Career Development With Lesbian and Gay Clients

Trends in career counseling with lesbian and gay clients are reviewed along with discussions on considering lesbian women and gay men a different cultural minority. The role and direction of career development with lesbian and gay clients is presented based on current information regarding employment discrimination, the decision to pass as heterosexual on the job, counselor and student training issues, age-related factors, and differences between gay men and lesbian women with respect to careers. Concrete suggestions are made to career counselors who wish to prepare themselves to work with this group or to extend their effectiveness, and suggestions for services are also presented.     

Career Interventions for Gay and Lesbian Clients: A Synopsis of Practice Knowledge and Research Needs

This article provides a comprehensive review of the professional literature on career counseling interventions with gay and lesbian clients. It summarizes the practice knowledge gleaned from that literature and makes recommendations on what research needs to be conducted to establish the area of gay and lesbian career development in the published research literature.     

Integrating Sexual Orientation in Career Counseling: Acting to End a Form of the Personal-Career Dichotomy

Ignoring sexual orientation in career counseling practice is presented as a specific case of failing to integrate an aspect of the personal dimension into career counseling. Three case examples illustrate specific actions that career counselors must take to integrate this important aspect of the personal dimension into career counseling. The actions suggested involve three general areas: (a) signaling lesbian and gay affirmation in career counseling practice, (b) enhancing the development of a positive gay or lesbian identity in the context of career development work, and (c) recognizing and integrating the reality of anti-gay stigma in career counseling.     

Applying Social Learning Theory of Career Decision Making to Gay,Lesbian, Bisexual,Transgender, and Questioning Young Adults

Incorporating J. D. Krumboltz's (1979) social learning theory of career decision making, the author explores career development issues for gay, lesbian, bisexual, transgender, and questioning (GLBTQ) adolescents and young adults. Unique challenges for the GLBTQ population are discussed, specific recommendations for effective career counseling with this population are outlined, and suggestions for future research are presented.     

Workplace Problems and Needs for Lesbian and Gay Male Employees

Abstract

This article presents research findings pursuant to the problems and needs of lesbian and gay male employees, as perceived from a randomly selected national sample of employee assistance professionals. The research was based on a conceptual model for framing workplace interventions addressing issues of protection, inclusion and equity (PIE) for gay/lesbian employees. Findings indicate that heterosexual employees greatly underestimate the level of discrimination sexual minorities experience; women respondents were more sensitive to gay/ lesbian workplace issues than men; existing EAP and human resource services, programs and policies inadequately address gay/lesbian needs; significant differences exist between heterosexual and gay/lesbian employees' on perceptions of diversity training content and gay/lesbian EAP professionals feel the workplace is only somewhat “safe” for them as sexual minority employees.     

Association for Lesbian,Gay, Bisexual,and Transgender Issues in Counseling’s Best Practices in Addressing Conscience Clause Legislation in Counselor Education and Supervision

The amount of various, state-level legislation allowing the denial of counseling services to individuals with values that conflict with those of the professional counselor continues to increase. Such laws are in direct conflict with the values, principles, and ethical standards of the counseling profession. These “conscience clause” legislations are of concern due to the ability of the counseling profession to safeguard and protect the welfare of clients seeking counseling services. Potently, however, much of the focus of conscience clause legislation centers around the legal sanctioning of bias and refusal to provide services to affectional and gender minority clients, and the intersection of sexual/affectional orientation to spiritual and religious values. Provided is a review of these laws and the way they clash with the counseling profession. To assist profession counselors in navigating appropriate ethical behavior, specific counseling-appropriate and lesbian, gay, bisexual, trans, and queer affirming recommendations are provided. Each layer of professional counseling, direct work with clients, supervision, and counselor education, is addressed.     

Correlates of Homophobia and Use of Gay Affirmative Practice Among Social Workers

ABSTRACT

Research on social work practice with gay and lesbian clients has historically focused on examining social workers' attitudes towards gay and lesbian individuals, however, no studies have examined the relationship between attitudes and practice using validated measures to assess practice. The focus of this study was therefore to examine the relationship between attitudes and practice with gays and lesbians using the recently developed and validated Gay Affirmative Practice Scale (GAP). Significant relationships were found with the GAP and two measures of homophobia as well as with measures that assessed feelings about lesbians and gay men, contact with gays and lesbians, attendance at workshops that focused on gay and lesbian issues, relationship status, sexual orientation, political party, and primary area of practice. Relationships with measures of attitudes were also examined. Implications for social work practice, education, and research are discussed.     

