, lesbian, bisexual, and transgender (GLBT) community centers and associated Internet groups. Differences between males and females and between middle and late adolescents were first examined. Males reported markedly different patterns of self-labeling and romantic experiences, relative to females, but few age differences emerged. Additionally, patterns of association between self-labeling and sexual or romantic experiences provided support for the multidimensional model of identity development and exploration. Finally, significant associations emerged between relationship experiences and relational competency, such that adolescents who described themselves as isolated from intimate interpersonal relationships reported less relational esteem and more relational depression than those who reported predominantly engaging in same-sex romantic relationships. In addition, alternative styles of engaging in interpersonal relationships (e.g., same-sex intimate friendships, heterosexual dating) also were also associated with increased relational competency.     

Complicating the Coming Out Narrative: Becoming Oneself in a Heterosexist and Cissexist World

Traditional stage models of LGBTQ identity development have conceptualized coming out as a linear process from “closeted” to “out” that all queer/trans individuals must follow if they are to be considered healthy and well adjusted. These stage models have been critiqued for their rigidity and absence of a dynamic understanding of the coming out process. In this article we explore the findings from a qualitative photovoice study with 15 LGBTQ youths in a small urban center in Ontario that supports these critiques. We explore the efficacy of the photovoice technique in investigating questions of sexual and gender identity. This article identifies some contextual factors that are important in understanding coming out as a social (rather than internal) process; it also identifies some of the ways in which these youths’ experiences challenge normative understandings of the “good, out queer.”     

Patterns of Mental Health Care Utilization Among Sexual Orientation Minority Groups

Prior studies of the utilization of mental health professionals by sexual minority populations have relied on data that are now dated or not nationally representative. These studies have also provided mixed findings regarding gender differences in the utilization of mental health professionals among sexual minority individuals. Using data from the 2013–2015 National Health Interview Surveys, this study investigates (1) how sexual minority individuals compare to heterosexual participants in their utilization of mental health professionals; and (2) gender differences in that utilization. The results indicate sexual minority individuals utilize mental health care professionals at higher rates than heterosexual individuals even after controlling for measures of mental health and other demographic characteristics; this is true for both men and women. However, gender moderates the sexual minority effect on utilization rates. Sexual minority men utilize mental health professionals at a high rate, such that their utilization rates are similar to sexual minority women, contrary to the gender gap seen among heterosexuals.     

Coming-Out Confessions: Negotiating the Burden of Lesbian Identity Politics in South Africa

For lesbians, “coming out” or disclosing one’s sexual orientation has come to be seen as a marker of self-acceptance, actualization, and the imperative first step in the authentication of a liberated subjectivity and social identity. However, other critical schools of thought, largely informed by Foucault’s middle writings, have argued that “coming out” is merely a confessional response to an incitement to discourse about sex. This study explored constructions of coming out by a group of self-identified lesbians in South Africa. Data were collected via eight semistructured interviews and subjected to discourse analysis. Although the coming-out stories appear to conform to some discursive practices characterizing confessional modes of response to incitements to speak, they are also de-emphasized as central to the constitution of selfhood. The changing conditions of possibility for the production of sexual subjectivity in contemporary South Africa seem to disrupt understandings of coming out as either solely a confessional or liberatory practice.     

Specific Aspects of Minority Stress Associated With Depression Among LDS Affiliated Non-Heterosexual Adults

A nation-wide sample of 634 previous or current members of the Church of Jesus Christ of Latter-Day Saints (LDS), non-heterosexual adults (ages 18–33), were surveyed to examine how specific aspects of minority stress are individually and collectively associated with depression, and how such associations differ across sex, sexual orientation, and level of affiliation with the LDS church. When five stressors were examined simultaneously, need for others’ acceptance (NA) was the strongest predictor of depression, followed by internalized homophobia (IH). All minority stress factors were found to be individually predictive of depression and did not differ across sex or sexual orientation subgroups. Differences were observed, however, when considering current LDS status, such that participants who were no longer affiliated with the LDS church reported stronger relationships between some minority stressors and depression. Implications of religious identity salience as a potential mediator of relationships between specific stressors and depression are discussed.     

Considering the Role of Nativity in the Health and Psychological Wellbeing of Black LGBT Adults

ABSTRACT

Recent scholars have underscored how the experiences of LGBT people of color cannot be fully understood by considering only the independent contributions of race and sexual orientation. Framed by an intersectional lens, the current study seeks to address this gap in understanding by considering the role of nativity on the health and wellbeing of Black sexual minority adults; we also examined the moderating effects of family support and racial community climate on this relationship. Using national data from the Social Justice Sexuality Project (N = 2,166), we discovered that foreign-born Black LGBT adults had similar levels of psychological wellbeing and physical health as their native counterparts; family support and racial community climate did not moderate this relationship. Our findings did, however, substantiate the importance of family and community support for all Black LGBT adults, regardless of immigration status. Implications of this finding, in addition to directions for future intersectional work on racial minority LGBT people, are discussed.     

