An Exploration of Family Therapists' Beliefs about the Ethics of Conversion Therapy: The Influence of Negative Beliefs and Clinical Competence With Lesbian,Gay, and Bisexual Clients

The majority of the literature on conversion therapy has focused on clients' experiences and rationales for seeking such therapy. This study sought to explore differences in the beliefs and clinical competence of therapists who practice and believe in the ethics of conversion therapy and those who do not. The sample for this study included 762 family therapists who were members of the American Association of Marriage and Family Therapy. Data were collected using electronic surveys that assessed participants' negative beliefs about and perceived clinical competence with lesbian, gay, and bisexual (LGB) individuals. Results indicate that those who believe in the ethics of and/or practice conversion therapy report statistically higher levels of negative beliefs about LGB individuals and lower levels of clinical competence working with LGB clients. Implications for clinical practice and organizational policy are discussed.     

To Join or Not to Join: Gay-Straight Student Alliances and the High School Experiences of Lesbian,Gay, Bisexual,and Transgender Youths

This retrospective study investigates 79 lesbian, gay, bisexual, and transgender (LGBT) college students’ experiences attending high schools with gay-straight student alliances (GSAs). Responses to two, open-ended survey questions were analyzed thematically to identify reasons that underlie GSA non-membership and to model facets of GSAs that may impact the GSA-related experiences of LGBT youths. Three frames of reference for understanding GSA non-membership and perceptions of GSAs emerged. Implications for predicting GSA membership and identifying protective mechanisms of GSAs are outlined. Suggestions to help GSA leaders and advisors enhance specific aspects of GSAs that appear to be associated with positive perceptions of GSAs are also provided.     

Work Discrimination and Coping Strategies: Conceptual Frameworks for Counseling Lesbian,Gay, and Bisexual Clients

Two conceptual models are proposed in this article—one for work discrimination and the other for discrimination coping strategies pertaining to lesbian, gay, and bisexual workers. The work discrimination model includes 3 dimensions (formal vs. informal, potential vs. encountered, and perceived vs. real). The coping strategies model outlines methods that deal with potential and encountered discriminations. It includes vocational choice and work adjustment strategies; the latter are further categorized under identity management or discrimination management strategies.     

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.     

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.     

Well-Being Among Spanish Lesbian,Gay, Bisexual and Heterosexual Adults: Disclosure of Sexual Orientation to Family and Friends

Relevance of disclosure of minority sexual orientation on subjective (SWB) and psychological well-being (PWB) was analyzed. Participants were 236 men and 238 women self-identified as lesbian, gay, and bisexual (LGB) or heterosexual. No differences in SWB were found between heterosexuals and LGBs. Heterosexual women showed greater environmental mastery than bisexual men and greater purpose in life than lesbian and bisexual women. Outcomes showed greater well-being among LGBs who disclosed their minority sexual orientation to parents later in life. Disclosing minority sexual orientation to parents was related with greater PWB. Further research that takes a differential approach to improve well-being for LGBs is needed.     

Risk Factors of Gay,Lesbian, and Bisexual Adolescents

Abstract

Many researchers of gay, lesbian, and bisexual adolescents describe them as an “invisible” minority. These youth are also one of the most “at risk” youth populations, as they often experience a range of problems related to society's stigmatization of same-sex orientation. Although sexual orientation is not necessarily related to heightened difficulties, lack of social support, infrequent positive interactions, and chronic stress may lead to increased problem behaviors for these youth. To further understand the risk and protective factors experienced by sexual minority adolescents, this article explores a number of these factors and reviews the current empirical research on specific topics, including: family, peer and school, substance use, suicide, and HIV/AIDS issues. Finally, practice implications are discussed to guide clinicians in working more effectively with this youth population.     

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.     

Career Decision Making of Lesbian,Gay, and Bisexual Individuals

In this article, the career decision making of lesbian, gay, and bisexual individuals is discussed in the framework of personal (interests, values, and skills) and environmental factors and their interactive influences. Suggestions for research and practice are proposed.     

Counseling Satisfaction of Gay,Lesbian, and Bisexual College Students

This paper investigates the satisfaction of gay male, lesbian, and bisexual college students with their counseling experiences. The sample of 31 research participants was interviewed using the Gay/Bisexual Counseling Satisfaction Survey, a demographic questionnaire, and the Beck Depression Inventory (BDI). Results indicated strong satisfaction with current counseling and counselors. Sexual orientation issues and loneliness were the most frequent presenting problems; these were positively associcated with counseling satisfaction, as was reporting barriers to counseling. BDI scores were copmarable to nonclinical samples, although there was frequent reporting of suicidal ideation. Implications for service delivery to this population are discussed.     

Developmental Latent Patterns of Identification as Mostly Heterosexual Versus Lesbian,Gay, or Bisexual

Scant research exists on the development of mostly heterosexual identity, the largest sexual orientation minority subgroup. We used longitudinal latent class analysis to characterize the patterns of identification with lesbian, gay, bisexual (LGB), or mostly heterosexual identities from ages 12 to 23 in 13,859 youth (57% female) in a U.S. national cohort. Three classes emerged: completely heterosexual (88.2%), mostly heterosexual (9.5%), and LGB (2.4%). LGB class youth generally identified with sexual minority identities by ages 12–17. In contrast, mostly heterosexual class youth identified with sexual minority identities gradually, with steady increases in endorsement starting at the age of 14. Developmental implications of these differential patterns are discussed.     