Health Care Professionals' Experience,Knowledge, and Attitudes Concerning Homosexuality

The purpose of this study was to examine the experience with attitudes towards, and knowledge about homosexuality of three groups of health care professionals. Subjects were 97 registeres nurses, social workers, and psychologists who responded to a six-page mailed questionnaire. Professional discipline of the subject, gender of the client, and gender of the client's lover in a fictitious scenario did not significantly affect ratings or suggested diagnoses of the client. Most subjects felt that they needed moer training in working with homosexual clients, which was consistent with their high but not perfect scores on a knowledge test. Subject's mean scores of the Attitudes Toward Lesbians (ATL) and Gay Men (ATGM) scales of Herek (1998) reflected significantly less prejudice than his college samples. More knowledgeable respondents were less prejudiced and had more positive attitudes about working with gay and lesbian clients; those with more positive attitudes toward clients also showed less prejudice on the ATL and ATGM scales. The authors argue that training health care professionals to be more knowledgeable about gay and lesbian issues would lead to more positive attitudes and better services for gay and lesbian clients.     

Including Curriculum Content on Lesbian and Gay Issues

Abstract

This paper presents a rationale for requiring content on lesbian and gay issues in the social work curriculum. Recent research suggests that a considerable percentage of social workers possess homophobic attitudes. Some support exists for making education a tool to reduce negative attitudes toward the gay population. However, students are unlikely to receive adequate information about this population before they enter the social work curriculum. The goals of including content on lesbian and gay issues are to decrease homophobic attitudes and to prepare students to provide effective social work practice with lesbian and gay clients. Methods and resources for incorporating content on lesbian and gay issues in human behavior, direct practice, policy, community organization and research courses of the social work curriculum are presented.     

Developmental Transitions of Gay/Lesbian/Bisexual-Affirmative,Heterosexual Career Counselors

This article proposes parallels between gay, lesbian, and bisexual identity development and the professional development of gay/lesbian/bisexual-affirmative, heterosexual career counselors. This perspective gives a developmental framework for understanding the changing feelings, thoughts, behaviors, and actions that accompany the professional, personal, and political growth of heterosexual career counselors who are seeking to become affirmative to career and life planning issues associated with sexual orientation.     

Struggling With Two Identities: The Case of Eileen

In this article, the authors present a case example of a Chinese American lesbian woman who seeks counseling for career decision making. The client's career issues stem from cultural issues that have created a dichotomy in her life. Using an ecological model, the authors dissect the case, propose interventions, and identify potential problems that may arise.     

The Relation of Negative Career Thoughts to Depression and Hopelessness

Although some research literature focuses on the integration of mental health and career counseling, there has been little that examines both areas in relation to depression and hopelessness. This study investigated the relationship among dysfunctional career thinking, depression, and hopelessness in a sample of 139 undergraduate and graduate students seeking drop‐in or individual career counseling services at a university career center. The authors found that two aspects of dysfunctional career thinking, decision‐making confusion and commitment anxiety, accounted for a significant amount of variance in depression. Decision‐making confusion also accounted for a significant amount of variance in hopelessness. Implications for counseling practice include the need for more careful screening of career clients who present with high levels of anxiety and negative thinking. Future research could involve more diverse client populations, such as unemployed adults, and explore the use of additional screening measures to assess the intersection of career and mental health issues.     

Delivering LGBT-sensitive substance use treatment to sexual minority women

Abstract

Epidemiologic studies have consistently found elevated rates of alcohol and other substance use among sexual minority women (SMW), and despite calls for “lesbian, gay, bisexual, and transgender (LGBT)-specific” services and culturally tailored interventions, few such services exist. This study involved qualitative interviews with directors from substance use treatment programs (N?=?10) about how they addressed the needs of SMW. Strategies implemented primarily focused on creating a safe and welcoming environment for sexual minority clients. Findings highlight challenges involved in meeting the treatment needs of SMW and provide guidance to researchers and service providers on how to improve the quality of care for them.     