Assessing Experiences With LGBT Microaggressions in the Workplace: Development and Validation of the Microaggression Experiences at Work Scale

ABSTRACT

LGBT people experience microaggressions in the workplace; however, limited research exists in this area partly due to a lack of psychometrically sound instruments measuring the prevalence of LGBT microaggressions in the workplace. To address this gap, an empirical study was conducted and the LGBT-MEWS was created and tested. The LGBT-MEWS is a 27-item self-report scale comprising three subscales. Each subscale conceptually represents a different domain through which microaggressions impact LGBT employees: (1) workplace values, (2) heteronormative assumptions, and (3) cisnormative culture. The results of testing indicated that the subscales demonstrate strong reliability and validity.     

Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment

ABSTRACT

Studies of adults who experienced sexual orientation change efforts (SOCE) have documented a range of health risks. To date, there is little research on SOCE among adolescents and no known studies of parents’ role related to SOCE with adolescents. In a cross-sectional study of 245 LGBT White and Latino young adults (ages 21–25), we measured parent-initiated SOCE during adolescence and its relationship to mental health and adjustment in young adulthood. Measures include being sent to therapists and religious leaders for conversion interventions as well as parental/caregiver efforts to change their child’s sexual orientation during adolescence. Attempts by parents/caregivers and being sent to therapists and religious leaders for conversion interventions were associated with depression, suicidal thoughts, suicidal attempts, less educational attainment, and less weekly income. Associations between SOCE, health, and adjustment were much stronger and more frequent for those reporting both attempts by parents and being sent to therapists and religious leaders, underscoring the need for parental education and guidance.     

Coming Out and the Potential for Growth in Sexual Minorities: The Role of Social Reactions and Internalized Homonegativity

Coming out is a significant and sometimes difficult process in the lives of sexual minorities, but disclosure can also affect wellbeing in positive ways, including reduced distress and greater relationship satisfaction. This study investigates the possibility of stress-related growth and depreciation following coming out. To obtain a diverse sample with varying coming-out experiences, data were collected from undergraduate students as well as from online sources, including lesbian, gay, and bisexual support groups and Pride groups. Regression analyses indicated that negative social reactions to coming out predicted both growth and depreciation, although they more strongly predicted depreciation. Positive social reactions were positively related to stress-related growth, while internalized homonegativity was inversely associated with growth. Although the two sample sources (online and campus) differed in some ways, sample source was not a significant predictor in the regressions, nor was it indicated as a moderator in exploratory ANOVA analyses.     

Coming Out as Transgender: Navigating the Social Implications of a Transgender Identity

ABSTRACT

This study examines transgender coming-out narratives. Most previous studies of coming out as transgender have relied on psychological stage models of identity development, with little empirical verification. This study uses identity theory to reframe transgender coming out as a primarily external, ongoing, and socially situated process. The data were collected from 20 transgender people residing in the Minneapolis-St. Paul, Minnesota metro area through interviews and focus groups. The analyses reveal that coming out as transgender requires navigating others’ gender expectations, others’ reactions, and the threat of violence. The results indicate that transgender individuals do not simply decide to “come out of the closet” and then stay out. Rather, they make strategic decisions regarding the enactment of gender and gender identity disclosure based on specific social contexts. Coming out as transgender is best conceptualized as an ongoing, socially embedded, skilled management of one’s gender identity.     

Coming Out of the Shadows and the Closet: Visibility Schemas Among Undocuqueer Immigrants

ABSTRACT

Centering the experiences of 31 undocuqueer immigrants, this study seeks to understand the ways that undocuqueer immigrants negotiate the boundaries of social performance by revealing or concealing their gender, sexuality, and immigration status. Findings of this study reveal how, in order to avoid the constant threat of rejection (both legal and social), undocuqueer immigrants engage visibility schemas and make strategic decisions about coming out of the shadows and the closet across different contexts. Undocuqueer immigrants’ narratives reveal the ways the closet resembles the shadows in that both provide protection from the outside world, yet neither are considered suitable places for sustaining life. This study raises implications for both research and policy by considering how the intersection of gender, sexuality, and immigration status nullifies neoliberal narratives of coming out as an empowering process and illustrating the uneven landscapes of social acceptance and political control that undocuqueer immigrants must negotiate.     

Minority Stress,Parenting Styles,and Mental Health in Brazilian Homosexual Men

ABSTRACT

Homosexual men are constantly exposed to prejudice and violence in Brazil. The aim of this study was to investigate the relationship between minority stress, parenting styles, and indicators of mental health problems in a sample of homosexual men. Method: quantitative, cross-sectional, correlational, and retrospective design. Participants were 101 Brazilian men who selfidentified as homosexuals, aged between 18 and 55 years. Results: concealing sexual identity was a predictor of depression and stress. Parental responsiveness was associated with a lower incidence of enacted stigma and depression. Conclusions: the mental health of homosexual men can be negatively affected by the need to conceal their sexual orientation. Parental responsiveness is a protective factor in terms of experiencing enacted stigma and depression. The results found in the study may be useful for counselors and social workers who are working with LGBT people and their families.     