The Relationship of Practice Beliefs and Practice Behaviors among Social Workers with Lesbian and Gay Clients

This study explores the levels of beliefs about practice and practice behaviors with lesbian and gay clients among social work practitioners in a medical setting. The Gay Affirmative Practice scale was utilized to measure the levels of gay affirmative practice beliefs and practice behaviors among the sample surveyed. The relationship of practice beliefs and practice behaviors is explored and reveals that practice beliefs are significant to practice behaviors with lesbian and gay individuals. The results identify variables that contribute to practice beliefs and practice behaviors.     

Categorical Measurement of Attitudes About Lesbian,Gay, and Bisexual People

Measuring attitudes about lesbian, gay, and bisexual people has proven to be a difficult endeavor. This paper describes a simple and time-effective measurement tool, the Beliefs About Sexual Minorities (BSM) scale, and describes some correlates of negative attitudes in a sample of 415 students and staff members of a large midwestern university. The BSM was highly correlated with an established scale, the Index of Homophobia, and demonstrated good content and concurrent validity with other personal and attitudinal variables. Variables that were related to negative attitudes included gender, religious beliefs, number of lesbian, gay and bisexual friends, feminism, attitudes about the acceptability of lesbian, gay and bisexual people, and the level of comfort when around lesbian, gay and bisexual people. Age showed a curvilinear relationship with negative attitudes as assessed by the Index of Homophobia. The BSM is a useful assessment tool for human service professionals who provide services to lesbian, gay, and bisexual people.     

A Systematic Review of Gay,Lesbian, and Bisexual Research Samples in Couple and Family Therapy Journals

The purpose of this study is to review samples from research on gay, lesbian, and bisexual (GLB) issues and to evaluate the suitability of this body of research to support affirmative and evidence‐based practice with GLB clients. The authors systematically reviewed the sampling methodology and sample composition of GLB‐related research. All original, quantitative articles focusing on GLB issues published in couple and family therapy (CFT)‐related journals since 1975 were coded (n = 153). Results suggest that within the GLB literature base there is some evidence of heterocentrism as well as neglect of issues of class, race, and gender. Suggestions to improve the diversity and representativeness of samples—and, thus, clinical implications—of GLB‐related research in CFT literature are provided.     

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.     

Gay Affirmative Practice: A Model for Social Work Practice with Gay,Lesbian, and Bisexual Youth

Gay affirmative practice has recently been introduced into the social work literature as a culturally sensitive model for working with gay, lesbian, and bisexual (GLB) adults, however, this model has rarely been applied to practice with GLB youth. In this article, the authors review the literature to present the main tenets of gay affirmative practice, outline the challenges that GLB youth face, and delineate the environmental and individual strengths that can be enhanced to promote well-being. The authors then apply the gay affirmative practice model to GLB youth, offering concrete information about the specific knowledge, attitudes, and skills that social workers should acquire to better serve the unique, yet diverse, needs of GLB youth.     

Stress and Adaptation Among Families of Lesbian,Gay, and Bisexual Youth

Abstract

As research has accumulated on gay, lesbian, and bisexual (GLB) youth, more attention is being directed to their families. Research on the families of GLB youth is limited, although several studies have identified parental reactions to learning their offspring is GLB, and others have attempted to discover patterns of responses within families. Some problems with current research on the families of GLB youth are identified. A human development model is described which can help direct future research efforts.     

The Impact of Gay,Lesbian, and Bisexual Workplace Issues on Productivity

People in organizations lack the skills, knowledge, tools, and resources to effectively address gay, lesbian, bisexual, and transgender workplace issues. Consequently, most organizations fail to attain optimum performance from the approximately ten percent of their population who are sexual minorities. Two examples of what occurs when these issues are not addressed are: (1) gays, lesbians, bisexuals and transgendered employees do not feel included in the organization. When people, any people, are excluded rather than included it is almost impossible to expect optimal performance; and, (2) organizations send messages to gay, lesbian, bisexual and transgendered employees that encourage them to hide their sexual orientation at work. When employees devote energy to hiding-as gays, lesbians, bisexual and transgendered employees often do to protect themselves and their livelihood-performance suffers. In this article, these workplace issues are brought out of the corporate closet and into the mainstream of business performance.     

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).     

Lesbian,Gay Male,Bisexual and Transgendered Elders: Elder Abuse and Neglect Issues

ABSTRACT

Unfortunately, due In large measure to our society's still-pervasive social prejudice against and ignorance about sexual orientation and gender minorities, there have been few studies of this population of elders, and virtually no one has examined how this population's culture affects its experience with elder abuse. Based on the author's knowledge of this community and discussions with social workers and domestic violence specialists who serve it, these clients are likely to be more resistant than other clients to accepting services. Greater awareness of the existence and circumstances of lesbian, gay male, and transgendered elders should help protective services staff in building rapport with these clients and in getting them the services and assistance that they need.