Themes in Group Work with Lesbian and Gay Adolescents

ABSTRACT

Lesbian and gay youth often face severe isolation, growing up in an environment that is frequently ignorant of their unique needs and hostile toward them. Youth groups can serve a vital role in overcoming this isolation in addition to providing a safe space for working out the various problems surrounding the stigma of growing up gay. This article presents several themes in group work with lesbian and gay adolescents based on the author's experience as a group worker at a lesbian and gay youth project. Isolation, coming out, learning/re-learning, and initiation into a community are offered as four main themes which provide a foundation for understanding how to help lesbian and gay adolescents in groups.     

Developing Anti-Oppressive Empowering Social Work Practice with Older Lesbian Women and Gay Men

Summary Available studies suggest that around 10 per cent of the populationmight self-identify as a lesbian woman or gay man (Davies andNeal, 1996). It follows that social workers will engage witholder people who are homosexual. It does not follow that theywill know who they are, as this is a group often characterizedby its invisibility. This paper reports the results of a small-scale,exploratory study which examined how older lesbian women andgay men perceived their needs should they become ill or disabledas they age (Langley, 1997). Their concerns were viewed in thecontext of their past as well as present lives, and oppressionwas a unifying theme. Some of the findings are examined in orderto highlight key challenges for social work practice. Theseinclude: (i) working with invisibility and fear of oppression;(ii) developing awareness and recognition of lesbian and gayrelationships and supportive networks; (iii) the need for anti-oppressiveempowering services which match the needs and circumstancesof older lesbian women and gay men; (iv) importantly, the needfor greater awareness of the heterosexist assumptions whichinfluence institutional responses and individual practice.     

Reducing Alcohol Abuse in Gay Men: Clinical Recommendations From Conflicting Research

ABSTRACT

Gay men entering the health care system present with unique needs essential for health care providers to comprehend and address. While data indicate mental health and substance abuse disorders are more prevalent among gay men compared with their heterosexual counterparts, the literature assessing abuse of alcohol by gay men is conflicting. This article explores the conflicting research examining the use and abuse of alcohol by gay men, common findings and themes among studies addressing the issue, the theoretical concepts of internalized homophobia and heterosexism as they relate to alcohol abuse, and clinical strategies providers can implement when encountering this issue among their gay male patients. This comprehensive assessment of the literature will also provide direction for future critical inquiries and outline ways to improve the current methods of inquiry.     

Predicting Gay Affirmative Practice from the Theory of Planned Behavior

This study utilized the theory of planned behavior to examine individual intentions to engage in gay affirmative practice among aging-focused professionals (N = 83) in the Midwestern United States. Participants completed self-report measures of perceived agency norms and individual attitudes related to the treatment of gay men and lesbians, intentions to provide gay affirmative care, and perceived behavioral control. Attitudes, norms and perceived behavioral control were examined as predictors of intentions; attitudes of individual aging-service professionals emerged as the strongest predictor. Results indicated that affirmative attitudes within the agency may be important in predicting intentions to provide this type of care.     

Long-Term Planning and Decision-Making Among Midlife and Older Gay Men and Lesbians

Abstract

This article examines the issues of long-term planning and decision-making among midlife and older gay men and lesbian caregivers. Using a qualitative methodology, in-depth interviews were conducted with 19 gay men and lesbians over 50. Participants reported on their long-term planning and decision-making processes. All but four persons reported that their partners had advance directives, but the majority of caregivers did not have advance directives for themselves. Concerns about informal family dynamics and interactions with formal systems were expressed, along with financial and ownership issues. It is important for social workers to intervene across individual, organizational, and community levels in advocacy for the needs of older gay men and lesbian clients.     

Attribution Style and Public Policy Attitudes Toward Gay Rights*

Objective. This study examines the influence of beliefs about the cause of homo‐sexuality on public policy attitudes concerning gay rights. Methods. Using data from the 1995 Oklahoma City Survey, we examine how beliefs about homosexuality as either a lifestyle choice or biological predisposition affect levels of support for gay rights. Results. Consistent with current debates over gay rights, our study reveals a strong positive association between biological attributions of homosexuality and support for gay rights. Opposition to gay rights is most pronounced among political conservatives, fundamentalist Protestants, persons with little or no favorable contact with gays, individuals who embrace negative stereotypes about gays, and persons with high scores on an index of homophobia. Conclusions. Etiological beliefs about homosexuality have a strong influence on public policy attitudes toward gay rights.     

