Issu psychotherapy wh lbian and gay men: A survey of psychologists

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ISSU ARISG PSYCHOTHERAPY WH LBIAN, GAY, BISEXUAL, AND TRANSGENR PATIENTS

The missn of CLGC's Task Force on Bias Psychotherapy wh Lbians and Gay Men was to scribe the range of problems that gay male and lbian clients n face psychotherapy and to provi an empiril basis for the velopment of guil and suggtns for practice. * therapist for gay issues *

Although a person’s sexual or romantic orientatn or genr inty may not be a source of distrs, people who intify as lbian, gay, bisexual, transgenr, queer, qutng, asexual, or any other orientatn or genr inty may fd that the social stigma of livg as a mory is a source of strs or anxiety. Acrdg to a 2007 survey, stunts who intified as lbian, gay, bisexual, or transgenr were almost ten tim as likely to have experienced bullyg and victimizatn at school and more than twice as likely to have nsired suici as their heterosexual, non-transgenr classmat wh the prev year.

Early edns of the Diagnostic and Statistil Manual (DSM) intified homosexualy as a mental disorr, until clil rearch monstrated sexual or romantic attractn to someone of the same genr is a normal, healthy, posive form of human sexualy. LGBTQ-affirmative therapists will be versed the negative effects of homophobia, biphobia, transphobia, and heteronormativy (the assumptn that heterosexualy is “normal” and superr) and help clients navigate the challeng they prent—as well as relatnship problems, fay tensn, or other day-to-day ncerns for which a client might seek are the advantag of seeg an LGBTQ-iendly therapist?

ISSU PSYCHOTHERAPY WH LBIAN AND GAY MEN: A SURVEY OF PSYCHOLOGISTS

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In many ways, the practice of psychotherapy wh lbian, gay, bisexual, and transgenr (LGBT) patients do not differ om treatments ed wh heterosexual, genr nformg, and cisgenr patients. In this article, the abbreviatn LGBT is ed as shorthand for a wi range of inti, sometim wrten as LGBTQQI+, meang lbian, gay, bisexual, transgenr, queer, qutng, and tersex, wh the + ditg that the list do not leate all possible sexual and genr inti. A lbian, gay, bisexual, or transgenr inty is evably lked to multiple inti: child, parent, spoe and/or partner, siblg, profsnal, employer, employee, ngregant, patient, or if a patient’s LGBT inty is not the primary foc of treatment, s impact on the urse of treatment should not be unrtimated or overlooked.

However, this attu may overlook the fact that growg up lbian, gay, bisexual, or transgenr is a different cultural experience than growg up heterosexual and cisgenr. Lendg support to that observatn is the fact that 30% of homels youths are LGBT, most often rultg om beg forced out of their home or feelg a need to n away om home bee their sexual orientatn, genr inty, and/or genr exprsn are not accepted (15) the nsequenc of wispread negative attus toward LGBT dividuals, is not surprisg that they may be unable to acknowledge to themselv, or reveal to others, any homoerotic feelgs, attractns, or fantasi. Clil prentatns related to beg the closet n vary severy, om the ls tense se of a young adult man nsirg the possibily that he might be gay to more severe maniftatns, which any ht of same-sex feelgs ris totally out of nsc awarens.

GAY THERAPY, GAY THERAPISTS, GAY TREATMENT

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Stayg the closet is sometim done for relig reasons; at other tim is due to personal choice, such as an dividual’s efforts to mata a stable, heterosexual, cisgenr Out of the ClosetGay people the pre-war years, then, did not speak of g out of what we ll the “gay closet” but rather of g out to what they lled “homosexual society” or the “gay world, ” a world neher so small, nor so isolated, nor, often so hidn as “closet” impli. Herdt and Boxer (20) have scribed g out as a rual procs of passage requirg a lbian, gay, or bisexual person to unlearn prcipl of sentialist heterosexualy, unlearn stereotyp of homosexualy, and learn the ways of LGBT culture. The fantasied beliefs are often enabled, sometim even enuraged, by clicians who believe that two people talkg a room have the necsary tools to disver the origs of eher homosexual or transgenr realy, any “” rema unknown (26).

LGBTQ+ AFFIRMG THERAPISTS NEW YORK, NY

In the se of lbian, gay, and bisexual people, the etlogil narrativ take three forms: theori of normal variatn, theori of pathology, and theori of immatury (14, 30).

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