Getting “Bi” in the Family: Bisexual People's Disclosure Experiences

There are many similarities in gay, lesbian, and bisexual individuals' coming out experiences, but bisexual people face unique challenges. Despite this, an explicit focus on bisexual people is missing from family research. Using family systems and cultural sociological perspectives, the authors analyzed how social and cultural factors shape disclosure processes for bisexuals as they come out to multiple family members. After analyzing qualitative data from a diverse group of 45 individuals, they found that bisexual people navigate monosexist and heterosexist expectations in their family relationships. Cultural constructions of bisexuality shape the ways that bisexual people disclose their identities, including how they use language to influence family members' responses in desirable ways. Relationship status also influences bisexual people's disclosure strategies, as a romantic partner's gender is meaningful to family members' understandings of their sexual orientation. The findings highlight the importance of addressing cultural and social contexts in understanding sexual minority people's coming out processes.     

Hispanic Parental Experiences of Learning a Child Identifies as a Sexual Minority

Sexual minority youth (SMY) who do not feel loved and supported by their families face greater challenges and often experience various health disparities. The coming out process is often difficult for all SMY and their families. Although there is limited research on the impact of sexual orientation disclosure on families, there is even less that focuses exclusively on Hispanic families. This qualitative study explores the impact on a sample of Hispanic parents of having a child come out as lesbian, gay, or bisexual. The results demonstrate that although coming out is often challenging for SMY and their families, these challenges may be exacerbated for Hispanics due to cultural factors that contribute to children living at home longer and negative reactions to being gay. Parental reactions, impacts of disclosure on the family, and the impact of cultural factors are discussed. This study helps illuminate how cultural factors influence the coming out experience of Hispanic parents. These findings are important for understanding the experiences of these families to provide culturally appropriate resources for families navigating the coming out process.     

You’re Deaf? Breaking through Myths for Effective Therapeutic Practice

ABSTRACT

Most mental health practitioners provide services to hearing clients and might be unprepared when a deaf individual requests services. The purpose of this article is to explore commonly held stereotypes and myths about deaf people and to provide guidance to clinicians who encounter deaf clients in their practices. Myths and stereotypes can affect the way clinicians perceive their clients’ needs. This can lead to miscommunication, misunderstanding, and misinformation, which can harm the therapeutic relationship, thus making effective therapy unattainable. Clinicians should reframe these beliefs and overcome barriers to make way for the therapeutic process to begin.     

The Reciprocal Relationship Between Religious Beliefs and Acceptance of One’s Gay or Lesbian Family Member

Research suggests that the coming out process can be stressful not only for individuals disclosing their sexual orientation, but also for the family members who receive the news. While research demonstrates that family acceptance of such disclosures is related to one’s religious beliefs, less is known about how religion influences the process of acceptance. There are theoretical reasons to expect that individuals’ religious beliefs interact with their attitudes regarding acceptance in reciprocal ways. Utilizing data from 14 semistructured interviews with family members of lesbian and gay individuals, we offer a preliminary examination of how the process of acceptance is both influenced by and influences a person’s own religious beliefs. Results suggest that the acceptance process involves a complex interaction between an individual’s general proclivity toward acceptance, the degree to which religion promotes or opposes the acceptance of same-sex relationships, and the level of investment one has in their church.     

Coming out at work: performativity and the recognition and renegotiation of identity

This paper is about ‘coming out’ and the process of disclosure and non‐disclosure of minority sexual identity in organizations. The process of ‘coming out’ is important for the individual lesbian or gay man since it is concerned with the discursive recognition and renegotiation of their identity. The study uses storytelling and a double narrative approach, where 92 individuals were interviewed to produce 15 stories of coming out, which were used for discussion in focus groups. The research took place within 6 organizations – 2 emergency services, the police and the fire service, 2 civil service departments and 2 banks. A conceptual framework is developed to explain the process of disclosure, showing it to be a continuing process rather than a single event. The concept of performativity is used to explain how in coming out the discursive practice and the telling of sexuality performs the act of coming out, making it an illocutionary speech act, and one which is made as an active or forced choice. The performative and perlocutionary speech acts interact with available subject positions thereby impacting on the individual's subjectivity. Sexuality is an under‐researched area of diversity in work organizations, as well as being one of the most difficult to research, so the level of access afforded by this research and the framework it produces provides a significant contribution to our understanding of minority sexual identity at work.     

