Issu Arisg Psychotherapy Wh Lbian, Gay, Bisexual, and Transgenr Patients | FOCUS

Contents:

• IF YOU’RE GAY, SHOULD YOU SEE A GAY THERAPIST?
• SHOULD GAY MEN START THERAPY?
• 5 SURPRISG FACTS ABOUT GAY CONVERSN THERAPY
• ISSU PSYCHOTHERAPY WH LBIAN AND GAY MEN: A SURVEY OF PSYCHOLOGISTS
• ISSU ARISG PSYCHOTHERAPY WH LBIAN, GAY, BISEXUAL, AND TRANSGENR PATIENTS

IF YOU’RE GAY, SHOULD YOU SEE A GAY 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. 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.

Mental health unselg and support groups that are sensive to the needs of gay and bisexual men n be pecially eful if you are g to terms wh your sexual orientatn or are experiencg prsn, anxiety, or other mental health problems. While many gay, bisexual, and other men who have sex wh men may not seek re om a mental health provir bee of a fear of discrimatn or homophobia, is important to keep this as an optn and to fd a provir that is tstworthy and patible. Addnally, a gay male therapist n spend time wh you talkg about shared gay muny norms, which n help you make cisns about what’s healthy for you and/or how you may want to modulate your behavr.

Over the years I’ve worked wh gay male clients, I’ve found some men rentful of me based on ems that are important wh our muny: my succs, what I look like, my wardrobe, or—more signifintly—their assumptns about who I am based on their own projectns.

SHOULD GAY MEN START THERAPY?

And fdg someone outsi of the gay muny who is fortable wh all aspects of a gay client’s life n be a profound and healg experience; I’ve often sent gay clients to non-gay therapists.

And sce we don’t live isolatn, a straight therapist n brg a perspective to the table that a gay therapist might not—they n speak out of their experience as a parent, for example. Even if a straight therapist has had few or no gay clients, they still might offer precisely what you need, and a rponse along the l of, “I haven’t had that many experienc, and maybe you’ll help me unrstand more” is actually pretty ial; you’ll both be engaged the procs.

His latt mic vio for the sgle "Brown Rice" (off his new album, Servg Body) has been met wh a lot of attentn for s unflchg portrayal of mental health issu cludg body image, eatg disorrs, and substance abe among gay men plex relatnships. I’ve learned that beg an artist and beg gay don’t mean I have to be treated like sh, not by energy vampir wh victim plex, not by pervy people wh power, not by un-empathic straight people, not by anyone at all, really!

5 SURPRISG FACTS ABOUT GAY CONVERSN THERAPY

Don't get ught up checkg for the lndry list of gay mons: whether your patient is reckls (like Brady) or hyper-nscient, our emotnal re is still searchg, still vulnerable, still lost a hall of mirrors, and you should be attuned to that whether we're stgglg wh meth addictn or jt tryg to navigate a difficult relatnship. But mastream psychologists say the therapy is effective, uhil and often harmful, exacerbatg anxiety and self-hatred among those treated for what is not a mental 2013, two s volvg the therapy to nvert gay people to heterosexuals h the urts, wh one seekg to sue unselors who offer the therapy and the other seekg to fend are five thgs you need to know about the therapy and the current psychologists say nversn therapy don't workA diagnosis of major prsn do not evoke much rponse, eher a stigmatizg or supportive, om a person's social work, a study dited. Instead, societal ignorance, prejudice and prsure to nform to heterosexual sir are the real dangers to gay people's mental health, acrdg to a 1997 statement on "nversn" or "reparative" therapy by the APA.

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

[7 Absolutely Evil Medil Experiments]More recently, people who have been through nversn therapy report talk therapy that emphasiz psdoscientific theori, such as the ia that an overbearg mother and a distant father make a child gay. His therapist blamed his parents for Arana's homosexualy, and urged him to distance himself om his female bt Lev, one of the men sug Jonah for ceptive practic, says that he qu nversn therapy after his therapist had him strip down and touch himself to "rennect wh his masculy, " acrdg to the New York 's happeng the urts? In 1935, Frd went even further, wrg to a woman who wanted her homosexual son nverted that homosexualy "is nothg to be ashamed of, no vice, no gradatn; nnot be classified as an illns.

One of the stranger attempts was an effort by Vienne endocrologist Eugen Steach to transplant tticl om straight men to the scrotums of gay men an attempt to rid them of same-sex sir. It didn’t of the most proment advot of nversn therapy the 1940s and 50s was Edmund Bergler, who saw homosexualy as a perversn and believed he uld "cure" gay people wh a punishment-based, nontatnal therapy the Amerin Psychiatric Associatn stopped classifyg homosexualy as a mental disorr 1973, nversn therapi lost support. A small group of psychologists, spltg wh their peers, ntue to promote the therapi, foundg the nversn therapy anizatn NARTH, or the Natnal Associatn for Rearch & Therapy of Homosexualy.

In 2003, famed psychiatrist Robert Spzer, who spearhead the removal of homosexualy om the Amerin Psychiatric Associatn's mental disorr list 1973, reported the journal Archiv of Sexual Behavr that terviews wh nversn therapy patients suggted that some people uld change their sexual paper was cendiary and highly cricized, given that relied on terviews wh patients stead of measurable benchmarks of same-sex sir. But provirs, ually unlicensed, n often disguise the terms they e to avoid beg terms clu:Sexual attractn fluidy exploratn therapy (SAFE-T)Elimatg, rcg, or creasg equency or tensy of unwanted same-sex attractn (SSA)Reparative therapySexual reorientatn effortsEx-gay mistryPromotg healthy sexualyAddrsg sexual addictns and disorrsSexualy unselgEnuragg relatnal and sexual wholensHealg sexual brokennsConversn therapy techniqu n lead to feelg “ls than” or “damaged, ” impactg self-teem. A number of medil and mental health anizatns have issued public statements rejectg the e of nversn therapy bee of many provirs who claim to be qualified to provi nversn therapy are often not licensed mental health practners or medil study found that LGBTQ (lbian, gay, bisexual, transgenr, or qutng) people who are rejected or discrimated agast are:8 tim more likely to report havg attempted suiciAlmost 6 tim more likely to report high levels of prsnMore than 3 tim as likely to e illegal dgs3 tim more likely to be at high risk of HIV and other STDsAcrdg to rearch, nearly 700, 000 LGBTQ adults the U.

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

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.

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.

A full exploratn of this plex issue would require a reful parison of the therapy experienc of lbians vers gay men wh male vers female therapists, an unrtakg beyond the spe of this article.