A Clinical Comparison of Lesbian and Heterosexual Women in a Psychiatric Outpatient Clinic

ABSTRACT

Previous research has reported that when compared to heterosexual women, lesbians may use alcohol and illicit substances to a greater degree and may experience greater psychiatric symptomatology. This study sought to describe any differences in clinical diagnoses, familial histories, and substance usage between lesbian and heterosexual women in a psychiatric outpatient clinic. A chart review was conducted and a sample of 455 heterosexuals and 75 lesbians was obtained. Data, where available, included demographic information, clinical diagnoses, time in treatment, sexual orientation, past and present substance use, and familial substance abuse and psychiatric history. Lesbians were found to have greater past illicit substance use but less current use. No significant differences were found for alcohol use. Similarly, no significant differences in clinical diagnoses were found. Significant differences were found among families. Family members of lesbians had greater substance use and psychiatric histories. These findings both support and dispute some previous research and suggest areas for future researchers to explore.     

Stepmothers’ Role in Mediating Adverse Effects on Children of Divorce

Divorce and remarriage can be a stressful time for children: Stepmothers can aid in reducing negative repercussions. Effectively incorporating stepmothers into the family can aid in a healthy transition. Addressing role ambiguity, relationships, communication styles, and reorganization can help families avoid unnecessary stress during divorce and remarriage. Interventions that focus on increasing coping mechanisms and effective communication help reduce negative side effects and aid in the successful reorganization of the family following divorce or remarriage. Counselors can aid in this process by supporting families using structural family therapy (SFT) and suggesting interventions. When counselors and society support the diverse compositions of families, this reorganization can happen with less distress for the children involved.     

Micro‐provision of Social Care Support for Marginalized Communities – Filling the Gap or Building Bridges to the Mainstream?

As English social care services reconstruct themselves in response to the personalization agenda, there is increased interest in the contribution of micro‐providers – very small community‐based organizations, which can work directly with individuals. These micro‐providers are assumed to be able to cater for the ‘seldom heard’ groups which have been marginalized within mainstream social care services. This article reviews recent literature from the UK published in peer‐reviewed journals from 2000 to 2013 on support provision for people with protected characteristics under the Equality Act 2010. It considers the marginalising dynamics in mainstream, statutory social care support provision, and how far local community, specialist or small‐scale services are responding to unmet need for support and advice among marginalized groups. The review found that there is a tradition of compensatory self‐organization, use of informal networks and a mobilization of social capital for all these groups in response to marginalization from mainstream, statutory services. This requires recognition and nurturing in ways that do not stifle its unique nature. Specialist and community‐based micro‐providers can contribute to a wider range of choices for people who feel larger, mainstream services are not suitable or accessible. However, the types of compensatory activity identified in the research need recognition and investment, and its existence does not imply that the mainstream should not address marginalization.     

Legible lesbian lines: The bilingual poetry of Irena Klepfisz

Abstract

This article focuses on the poetry of Jewish lesbian poet Irena Klepfisz, written in New York starting in the 1970s. While drawing on the tradition of Yiddish women’s poetry from the first half of the twentieth century, both as scholar and poet, Klepfisz also creates a brand new, bilingual, Yiddish-English poetic mode. By mobilizing both Yiddish and English to voice her poetic and political concerns, Klepfisz stages the English/Yiddish encounter as a site where dominant norms in both languages can be challenged and new possibilities emerge. Exploring both her turn to the past and her bilingual poetry, this article reveals how Klepfisz puts her politics and scholarship to poetic practice and suggests that Klepfisz offers a model of queer translation that undoes the borders between past and present, English and Yiddish, creating a unique mode of Jewish lesbian reclamation and invention.     

Same-Sex Attracted,Not LGBQ: The Associations of Sexual Identity Labeling on Religiousness,Sexuality, and Health Among Mormons

ABSTRACT

In the Church of Jesus Christ of Latter-Day Saints (LDS church), beliefs about same-sex sexual attraction are carefully differentiated from beliefs about same-sex sexual behavior and identity, leading some to reject a lesbian, gay, bisexual, or queer (LGBQ) identity label in favor of declining a sexual identity or describing themselves as experiencing same-sex attraction (SSA). Using data from 1,128 sexual minority Mormons recruited from both politically conservative and liberal circles, we examined the relationship between rejecting an LGBQ identity and religiousness, attitudes toward sexuality, and health outcomes. We found that Mormons who reject an LGBQ identity were significantly more religious and less content with their sexuality but had similar health outcomes relative to LGBQ Mormons. We posit that these differences are best understood by differences in group affiliation and support, intersectional experiences with minority stressors, and the lack of generalizability of LGBQ constructs to those who reject an LGBQ identity.     

文化研究语境下的性别研究和怪异研究

女权主义早已从初期仅仅对妇女社会地位和权益的追求发展到对女性与男性之差异的认同以及对女性自身独特身份的建构。在全球化的时代,民族的迁徙和文化身份的模糊更加为性别研究的多元发展提供了条件,当代性别研究的前沿课题就在于对女性同性恋现象以及由此而来的怪异现象的研究。这两个理论课题的研究目前已经开始引起国内学者的注意,并有可能结合国内的现状而开展相应的比较研究。     

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.     

Grassroots Meet Homophobia

SUMMARY

This case study highlights the challenges and successes of a small grassroots effort to change the learning environment for GLBT youth in a local public school district located within the conservative social climate of a small city in Colorado. Strategies included tailoring the social action agenda to the unique characteristics of the conservative community; finding allies in the school district; recruiting volunteer professional talent; and reframing social justice issues to focus on the educational value that every child is entitled to a physically and psychologically safe and supportive learning environment in order to achieve full academic potential.     

Choosing Family: Meaning and Membership in the Lesbian Family of Choice

SUMMARY

This conceptual/theoretical article uses the psychodynamic Self Psychology model for the development of a vital, harmonious, and cohesive self to describe and understand the psychological importance of family for lesbian women. How can a healthy lesbian self be developed, nurtured, and maintained in an oppressive sexist and homophobic world? Family relationships are shown to fulfill the three fundamental psychological functions that sustain the lesbian self. In the absence of genetic and/or legal criteria, the basis on which someone is considered “family” is explored.     

Chapter 14. Older Lesbian and Gay Caregivers

SUMMARY

This chapter will explore the experiences of older lesbian and gay men caregivers by examining the socio-historical times in which they have lived, the impact of a lifetime of adverse societal messages about homosexuality, family rejection, and internalized homophobia, as well as their development of resiliency and psychological well-being. Once the contextual issues have been identified, the research on older lesbian and gay caregivers for families of origin and families of choice will be explored.