Lesbians and Gay Men Embrace Their Sexual Orientation After Conversion Therapy and Ex-Gay Ministries

Abstract

This article examines narratives of gay men and lesbians who participated in conversion therapies and/or ex-gay ministries in order to change their sexual orientation to that of heterosexual. Data for this study were gathered through an analysis of the stories of 14 people, published in a document titled Finally Free, who describe their negative experiences with conversion therapy through ex-gay ministries. Analysis of the data revealed seven common psychosocial issues faced by gay men and lesbians who turned to conversion therapy in an attempt to become heterosexual. These issues provide knowledge for social workers' intervention with gay men and lesbians seeking healing and personal growth after participating in conversion therapy and ex-gay ministries.     

Self-reported Barriers to Professional Help Seeking Among College Students at Elevated Risk for Suicide

Abstract

Objectives: This study sought to describe self-reported barriers to professional help seeking among college students who are at elevated suicide risk and determine if these barriers vary by demographic and clinical characteristics. Participants: Participants were 165 non–treatment seekers recruited as part of a Web-based treatment linkage intervention for college students at elevated suicide risk (from September 2010 through December 2011). Methods: Data were collected using Web-based questionnaires. Two coders coded students’ responses to an open-ended question about reasons for not seeking professional help. Results: The most commonly reported barriers included perception that treatment is not needed (66%), lack of time (26.8%), and preference for self-management (18%). Stigma was mentioned by only 12% of students. There were notable differences based on gender, race, and severity of depression and alcohol abuse. Conclusions: Efforts aimed at reaching students at elevated risk for suicidal behavior should be particularly sensitive to these commonly described barriers.     

Battered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-Seeking

SUMMARY

A qualitative, pilot study employing in-depth ethno-graphic interviews was conducted to examine perceptions and attitudes towards abuse and the help-seeking behaviors of a sample of ten battered immigrant Mexican women. Findings indicated that participants' attitudes about seeking help were influenced more by cultural factors (e.g., gender-role expectations, famialism) than by psycho-social stres-sors (e.g., immigrant status, financial dependency). Children's welfare played a salient role in women's decisions about seeking help, both as a deterrent and a motivating factor. Women's attitudes about their own abuse were more tolerant than their attitudes about hypothetical situations involving others. Changes in women's attitudes about abuse reflected changes only after some type of intervention had taken place. The majority of the women in the sample had misconceptions or were uninformed about shelters. Suggestions for further research and intervention with this population and a model of internal and external determinants of help-seeking behavior are presented.     

Sexual Behaviors and Sexually Transmitted Diseases of Lesbians

ABSTRACT

The Boston Lesbian Health Project surveyed 1633 lesbians about their health status, health related behaviors and health problems. This paper reports on those parts of the questionnaire that dealt with sexual behaviors and sexually transmitted diseases. The sample was predominantly monogamous, but few had been in their present relationship for more than five years. Sexual practices were similar to those reported in previous studies of lesbians and to those reported in a study of heterosexual women. Sexually transmitted diseases were rare in women who had never had sex with a male partner. The majority of the sample did report a history of male sexual partners and therefore are at risk for abnormal pap smears and other sexually transmitted diseases.     

Lesbians in Psychotherapy

SUMMARY

Using self-report measures, this study explored the relationship of attachment style and internalized shame among 100 self-identified lesbians. The participants were in the highest stage of lesbian identity integration (Cass's model, stage 6, synthesis) and were in ongoing interpersonal psychotherapy. Compared to earlier research on a non-clinical national sample of 317 self-identified lesbians, this sample of mid-life lesbians (predominantly European-American and college educated) reported higher levels of secure attachment and lower (non-clinical) levels of internalized shame. Collectively, scores of the four attachment styles predicted 43% of the variability in internalized shame. Secure attachment significantly predicted reduced shame. This article includes a discussion of theoretical and practical implications of the findings.     

Factors Influencing the Sexual Relationships of Lesbians and Gay Men

ABSTRACT

This study examined the rewards and costs that lesbians and gay men experience in their sexual relationships. Participants were 23 lesbians and 15 gay men who completed questionnaires and participated in a semi-structured interview. Frequently identified sexual rewards included emotional and physical intimacy, feeling accepted and supported, communication, and a positive view of self. Sexual costs included feeling vulnerable and negative social and cultural attitudes toward same-sex relationships. Sexual rewards and costs tended to cluster into three main categories: relationship factors, sexual factors, and factors related to being a sexual minority. The participants' responses illustrate the limitations of applying conventional (biomedical) models of sexual response to men as well as to women. Moreover, they strengthen calls for theories of sexual functioning that are based on diverse experiences and that consider sociocultural, political, economic, relational, psychological, and medical factors.     

