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.     

Just Molly and Me,and Donor Makes Three: Lesbian Motherhood in the Age of Assisted Reproductive Technology

SUMMARY

The psychological experiences of lesbian mothers, both coupled and single, are compared and contrasted with heterosexual and gay parents who use assisted reproductive technology, focusing on issues of parental desire, fertility, babies conceived from science rather than sex, presence of an outside party in conception, genetic asymmetry, social anxieties, legal protections, disclosure, and gender. The psychological meaning of the donor or surrogate as an “extra” and “missing” piece of the family, along with the interactive effects of homophobia and “reproductive technophobia” are considered. Lesbian families are recognized to be constructing a new narrative of a bio-social family as they define and live their experience.     

Growing Up with a “Spoiled Identity”

Abstract

Being a lesbian, gay or bisexual youth means having the stigma of homosexuality or bisexuality. A stigma is anything that discredits an individual and leads to one being assigned a “spoiled identity.” With reference to lesbian, gay and bisexual youth, the stigma is considered a blemish on one's character that often leads to stereotyping and stigmatisation. This homophobia puts many lesbian, gay and bisexual youth at risk for suicide, chemical abuse, dropping out of school, verbal and physical abuse, homelessness, prostitution, HIV infection, and psychosocial developmental delays. Approaches and strategies for working with lesbian, gay and bisexual youth are suggested and trends and issues about homosexuality in the United States, with a potential impact on lesbian, gay and bisexual youth, are discussed.     

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.     

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.     

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.     

A Missing Voice

Abstract

Contemporary gay and lesbian social service literature still heavily focuses on White middle/upper-class issues and uses an isolated and fixed concept of homosexuality. As a result, the discourse has only a limited applicability to people with “dual” or “multiple” identities, accentuating the power of those who control the discourse and the oppression of those with “dual” or “multiple” identities. Using Asians as a case example, I argue that the lack of published articles about Asians in contemporary gay and lesbian social service literature is the result of the different worldviews of Asian and White queers. However, this deficiency is sustained by social structures that are saturated with White middle/upper-class values. Implications of this situation and some directions for social change are discussed.     

Gay and Lesbian Couples at Home: Identity Work in Domestic Space

ABSTRACT

Social research into gay/lesbian experiences of home has tended to posit domestic environments as alienating for gay/lesbian subjects, silencing their sexual identities. Meanwhile, work on the spatiality of sexual identity more broadly has largely focused on individuals or communities, not couples or households. In this context, this article aims to recover the importance of home for gay/lesbian couples. I explore how cohabiting gay/lesbian couples generate shared identities through domestic space, examining various ways in which these couples use homes to establish and consolidate their partnerships. Empirical data is drawn from twenty-three in-depth interviews with gay/lesbian Australians who are cohabiting, or have cohabited, with a long-term partner. The sample is largely limited to white, educated, middle-class gay men and lesbians living in urban Australia, providing an ethnographic window into the domestic identity-formation of a particular community of practice. Four key themes regarding “coupled identities” at home emerged from the interviews: (i) the importance of privacy and control at home for enabling gay/lesbian partnerships; (ii) the negotiated creation and use of shared domestic spaces; (iii) the accumulation and arrangement of household objects in those domestic spaces; and (iv) the importance of maintaining separate “personal” spaces for each partner for the well-being of the relationship.     

Sexual Orientation Identity Formation among Gay,Lesbian, and Bisexual Youths: Multiple Patterns of Milestone Experiences

This study examined variations in “coming out” for gay, lesbian, and bisexual youths (N= 72), ages 16 to 27. To indicate the timing and sequence of developmental stages, the respondents reported the ages at which they had completed 10 milestone events involving self‐awareness, sexual experiences, and disclosure to others, and also reported on current immersion in gay/lesbian/bisexual social networks. Cluster analysis identified five patterns of experiences. Three groups had generally early trajectories, two of which had specific delays in either sexual activity or disclosure. Two other clusters had relatively late trajectories, one of which also reported the lowest levels of gay/lesbian/bisexual social immersion. Comfort with sexual orientation was greatest in persons with early patterns and lowest within the group with late trajectories and limited gay/lesbian/bisexual social immersion.     

Heterosexism and Social Work

Abstract

This study examined heterosexism among 409 Illinois school social workers. Heterosexism was found to be negatively correlated with “education about” and “positive contacts with” gay and lesbian individuals and positively correlated with “religiosity.” Most respondents showed some level of heterosexism with a few having very high levels. Only 15% were non-heterosexist. Respondents reported receiving little or no education about sexual minorities in their social work training. Most indicated that the training received was not adequate preparation for working with gay and lesbian individuals. Amount of education received increased with each of CSWE's educational mandates about sexual minorities but had no significant effect on heterosexism.     

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.     

“Family” Support for Family Violence: Exploring Community Support Systems for Lesbian and Bisexual Women Who Have Experienced Abuse

ABSTRACT

“Family” is a euphemistic term that lesbian, gay, bisexual, and transgender (LGBT) people use among ourselves to designate membership in lesbian, gay, bisexual, and transgender communities. Ironically, this “family” may be the most sought, yet least successful, support for dealing with the intimate partner violence that occurs within LGBT families. This study of 11 lesbian and bisexual women's experiences seeking support revealed several tiers of unmet needs within the LGBT community. They rarely used services in the general community, although these services are often the focus of both criticism and efforts to build support systems for LGBT victim/survivors. A model presents the different stages and potential sources of support.     

Whose Problem is This?