Re-authoring to Reconcile Religious Beliefs with Affectional Orientation: A Narrative Study

Narrative qualitative research design was used to understand the processes of three lesbians with Oneness Pentecostal backgrounds who reconciled their religious beliefs with their affectional orientation. The central question for this study was “How do lesbians with Oneness Pentecostal backgrounds describe their coming out processes, and how did they reconcile their religious beliefs and sexual orientations?” Participants’ stories revealed that reconciliation processes are unique and complicated. The narrative therapy reauthoring technique was combined with a feminist theoretical framework and used to analyze participants’ stories. Three unifying themes of reconciliation were the process of redefining (a) religious beliefs, (b) family, and (c) self.     

The Construction of Sexual Identities in an Online Gay,Lesbian, and Bisexual Bulletin Board System

An online bulletin board system was used to focus on how sexual minority gay, lesbian, and bisexual (GLB) individuals perceive and display their individual and collective sexual identities through textual and visual communication processes. While exploring sexual identity construction, four major themes emerged: “coming out,” separation, equality and civil rights, and misconceptions. Concepts of identity negotiation theory help to conceptualize the observed sexual identity construction processes. This work provides insight into how GLB individuals around the world perceive, construct, and perform their sexuality as well as how they perceive the majority culture as viewing them.     

Exploring emotional aspects of care and control in social work with children and families - a single case analysis of conversation

ABSTRACT

In this article, I explore how emotions are displayed and dealt with on a communicative level in face-to-face encounters between social workers and parents in a child welfare setting. The analysis draws upon detailed analysis of a whole encounter between a social worker and a parental couple who have recently had their new-born daughter placed in foster care. By examining the way emotional stances are expressed and responded to I discuss how orientations toward institutional tasks and goals create constraints for the display, recognition and validation of clients’ emotion displays. I consider the communicative challenges this poses for the parents and the social worker and the implications these may have for the client–worker relationship.     

To Refer or Not to Refer: Exploring Family Therapists' Beliefs and Practices Related to the Referral of Lesbian,Gay, and Bisexual Clients

This study explored how negative beliefs toward lesbian, gay, and bisexual (LGB) individuals and LGB clinical competence influenced family therapists' beliefs and practices regarding referring based on the sexual orientation of the client. The sample consisted of 741 experienced clinicians. The results of this study indicated that the majority of the participants believe it is ethical to refer LGB clients; however, most had never made such a referral. Furthermore, participants who had referred based solely on the client's sexual orientation reported higher levels of negative beliefs toward LGB individuals and lower levels of LGB clinical competence. Finally, negative beliefs toward LGB persons not only predicted the practice of referring, but also the belief that it is ethical to refer an LGB client.     

Race, ethnicity, gender, and generational factors associated with the coming-out process among lesbian, and bisexual individuals

Age at coming out among gay/lesbian/bisexual (GLB) persons and sexual debut with same-gendered partners has typically been investigated in samples that do not reflect the racial and ethnic diversity of these communities. Addressing this limitation, data were collected from a diverse sample of men and women attending large-scale GLB community events in New York and Los Angeles in 2003 (N = 2,733). Compared to older cohorts, younger cohorts (18-24 year olds) of both men and women reported significantly earlier ages for sexual debut with same-gendered partners, and earlier ages for coming out to themselves and to others. Also, women began the process at later ages than men, as they reported coming out to themselves and sexual debut with a same-gender partner approximately two years later than men. There were no racial or ethnic differences in age out to self or others; however, persons of color were less likely to be out to their parents. Service providers, sexuality educators, and researchers should attend to the diversity in experience of coming out among GLB populations as they relate to the individuals gender, age, and racial and ethnic backgrounds.     