Gay and Bisexual Married Men's Attitudes and Experiences

Abstract

In this study, 20 gay or bisexual men's experiences of coming out to wives were explored. Specifically, their attitudes and behaviors before, during, and after marriage were examined. Findings were provided about upbringing, reasons for entering marriage, and the coming out process. Through semi-structured interviews information was obtained about the factors which led up to the revelation of homosexuality or bisexuality and about how these men experienced their relationships with their wives and family after coming out. The interviews revealed the fears which prevented these men from coming out earlier in their lives. The most common reason for entering marriage was due to social and family pressure and because of the desire to have a normal, healthy life. Attitudes toward gays and lesbians were negative before marriage and worsened following disclosure.     

The Influence of Gender on the Placement of Children with Gay or Lesbian Adoptive Parents

Abstract

This study examines the opinions of men and women from a random phone sample of super voters (those persons voting in the last three out of four possible elections) in Florida (N = 413) toward gay men and/or lesbians as adoptive parents. The survey gathered information on whether the respondents would place boys or girls available for adoption with gay men or lesbians. Controlling for various demographic variables, bivariate logistic regressions were performed for each possible parent/child combination. Several variables were consistently significant across the models tested, explaining from 22 to 29% of the variance. These included race/ethnicity, religious identification, respondent's gender, and political ideology. Implications of this study for policy-makers and child welfare practitioners are posited.     

Help Seeking and Treatment Use Among Suicidal College Students

Abstract

Objectives: Many suicidal college students do not receive mental health treatment, and the reasons for this are not fully understood. This study examines how attitudes, beliefs, and social network factors relate to help seeking among suicidal students. Participants: A random sample of 8,487 undergraduate and graduate students from 15 US universities participated. Methods: A Web-based survey administered in spring 2009 examined correlates of mental health service utilization among students reporting serious thoughts of suicide in the previous year (n = 543). Results: Correlates of treatment use included perceived need, beliefs that treatment is effective, contact with service users, lower personal stigma, higher perceived stigma, fewer positive relationships, and sexual minority or Caucasian identity. Conclusions: Help seeking among suicidal students is associated with a range of personal and social network factors. Campus strategies to enhance help seeking should be tailored to address identified facilitators and barriers to treatment use among target populations.     

American Indian Lesbians and Gays

Abstract

This article is a study of American Indian lesbians and gays. Using interview content, this study helps practitioners understand these virtually unstudied individuals. Interview data are compared to reports in the literature in an effort to understand how American Indian lesbians and gays are similar to and different from other lesbians and gays. Implications about future research and social work practice with American Indian lesbians and gays are discussed.     

From Fragmentation to Integration

Abstract

Within the mental health field, there is an increased attention to issues of diversity. However, this awareness has not yet been applied to racially and culturally diverse gays and lesbians who are chronically mentally ill. Some of the reasons for this include the long history of homogeneity of American institutions; the underutilization of mental health services by minority groups; the stigmatization of the mentally ill; and homophobia, within both the psychiatric community and society at large. As a result, there is a need for mental health professionals to acknowledge minority gays and lesbians with chronic mental illness, and begin to provide programs that affirm their sexual orientation, race, and cultural identities.     

A Study of Attitudes Towards Gays and Lesbians in the State of Utah,U.S.A.

Abstract

The purpose of this study was to examine Utahans' attitudes towards gay and lesbian people and their civil rights. Utah politics are dominated by the Church of Jesus Christ of Latter Day Saints (the Mormons) and the Republican Party, with membership typically shared by the two. However, Mormon sociocultural values are also distinctively pro-family and companionate. We wondered to what extent caring, warmth, and inclusiveness toward family members mitigated against the doctrinaire injunction to reject homosexuality and, if necessary, to reject family members who were homosexual.

We found that proponents of gay and lesbian civil rights were likely to be personally familiar with gays and lesbians, to have empathetic attitudes about gay and lesbian youth and being out, and to possess a commitment to legal rights for gay and lesbian individuals and families. Opponents of gay and lesbian civil rights were driven by moralistic imperatives about sexuality and the roots of sexual behavior, made a sharp distinction between what they perceived as social privileges and legally mandated rights and were not likely to have had much direct contact with gay and lesbian people. Our results suggest that Utahans indeed appear to be torn, or at best ambivalent, about the religious mandate to condemn homosexuality while at the same time prizing family ties and relationships above other values. For the same reasons, political actions directed at obtaining specific legal rights for gays and lesbians appear to have more support than expected, especially in the realms of partner benefits, employment discrimination, health benefits, and private freedoms. Legal marriage, however, is soundly rejected as a possibility, especially in view of the belief that marriage is sacred and exclusively for heterosexuals.     