Genealogy's Desire: Practices of Kinship Amongst Lesbian and Gay Foster-Carers and Adopters

This article considers the practices of kinship amongst lesbianand gay foster-carers and adopters, and asks how far these havechallenged dominant genealogical discourses. It asks not howexisting social work practice can be adjusted to prevent discriminationon the basis of sexuality, but rather how the practices of lesbianand gay carers can be drawn upon to expand the genealogicalvisions of state foster-care and adoption work. The author discussesthe methods by which lesbian and gay carers have challengedheteronormative views of adult relationships, the idea of ‘natural’parenting, conventional state child welfare models, the biogeneticbasis of adult–child bonds, notions of the proper ‘family’,and the supposedly non-political nature of heterosexual kinship.Finally, the article asks how foster-care and adoption practicemight learn from the new forms of intimacy, care and parentingdeveloped by lesbians and gay men.     

The Third Time Was the Charm

Abstract

A therapist's three experiences as a recipient of psychotherapy have led her to appreciate the ways in which one therapy informs another. She examines what may be learned from a less than successful therapy. She reflects on several lessons she has learned from her own therapieslessons that have shaped her as a clinician. In particular, she notes that when the therapist and patient are remarkably similar in their values and strengths, the therapist needs to take great care that key issues are not glossed over or mishandled.     

Evaluation of Smoking Cessation Classes for the Lesbian,Gay, Bisexual,and Transgender Community

ABSTRACT

This study evaluates the effectiveness of a smoking cessation course tailored to meet the needs of the lesbian, gay, bisexual, and transgender (LGBT) community. Of the 44 individuals who participated, 36 were in attendance in the final class, and 88.9% of those had successfully quit smoking. The study found an increase in importance to having cessation classes in gay-identified contexts, high ratings of the cultural appropriateness of the course content, and decreasing anxiety across the classes. Participants’ assessment of their health shifted differentially based on whether they were successful at quitting.     

What factors influence comfort with same-sex sexuality among undergraduate social work students? Evidence from Taiwan

Abstract

This study examined bachelor of social work students’ attitudes and multiple variables to explore what factors affect students’ attitudes towards gay people in Taiwan. Generally, students felt comfortable with gay people. Heterosexual and male students showed a consistent tendency to feel less comfortable with gay people. Close referents who were same-sex-oriented or accepted gay people had positive influences on students’ comfort with gay people. Importantly, performing well in college-level education on gay and lesbian issues significantly affected students’ attitudes. The new findings have implications for social work educators in terms of designing educational environments and course activities.     

Social Workers' Experiences of Virtual Psychotherapeutic Caregivers Groups for Alzheimer's,Parkinson's,Stroke, Frontotemporal Dementia,and Traumatic Brain Injury

ABSTRACT

The objective of this study was to examine the challenges for social workers who transition from facilitating face-to-face psychotherapeutic groups to online web-based video groups with family caregivers of persons with chronic disease. Study data consisted of survey responses of a group of therapists who had facilitated a series of web-based video-conferencing caregiver groups over a period of 4 years. All therapists were trained using an intervention training manual and weekly supervision. They received minimal training with regard to using technology (computers, Internet, web cams, and headsets). Despite reported challenges in how the technology affected the group process, therapists described overall positive experiences transitioning from face-to-face to working online. All therapists reported that group interactions and client outcomes in the Internet environment were overall comparable to those that occur in face-to-face groups.     

Lesbian and Gay Elders and Long-Term Care: Identifying the Unique Psychosocial Perspectives and Challenges

This qualitative study of lesbian and gay elders seeks to identify the psychosocial challenges this community faces regarding long-term care. Two focus groups were conducted among 16 gay elders in community and long-term care settings. Participants reported fear of being rejected or neglected by healthcare providers, particularly personal care aides; fear of not being accepted and respected by other residents; fear of having to go back into the closet if placed in long-term care; and a preference for gay-friendly care. Participants suggested staff training to promote acceptance and respect for gay people, and favorably perceived gay-specific and gay-friendly living arrangements.     

What Does Being an “American” Look Like in the Therapy Room?

ABSTRACT

A clinical experience of an Asian Indian therapist working with a client of a similar ethnic background is analyzed. The relational dynamics in the therapy and the impact of a perceived shared identity are examined. Transference and countertransference processes are emphasized. A shared perceived ethnic identity created complexities in the therapeutic relationship and affected the therapy in surprising ways. Assumptions related to a shared ethnic identity affected the ability to form a therapeutic alliance.     