Abstract

This paper is concerned with how the needs of lesbian and gay youth are situated and defined in educational contexts and the intended and unintended consequences of framing their needs in particular ways. It is based on a case study of a senior college in New Zealand where a strategy for dealing with gay and lesbian youth was framed within a climate of market-driven educational reforms and where queer youth were viewed within the discourse of being “at risk.” This enabled the school to promote itself as providing a caring and nurturing environment without jeopardizing its position in the marketplace. However, this strategy had the unfortunate consequences of re-pathologizing lesbian and gay students and constructing their sexuality as a personal problem.     

Competencies at the Intersection of Difference,Tolerance, and Prevention of Hate Crimes

Summary

This article develops competencies for social workers to enable them to counter harassment and hate crimes by examining the intersection of “self” and “other” when the “other” is either a gay man or a lesbian or when the “other” is the perpetrator of hate crimes. The authors contend that there is a cultural foundation to hate crimes and that it involves oppression like that experienced by other minority groups, that this oppression is supported by the dominant culture, and that oppressive behaviors can be changed. A typology of five competency areas is presented to develop culturally relevant knowledge, attitudes, and skills that strengthen understanding and tolerance for gay men and lesbians and to work with those who oppress them.     

Dimensions of Lesbian Identity During Adolescence and Young Adulthood

Abstract

As knowledge about gay, lesbian, bisexual, and transgender people continues to mature, social work research must address the complexity of key issues, including sexual identity. The present study examined dimensions of sexual identity among young women who identify as questioning or lesbian, and it illustrates the progress being made in conceptualization and measurement in this area.

Three distinct dimensions of lesbian identity were found: “New Identity Possibilities,” “Consolidation and Fulfillment,” and “Stigma and Mistreatment Management.” For these young women, individual and social dimensions of identity development were not distinct as had been previously hypothesized. These findings are discussed in relation to theory and future research that attends to the intersection of gender, age, and sexual identity.     

Reparative Therapy for Gays and Lesbians

Abstract

In recent years there has been much public controversy about “conversion or reparative therapies” designed to change homosexuals into heterosexuals. Various national mental health associations have taken a stand against these therapies. Social service professionals who work with gay and lesbian clients need to develop beliefs about the mutability of sexual orientation that reflect sound research findings.     

Becoming Lesbian Adoptive Parents

ABSTRACT

Legal, public policy, and social biases make the process of becoming a family difficult for lesbian and gay parents. Currently Massachusetts prohibits discrimination on the basis of sexual orientation against individuals who apply to become adoptive parents, and allows second parent adoptions enabling adults to adopt a partner's child. We surveyed lesbian adoptive parents, heterosexual adoptive parents, and lesbian parents who used assisted fertilization to determine if the adoption process is similar for lesbian and heterosexual couples, and if lesbian adoptive parents are similar to lesbian parents who use assisted fertilization. The adoption process was similar for both lesbian and heterosexual parents, but lesbian adoptive parents perceived more discrimination and were more inclined to omit information during the home study. Lesbian biological parents found conception, pregnancy and birth “easy.”     

Traversing the Margins: Intersectionalities in the Bullying of Lesbian,Gay, Bisexual and Transgender Youth

SUMMARY

This study explores the perspectives of service providers and youth advocates on bullying of lesbian, gay, bisexual and transgender (LGBT) youth and intersectionalities in LGBT peer victimization. In depth, semi-structured interviews were conducted with nine key informants (4 male, 4 female, 1 transgender male; 4 gay, 3 lesbian, 2 non-identified; 6 white, 1 South Asian, 2 Middle Eastern) recruited using purposive sampling from diverse education and social service settings. Narrative thematic analysis and a constant comparative method were used to identify themes. Five themes emerged from the data: (1) “transgressing gender norm boundaries”; (2) homophobic sexism vs. sexist homophobia; (3) “you choose sexuality or you choose race”; (4) newcomer youth and citizenship; and (5) “multiple wires together … create the cage.” Findings suggest the importance of an intersectional approach to conceptualizing and addressing LGBT bullying and to uncovering the differential experiences of bullying among LGBT youth. Bullying related to sexual orientation should not be assumed to be the only or primary form of violence shaping the lives of LGBT youth.     

Theologies of Exclusion: Christian Universities and Discrimination against Sexual Minorities1

Abstract

In an era of rapidly evolving attitudes toward lesbian, gay, bisexual, and transgender rights, why do some Christian colleges and universities continue to discriminate against lesbian, gay, and bisexual students? The most intuitive answer to this question might point to many religious traditions’ conservative teachings about same-sex relationships. Nevertheless, many schools associated with socially conservative religious traditions are actually inclusive of their sexual minority students. Building on recent insights from the literature on religion and the “culture wars,” and analyzing original data on student handbook bans on same-sex relationships and “homosexual behavior” across 682 Christian colleges and universities, I show that it is when schools are associated with individualist religious traditions that emphasize personal piety that conservative teachings on same-sex relationships are associated with discrimination against sexual minorities. The study holds implications both for research on the exclusion of sexual minorities in schools and for theoretical debates on the relationship between religion and social injustice.     

Sappho Goes Hollywood

Abstract

This essay recalls an evening at a lesbian social club in the mid-1980s just prior to the eventual boom in gay and lesbian film distribution. A popular “video night” served as the occasion for a lecture/presentation by an independent filmmaker who had carefully compiled a history of lesbian film images. This informal introduction to Hollywood lesbophobia, in contrast to our search for positive screen images which reflected our active and healthy lives, gave impetus to numerous creative projects amongst the club membership, including a successful attempt to meet with actress Lily Tomlin.