Sex differences in how heterosexuals think about lesbians and gay men: Evidence from survey context effects

Two experiments were embedded in a 1997 telephone survey of U.S. households to assess possible differences in how heterosexuals think about lesbians versus gay men. In each experiment, one half of the sample first responded to one or more attitude items about lesbians, followed by comparable items about gay men. The other half received the gay male item(s) first. Results are reported separately for White (N = 976) and Black (N = 479) heterosexuals. For White and Black men alike, self‐reported attitudes toward lesbians tended to be more favorable when they were assessed without reference to gay men (i.e., lesbian items presented first). White men's reactions to gay men tended to be less negative when assessed after the questions about lesbians were presented, but Black men's responses did not consistently show this pattern. For some items, women gave more favorable ratings of lesbians and less favorable ratings of gay men when the lesbian items were presented first. The findings suggest possible gender differences in the cognitive organization of heterosexuals ‘ attitudes toward lesbians and gay men.     

A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

Does self-help increase rates of help seeking for student mental health problems by minimizing stigma as a barrier?

Objective: This study examined whether self-help (books, websites, mobile apps) increases help seeking for mental health problems among college students by minimizing stigma as a barrier. Participants and Methods: A survey was conducted with 200 college students reporting elevated distress from February to April 2017. Results: Intentions to use self-help were low, but a significant portion of students unwilling to see mental health professionals intended to use self-help. Greater self-stigma related to lower intentions to seek professional help, but was unrelated to seeking self-help. Similarly, students who only used self-help in the past reported higher self-stigma than those who sought professional treatment in the past. Although stigma was not a barrier for self-help, alternate barriers were identified. Conclusions: Offering self-help may increase rates of students receiving help for mental health problems, possibly by offering an alternative for students unwilling to seek in-person therapy due to stigma concerns.     

Lesbian Health

ABSTRACT

Health care research suggests that lesbians may face unique physical and mental health risks, yet few studies make use of gender and sexuality theories to explain lesbian health. In this study, a social constructionist view of sexuality is used to examine the impact of lesbian identity on well-being. Drawing from nineteen intensive interviews with women who self-identify as lesbians, the results show that individuals' sexual identities change over time and are affected by their social environments. The data also demonstrate that sexual identity and social context have implications for well-being. Specifically, hostile environments, which are characterized by animosity toward gay men, lesbians, and others who do not conform to heteronormative gender expectations, are associated with distress over lesbian identity and with physical and mental health problems. By contrast, supportive environments, which many women report finding through feminism, facilitate the construction of a positive lesbian identity and enhance well-being.     

An Empirical Investigation of the Envelope Theory

Abstract

The Envelope Theory stipulates that, if perceived and expended energy levels are kept relatively at the same levels, people with Chronic Fatigue Syndrome (CFS) will slowly gain strength and energy. Based on this theory, an intervention was developed that provided feedback to participants with CFS about discrepancies in perceived versus expended energy levels. As part of this intervention, a buddy was provided to help with household tasks in order to reduce excessive energy expenditures. Post-test results revealed a decrease in participants' fatigue severity ratings, and positive changes were recorded for five CFS somatic symptoms. Participants also reported increases in optimism regarding recovery, positive re-interpretation and growth, and information seeking behavior. The implications of these findings are discussed.     

Stalking Victimization Among College Women and Subsequent Help-Seeking Behaviors

Objective: The authors examined the incidence of stalking victimization and subsequent help-seeking behaviors among college women. Participants and Methods: A stratified random sample of college women (N = 391) completed an anonymous Internet-based questionnaire in spring 2006. Results: One-fifth of women reported stalking victimization while enrolled at their current institution. Individuals known by victims, such as the following, were most commonly reported as stalkers: acquaintances (48.7%), classmates (37.2%), and boyfriends or ex-boyfriends (34.6%). Approximately half of the women reporting stalking victimization acknowledged not seeking help from anyone in relation to these incidents. Of those seeking some sort of help, most sought assistance from friends (90.2%), parents (29.3%), residence hall advisors (12.2%), or police (7.3%). Conclusion: Comparing their findings to a national study of college women, the authors report that being watched, followed or spied on, and sent unsolicited emails are stalking behaviors on the rise. They present implications for college health and future directions for research.