Human Sexuality Education in Marriage and Family Therapy Graduate Programs

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty‐nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.     

Coming out strategies of lesbians and gays at work / Estrategias de coming out de personas lesbianas y gays en el trabajo

Abstract

In recent years there has been a great deal of social and legislative progress in the struggle against discrimination on grounds of sexual orientation. However, the coming out process in the workplace is still a crucial aspect in the lives of many lesbians and gays (LG). This study sets out to analyse the different strategies that Spanish LG adopt when revealing their sexual orientation at work by identifying the factors that facilitate or hinder this process. It also analyses the personal and organizational consequences of the strategies used in the coming out process. The study was carried out through in-depth interviews with 15 LG. Results show that the coming out strategies vary and are affected by different factors (e.g., characteristics of the colleagues, sector, etc.). Moreover, it confirmed that the coming out process (or its absence) can have consequences at different levels (e.g., relationships with colleagues, perception of organizational injustice, etc.).     

Race,ethnicity, gender,and generational factors associated with the coming‐out process among gay,lesbian, and bisexual individuals

Age at coming out among gay/lesbian/bisexual (GLB) persons and sexual debut with same‐gendered partners has typically been investigated in samples that do not reflect the racial and ethnic diversity of these communities. Addressing this limitation, data were collected from a diverse sample of men and women attending large‐scale GLB community events in New York and Los Angeles in 2003 (N = 2,733). Compared to older cohorts, younger cohorts (18–24 year olds) of both men and women reported significantly earlier ages for sexual debut with same‐gendered partners, and earlier ages for coming out to themselves and to others. Also, women began the process at later ages than men, as they reported coming out to themselves and sexual debut with a same‐gender partner approximately two years later than men. There were no racial or ethnic differences in age out to self or others; however, people of color were less likely to be out to their parents. Service providers, sexuality educators, and researchers should attend to the diversity in experience of coming out among GLB populations as they relate to the individuals’ gender, age, and racial and ethnic backgrounds.     

Enhancing Health-Conscious Behaviors Among Clients in Substance Abuse Treatment Programs

The physical health of substance abuse clients significantly deteriorates because of the client’s prolonged abuse of alcohol and other drugs and accompanying behaviors. The purposes of this study are (a) to understand how substance abuse clinicians think about the health needs of their clients, (b) to identify the mechanisms through which clinicians seek to enhance health-conscious behaviors among their clients, and (c) to identify how substance abuse clinicians view their role in enhancing health-conscious behaviors among their clients. A qualitative study was conducted using in-depth, semistructured interviews with substance abuse clinicians (N = 16) from 4 substance abuse treatment centers. Using the theory of planned behavior as a framework for understanding the promotion of health-conscious behaviors in substance abuse treatment, the findings suggest that substance abuse clinicians are capable of enhancing health-conscious behaviors among clients in substance abuse programs.     

Being a Gay or Lesbian Professional in a Psychiatric Hospital for Adolescents

Abstract

Differing styles and ranges of self-disclosure are highlighted through interviews with lesbian and gay clinical staff at an in-patient setting in the Midwest. Each staff, three men and one woman aged 44 to 62, is presented through a psychosocial history concerning religious, marital, and coming out issues. Participants are interviewed about their style and degree of disclosure of homosexuality to staff, clients, and family. The author concludes that degree of “coming out” correlates with positive adjustment to sexual orientation for the interviewees more than with fears about job loss or personal reprisal.     