Sexual Identity in the American Deep South: The Concordance and Discordance of Sexual Activity,Relationships, and Identities

This research explores the association between sexual identity and sexual behavior and how that association varies across gender and race in the American Deep South. Multinomial logistic regression analysis is used to determine the likelihood of each sexual identity given past sexual behavior, sexual relationships, and other social characteristics. The more traditional cultural climate of the South appears to suppress identification as a sexual minority. Sexual identification in the Deep South is primarily a product of sexual activity and sexual relationships, although attitudes toward and contact with the lesbian, gay, bisexual, and transgender (LGBT) community play a minor role. Although most participants' sexual behaviors and identities were in concordance, sexual discordance was highest for White women and lowest for White men. Discordance was also associated with traditional men's roles attitudes, negative homosexuality attitudes, and contact with the LGBT community. It is hoped that these results encourage scholarship that deconstructs the sexual behavior and identity of all groups, not just oppressed groups.     

Perceived Sibling Relationships of Sexual Minority Youth

The purpose of this study was to examine the relationships of sexual minority youth and their siblings. The participants were 56 lesbian, gay, bisexual, or transgender individuals ranging in age from 18 to 24 years, who reported information about a total of 107 siblings. Respondents completed a demographic data questionnaire as well as adapted versions of the Sibling Closeness Scale (SCS) and the Sibling Approval of Sexual Behavior Scale (SASBS) to describe their relationship with each of their siblings. Analyses examined birth order and gender in relation to outness to siblings as well as sibling closeness and approval. Results provide information about disclosure of LGBT status to siblings, elements of closeness and acceptance in sibling relationships of sexual minority youth, and the significance of gender and birth order in these sibling relationships.     

Smoking and Intention to Quit Among a Large Sample of Black Sexual and Gender Minorities

The purpose of this study is to more completely quantify smoking and intention to quit from a sample of sexual and gender minority (SGM) Black individuals (N = 639) through analysis of data collected at Pride festivals and online. Frequencies described demographic characteristics; chi-square analyses were used to compare tobacco-related variables. Black SGM smokers were more likely to be trying to quit smoking than White SGM smokers. However, Black SGM individuals were less likely than White SGM individuals to become former smokers. The results of this study indicate that smoking behaviors may be heavily influenced by race after accounting for SGM status.     

Heterosexual Students' Experiences in Sexual Orientation Intergroup Dialogue Courses

Heterosexism contributes to an unsafe campus climate for lesbian, gay, and bisexual (LGB) college students. Intergroup dialogue courses about sexual orientation seek to build awareness, cross-group relationships, and commitment to social action to address anti-LGB prejudice and discrimination. Although dialogue courses are growing in popularity, few courses address sexual orientation. To advance knowledge of these dialogues, this qualitative study explores heterosexual students' motivations and expectations, challenges, and learning outcomes related to their participation in intergroup dialogue courses on sexual orientation. Core themes include desire to learn about the LGB community, concerns about offending classmates, anxiety around LGB stigma, conflict with classmates around controversial topics, affirming LGB people, and learning about heterosexism, privilege, and intersectionality of identity. Implications for intergroup dialogue pedagogy and research are discussed.     

Sources of Discrimination and Their Associations With Health in Sexual Minority Adults

ABSTRACT

Health disparities exist between sexual minorities and heterosexuals. These health disparities may be due to stressful social situations and environments that are created by discrimination. The current study recruited 277 sexual minorities to complete an online survey to examine the effects of discrimination on health. Discrimination from family and friends, compared to non-family and friends, was found to be more strongly associated with poorer health. This effect was partially statistically mediated by perceived stress reactivity. Findings from this study highlight the importance of distinguishing between different sources of discrimination when examining the effect of discrimination on health in sexual minority adults.     

Management of a Concealable Stigmatized Identity: A Qualitative Study of Concealment,Disclosure, and Role Flexing Among Young,Resilient Sexual and Gender Minority Individuals

Disclosure of a sexual or gender minority status has been associated with both positive and negative effects on wellbeing. Few studies have explored the disclosure and concealment process in young people. Interviews were conducted with 10 sexual and/or gender minority individuals, aged 18–22 years, of male birth sex. Data were analyzed qualitatively, yielding determinants and effects of disclosure and concealment. Determinants of disclosure included holding positive attitudes about one’s identity and an implicit devaluation of acceptance by society. Coming out was shown to have both positive and negative effects on communication and social support and was associated with both increases and decreases in experiences of stigma. Determinants of concealment included lack of comfort with one’s identity and various motivations to avoid discrimination. Concealment was also related to hypervigilance and unique strategies of accessing social support. Results are discussed in light of their clinical implications.     

An Exploration of Sexual Minority Stress Across the Lines of Gender and Sexual Identity

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress are discussed.