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

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Peter Hegarty, PhD, discs his own rearch on dory gaydar and ntug discrimatn agast LGBTQ people.

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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? 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.

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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. This article foc on the APA’s “Guil for psychotherapy wh lbian, gay and bisexual clients, ” begng wh a brief discsn of signifint effects of stigma and “mory strs" on LGB dividuals.

The LGB Guil at a Glance The “Guil for psychotherapy wh lbian, gay and bisexual clients” (APA, 2000) were created to help psychologists intify the fundamental issu unique to the asssment and treatment of LGB dividuals, upl, and fai. This page provis accurate rmatn for those who want to better unrstand sexual orientatn and the impact of prejudice and discrimatn on those who intify as lbian, gay, or bisexual.

Public opn studi over the 1970s, 1980s, and 1990s routely showed that, among large segments of the public, lbian, gay, and bisexual people were the target of strongly held negative attus. The associatn of HIV/AIDS wh gay and bisexual men and the accurate belief that some people held that all gay and bisexual men were fected served to further stigmatize lbian, gay, and bisexual people. Dpe the persistence of stereotyp that portray lbian, gay, and bisexual people as disturbed, several s of rearch and clil experience have led all mastream medil and mental health anizatns this untry to nclu that the orientatns reprent normal forms of human experience.

APA’S GUIL FOR PSYCHOTHERAPY WH LBIAN, GAY AND BISEXUAL CLIENTS: THE FUNDAMENTALS FOR PRACTICE

Helpful rpons of a therapist treatg an dividual who is troubled about her or his same sex attractns clu helpg that person actively pe wh social prejudic agast homosexualy, succsfully rolve issu associated wh and rultg om ternal nflicts, and actively lead a happy and satisfyg life.

The phrase “g out” is ed to refer to several aspects of lbian, gay, and bisexual persons’ experienc: self-awarens of same-sex attractns; the tellg of one or a few people about the attractns; wispread disclosure of same-sex attractns; and intifitn wh the lbian, gay, and bisexual muny. Th, is not surprisg that lbians and gay men who feel they mt nceal their sexual orientatn report more equent mental health ncerns than do lbians and gay men who are more open; they may even have more physil health problems.

DR. EVELYN HOOKER: PSYCHOLOGIST AND GAY ALLY

Lbian, gay, and bisexual youth who do well spe strs—like all adolcents who do well spe strs—tend to be those who are socially petent, who have good problem-solvg skills, who have a sense of tonomy and purpose, and who look forward to the future. If they are a heterosexual relatnship, their experienc may be que siar to those of people who intify as heterosexual unls they choose to e out as bisexual; that se, they will likely face some of the same prejudice and discrimatn that lbian and gay dividuals enunter.

Although parable data are not available, many sgle lbians and gay men are also parents, and many same-sex upl are part-time parents to children whose primary rince is elsewhere. For example, are the children of lbian or gay parents more vulnerable to mental breakdown, do they have more behavr problems, or are they ls psychologilly healthy than other children? The picture that emerg om this rearch shows that children of gay and lbian parents enjoy a social life that is typil of their age group terms of volvement wh peers, parents, fay members, and iends.

In summary, social science has shown that the ncerns often raised about children of lbian and gay parents, ncerns that are generally ground prejudice agast and stereotyp about gay people, are unfound.

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Overall, the rearch dit that the children of lbian and gay parents do not differ markedly om the children of heterosexual parents their velopment, adjtment, or overall well-beg.

Lbian, gay, and bisexual people who want to help rce prejudice and discrimatn n be open about their sexual orientatn, even as they take necsary preutns to be as safe as possible. When lbians, gay men, and bisexual people feel ee to make public their sexual orientatn, heterosexuals are given an opportuny to have personal ntact wh openly gay people and to perceive them as dividuals. Antigay attus are far ls mon among members of the populatn who have a close iend or fay member who is lbian or gay, pecially if the gay person has directly e out to the heterosexual person.

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Kim Mills: June is LGBTQ Pri Month, marked by march and memoratns to celebrate LGBTQ culture and advote for the rights of lbian, gay, bisexual, transgenr and queer people the US and around the world. In addn to his work the history of psychology, he nducts experimental rearch areas cludg dory gaydar and how beliefs about the blogil basis of sexual orientatn fluence prejudice and discrimatn.

Some of our listeners might not really be aware of how psychiatry was pelled to remove homosexualy om the Diagnostic and Statistil Manual of Mental Disorrs, which is pretty much the arber of what nstut a mental illns or a mental disorr among all behavral health practners.

He thought, "If I go outsi of the ci, and I go outsi of the ltle ty ltle secret gay enclav, then I'm gog to fd the people who are very different om each other, and 's gog to challenge this stereotype about what the signs of homosexualy are, " which were thgs like genr versn, or artistic terts for men, or thgs like that. The Rorschach tt was the target of a ntrolled experiment that Hooker did, as well, where she took gay and straight men, gave them all Rorschach tts, and found that there was no difference.

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

I thk what Hooker did is, she took that sort of scientific lens that had always been sort of lookg at gay people and assumg there was a difference between gay and straight people, and g that difference whether was real or purported, to kd of build a fic mol and build a diagnosis, and build a mental health story. And there you n see that some people who had been leadg the kd of gay affirmative iative the 1970s, particularly Steven Morand, whose now a unselg psychologist, wrg there and sayg, "This should be an issue.

But I thk, once that happened, and once HIV/AIDS beme a way for psychologists and for psychology the Uned Stat, to have a more productive relatnship wh thgs like the NIMH, fundg streams, and so on, I thk took some ias that gay and lbian people were jt people, that were kd of a ltle b margal, they were que margal the 1970s.

But that trajectory was already set tra by earlier stuff about sodomy laws, equal employment laws, parents rights to ctody of their children, and other thgs where APA had gone to urt about lbian and gay rights. I thk a pot here, and I thk this is kd of difficult for some people, maybe, to wrap your head around, is that y, there is this kd of genr-y kd of stereotypg around gay and lbian people that happens all the time.

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That's why we kd of thought, "Actually, I thk stat needs to be thought about this equatn as well when we thk about what is the landspe of discrimatn that people might enunter if they are lbian and gay, " or even if they sound lbian or gay. Mills: I want to wrap up wh a qutn that tak back to your book for a moment, bee you end by wrg that 's important for all psychologists to have some knowledge of the recent history of LGBT psychology and that the field offers somethg of what you ll generalizable efulns beyond gay men and lbians to whom ially applied. In 1975, the Amerin Psychologil Associatn (APA) took a strong stance regardg bias toward lbians and gay men, rolvg that "homosexualy per se impli no impairment judgment, reliabily or general social and votnal abili" (see Appendix A for the full text of the rolutn).

Regnizg that practice do not spontaneoly or quickly follow policy chang, the Commtee on Lbian and Gay Concerns (CLGC), sponsored jotly by the Board of Social and Ethil Rponsibily Psychology (BSERP) and the Board of Profsnal Affairs (BPA), formed a task force 1984 to vtigate the range of bias that may occur psychotherapy wh lbians and gay men.

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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. Although the task force cid to approach issu of sexual orientatn as a generic tegory, there are doubtls many ways which the genr of a gay male or lbian client and the genr of the therapist may be to affect the psychotherapy experience.

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