Boundary Issues in Gay and Lesbian Psychotherapy Relationships

Abstract

Gay and lesbian psychotherapists face unique challenges when working with clients who also identify as gay or lesbian. Of particular importance are the roles professional boundaries play in working with sexual minorities. For example, clinicians must decide whether it is in the client's best interests to know the therapist is gay. Issues of contact outside of the therapy hour also become important, particularly when the therapist lives in a small community, or otherwise risks the possibility of seeing the client in the community. This chapter addresses some of these issues, and poses options for therapists on how to minimize professional boundary or ethical violations.     

Ethnic Minority Families and Minority Gays and Lesbians

Attitudes toward sexuality differ within the diverse ethnic and racial communities that exist in the U.S., and the cultural values and beliefs surrounding sexuality play a major role in determining how individuals behave within their sociological context. The family unit is the domain where such values and beliefs are nurtured and developed. An individual's value system is shaped and reinforced within the family context which usually reflects the broader community norms. Disclosure of a gay or lesbian sexual preference and lifestyle by a family member presents challenges to ethnic minority families who tend not to discuss sexuality issues and presume a heterosexual orientation. For ethnic minority gays and lesbians the "coming out" process presents challenges in their identity formation processes and in their loyalties to one community over another. Ethnic gay men and lesbians need to live within three rigidly defined and strongly independent communities: the gay and lesbian community, the ethnic minority community, and the society at large. While each community provides fundamental needs, serious consequences emerge if such communities were to be visibly integrated and merged. It requires a constant effort to maintain oneself in three different worlds, each of which fails to support significant aspects of a person's life. The complications that arise may inhibit one's ability to adapt and to maximize personal potentials. The purpose of this paper is to examine the interaction and processes between ethnic minority communities and their gay and lesbian family members. A framework for understanding the process of change, that occurs for the gay or lesbian person as they attempt to resolve conflicts of dual minority membership, is presented. Implications for the practitioner is also discussed.     

A Client Perspective on Therapist Self-Disclosure

Abstract

Options of “coming out” in differing therapeutic modalities are considered. Modalities considered include traditional psychotherapy, alternative therapies, and managed care systems. Therapist disclosure situations are discussed from the viewpoint of both client and practitioner. Vignettes describing therapy experiences of adult lesbian and gay clients in a variety of clinical settings are presented. Clinical issues pertaining to therapist disclosure of sexual orientation receive consideration in terms of client self-determination as well as in terms of the options or limitations imposed by different modalities. Distinctions are drawn between disclosure in predominately lesbian and gay practice settings and disclosure in predominately heterosexual settings.     

Tasks in Acceptance: Mothers of Lesbian Daughters

Eleven mothers were interviewed to explore their processes of coming to accept their lesbian daughters’ sexual orientation. Qualitative research analysis yielded five domains: (1) What stayed the same after the daughter's coming out, (2) What changed after the daughter's coming out, (3) Ongoing tasks in the acceptance process, (4) Resources identified and utilized, and (5) Emotional struggles. The mothers’ ongoing tasks in acceptance were: respecting their daughters’ processes of coming to terms with their sexuality, not being concerned with other people's judgments, advocating for their daughters and the GLBT population, and regarding their daughters’ sexual orientation as only one part of them.     

Coming out of the Therapy Closet: Women’s Disclosure of Same-sex Attraction in Counselling

“Coming out” is a process that same-sex attracted people undergo if they choose to acknowledge it to others. Minimal research exists examining the coming-out experience for same-sex attracted women in counselling settings. This qualitative study addressed the gaps in existing research by exploring counsellors’ perceptions of factors influencing same-sex attracted female clients to disclose their sexual orientation to a counsellor. Semi-structured interviews were conducted with 10 counsellors from diverse clinical backgrounds. In their view, the main factors influencing disclosure were the perceived lesbian, gay, bisexual, and queer (LGBQ) friendliness of a service or counsellor; the presence of LGBQ symbols within services; using gender-neutral language; and the level of a client’s self-acceptance of their sexual orientation. These findings suggest that the utilisation of culturally affirming models by counsellors working with same-sex attracted female clients can create a safe environment for disclosure of sexual orientation.