Differential treatment in unemployment relief cases 1

Abstract

Trauma therapy influences the personal and professional lives of therapists as they cope with the secondary traumatic stress associated with treating trauma survivors. Therapists go through an internal process as they try both to make sense out of the stories they hear from clients, and to integrate those stories into their own existing cognitive schemas. During this process of integration, trauma therapists often experience secondary traumatic stress reactions that negatively impact the treatment process, as well as their own experiences of self. Secondary traumatic stress, vicarious traumitization, and worker burnout are distinctly different processes that practitioners need to differentiate, even though they are often similar in their initial presentation.     

Impact of the Village Model: Results of a National Survey

ABSTRACT

Villages are a relatively new, consumer-directed model that brings together older adults in a community who have a mutual interest in aging in place. These membership organizations provide social and civic engagement opportunities, volunteer provided support services, and referral to vetted community providers to achieve their primary goals of promoting independence and preventing undesired relocations. This cross sectional survey of 1,753 active Village members from 28 Villages across the US measured members’ perceived impacts in the areas of social connection, civic engagement, service access, health and well-being, and ability to age in place. Results showed that involvement in the Village was a key factor associated with greater perceived impacts. Over half of members perceive that the Village has improved their sense of connection to others and their feeling that they have someone to count on. Though younger members in better health were more likely to perceive impacts in social connections, results suggest older women, living alone with some disability may be the most likely to experience improved health, quality of life, and mobility. The implications for social work practice are discussed.     

Caring for the Child Welfare Client: Am I Good Enough?

ABSTRACT

Given the demographics of youth served by the child welfare system, culturally responsive approaches are critical to effective social work practice and desperately needed. Like many adolescents who grow up in the child welfare system, Paul, a White adolescent male in foster care, was beset by a lack of adequate environmental resources and multiple stressors and had little hope or motivation to work on improving his situation. This article highlights the author's “use of self” as an African American male therapist who worked with Paul, using a Winnicottian and caring framework. Because child welfare workers are often overburdened by the demands of work, including large caseloads and clients with few to no resources, they find it difficult to consistently provide empathic and caring behaviors for their clients. The author highlights his therapeutic work and struggles with Paul and offers cultural insights and Winnicottian strategies when working with adolescents in the child welfare system who are ultimately in need of permanency and stability.     

Measuring Gay Populations and Antigay Hate Crime

Objectives . The study of crime directed at gay and lesbian targets is hampered by two measurement problems: Police agencies provide unreliable data on hate crime, and tract-level census data contain no direct information about gay or lesbian population density. This article attempts to gauge two quantities that cannot be measured directly or unambiguously: the size of the gay and lesbian populations and the number of hate crimes directed at gay and lesbian targets. Methods . Population data for New York City were gathered from market research lists and from a special tabulation of the 1990 Census. Hate crime data were obtained from the Anti-Violence Project and the New York Police Department. Confirmatory factor analysis was used to assess the reliability of each measure and the correlation between latent population density and hate crime. Results . Each of these measures offers a reliable means by which to assess cross-sectional differences in the population density and victimization of gay men. Census and police data prove to be inferior indicators of lesbian population density and antilesbian hate crime. For both men and women, population density is strongly correlated with the incidence of hate crime. Conclusions . Despite the fact that advocacy groups record many more antigay incidents than do the police, both sources of data are in agreement about where hate crimes occur. The strong correlation between population density and hate crime against gay men implies that Census data could be used to forecast the occurrence of hate crime in areas where no police records exist.     

Experiencing breast cancer in the context of mental illness in New Zealand

ABSTRACT

This study aimed to explore the experiences of women with mental illness who had also experienced breast cancer diagnosis and treatment, in particular, to identify barriers and facilitators to cancer treatment. Semi-structured interviews were conducted with ten breast cancer survivors who had had contact with secondary mental health services prior to their cancer diagnosis. Thematic analysis was used to identify key themes. Participants described positive experiences of cancer treatment, expressing surprise at both how well they coped with diagnosis and treatment and how well they were treated by services. Many contrasted this with their less positive experience of mental illness and mental health services. The women interviewed were active participants in their cancer treatment and did not report feeling stigmatised because of their mental health experiences. A lack of connection between cancer and mental health services was described, but this was not regarded as necessarily a bad thing. This study begins to counter the stereotypes of the difficult patient or the person unable to understand and cooperate in their own care which are prevalent in the literature. Further work is needed to understand the reasons for disparities in cancer outcomes.