An Individual Mixed‐Evaluation Method for Career Intervention

Economic issues linked to career counseling are a cause for concern to policy makers in developed countries because they expect career practitioners to provide evidence of the efficiency of career counseling interventions. The aim of this study was to test an individual evaluation method mixing time series (outcomes) and life narrative (processes). The method used 5 items related to 1 client's career decision self‐efficacy and studied the evolution of those items throughout the intervention of 1 career counselor (43 days). Changepoint analysis helped in identifying the changes that have to be taken into account for time series and which are contextualized in the client's verbatim analysis. This mixed method highlighted that the career counselor's intervention increased the client's career decision self‐efficacy. Practitioners could use the methodology proposed in this article to evaluate their interventions. They could also report their practice to clients, employers, and decision makers.     

Sexual coercion in gay male and lesbian relationships: Predictors and implications for support services

Numerous studies have documented the prevalence of forced sex in heterosexual couples. Positive effects of this research include increases in awareness about the problem among helping professionals and the public, as well as increases in support services and prevention programs. However, no research has been done on sexual coercion in gay male and lesbian relationships, and few support services exist. Therefore, this study is an investigation of the prevalence and correlates of coercive sex in gay male and lesbian relationships. Participants were 36 women and 34 men who were in gay or lesbian relationships. The results indicated that 12% of the gay men and 31% of the lesbians reported being victims of forced sex by their current or most recent partners. The higher reporting rate among women may be due to greater awareness of issues pertaining to sexual abuse, and greater likelihood of identifying various forms of coercion as force. For men, being a victim of forced sex was generally associated with being a victim of other forms of violence. For both sexes, victims of forced sex believed that it would be relatively difficult to get counseling. Implications for support services are discussed.     

Career Counseling With Lesbian,Gay, Bisexual,and Transgendered Persons: The Next Decade

The author, on the basis of an analysis of the strengths and weaknesses of the existing literature as well as the relevant opportunities and threats, proposes future directions for career counseling with lesbian, gay male, bisexual male and female, and transgendered persons. Suggestions include efforts for theory development, empirical research, career assessment, counseling practice, and counselor education.     

Metacognition and Multicultural Competence: Expanding the Culturally Appropriate Career Counseling Model

The authors focus on the significance of the counselor's cultural contexts in effective career interventions vis‐à‐vis the incorporation of multicultural metacognition. They briefly summarize and critique extant career counseling models for racial/ethnic minority clients and then describe an expanded model for career counseling that incorporates metacognition processes for addressing counselor‐related cultural factors.     

Use of Assisted Reproductive Technology and Gay and Lesbian Couples

Abstract

There are various reproductive health options for gay and lesbian couples who want to become biological parents. However, there remains controversy regarding the use of assisted reproductive technology for gay and lesbian couples. This article describes assisted reproductive technology options for gay and lesbian couples, socio-cultural and gender issues, ethical and legal considerations that influence access to reproduction options, and implications for counseling.     

Essential components of curricula for preparing therapists to work effectively with lesbian, gay, and bisexual clients: a Delphi study

The purpose of this study was to determine the knowledge, experiences, and values that therapists should possess to provide quality therapy services to lesbian, gay, and bisexual (LGB) persons and their families. Using the Delphi method, consensus from a panel of experts on LGB topics was obtained on the components that training curricula should ideally include to prepare therapists adequately to work with this population. Panelists provide suggestions for important therapist values and qualities, key theoretical orientations, common issues of LGB clients and their support persons, key components of assessment and interventions, ethical and legal issues, and recommended materials. The panelists stress self-of-the-therapist work and development of a systemic perspective as critical aspects of training. The role of sexuality was deemphasized. Recommendations to training programs based on these findings are provided.     

Chapter 3: Social Services and Bereavement in the Lesbian and Gay Community

Social service programs to address multiple loss in the gay and lesbian community must incorporate an understanding of the relationship between bereavement and the gay and lesbian experience including issues of stigma, homophobia, and the cumulative effects of stress. To address the collective experience of multiple loss, individual, family, and group interventions should be conducted in conjunction with social supports, community rituals, and political activity. Agencies need to prepare by instituting staff education and specific organizational policies to address HIV and bereavement, and provide organizational support to social service staff to facilitate the effective delivery of bereavement services.