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

Contents:

• ISSU PSYCHOTHERAPY WH LBIAN AND GAY MEN: A SURVEY OF PSYCHOLOGISTS
• GAY AND LBIAN WELL-BEG
• LBIAN AND GAY PSYCHOLOGY: THEORY, REARCH, AND CLIL APPLITNS
• LBIAN AND GAY PSYCHOLOGY: NEW PERSPECTIV, 2ND EDN
• LBIAN AND GAY PARENTG

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

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).

GAY AND LBIAN WELL-BEG

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 goal was to clu psychologists who, regardls of their own sexual orientatn, would be likely to have knowledge of the provisn of psychotheraptic servic to gay male and lbian clients, as well as gay male and lbian psychologists who may themselv have received psychotheraptic servic. To ensure a rponse rate aquate for analysis, we ed 1986 APA membership rolls to survey all members, fellows, and associat of Divisns 44 (Society for the Psychologil Study of Gay and Lbian Issu) and 35 (Psychology of Women), and a random sample of 4, 000 licensed members of APA (balanced by genr) who were not members of eher of those divisns. I have seen several gay patients and each se the person reported that even though their prev therapist said that he or she accepted their homosexualy; the therapist ntued to foc upon their beg gay as the problem rather than upon what the person sought help for such as relatnship problems, trouble handlg guilt about wh fay or work, general social anxiety, or other problems totally unrelated to beg gay.

LBIAN AND GAY PSYCHOLOGY: THEORY, REARCH, AND CLIL APPLITNS

A therapist lacks unrstandg of the nature of lbian and gay male inty velopment, for example by nsirg a gay male or lbian inty possible only for adults, by viewg lbian or gay male inty solely terms of sexual behavr, or by terpretg a client's gay male or lbian inty as a Aphase that will be outgrown:.

A therapist unrtimat the importance of timate relatnships for gay men and lbians, for example by failg to support the matenance of or enuragg dissolutn of a client's relatnship solely bee is a homosexual relatnship, or by failg to provi or remend upl or fay therapy when would be the most appropriate terventn:. A therapist prum a client is a poor or appropriate parent solely on the basis of a gay or lbian sexual orientatn, for example by tomatilly attributg a child's problems to his or her parent(s) beg lbian or gay whout evince that this is so, or by opposg child ctody to such parents on the grounds that their sexual orientatn self mak them unf:.

Important issu not addrsed this study clu AIDS; the potential visibily and plex disclosure issu of gay male and lbian clients durg therapy; genr differenc the therapy experienc of gay men and lbians; the possible relevance of the therapist's own sexual orientatn; specific issu for gay and lbian therapists (e. Homosexualy, per se, impli no impairment judgment, stabily, reliabily, or general social or votnal pabili: Further, the Amerin Psychologil Associatn urg all mental health profsnals to take the lead removg the stigma of mental illns that has long been associated wh homosexual orientatns. The Amerin Psychologil Associatn plor all public and private discrimatn such areas as employment, hog, public acmodatn, and licensg agast those who engage or who have engaged homosexual activi and clar that no burn of such judgment, pacy, or reliabily shall be placed upon the dividuals greater than that imposed on any other persons.

LBIAN AND GAY PSYCHOLOGY: NEW PERSPECTIV, 2ND EDN

Further, the Amerin Psychologil Associatn supports and urg the enactment of civil rights legislatn at the lol, state, and feral level that would offer cizens who engage acts of homosexualy the same protectns now guaranteed to others on the basis of race, creed, lor, etc. 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.

LBIAN AND GAY PARENTG

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. 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. It is somewhat difficult to get a read on how wispread or succsful the prophylactic e of HIV treatment meditns is, but the movement of HIV preventn this directn as well as the hostile reactn by some, is revealg what is says about gay men and our general attus about sexualy.

Consirg that the Catholic Church, nservative Jews and many fundamentalist Christians have been the most outspoken opponents of gay rights, is perhaps not surprisg that LGB people and their fai intify relign as a major obstacle acceptg homosexualy, eher themselv or a fay member.

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.

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.

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. 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.

Unlike heterosexual parents and their children, however, lbian and gay parents and their children are often subject to prejudice bee of their sexual orientatn that n turn judg, legislators, profsnals, and the public agast them, sometim rultg negative out, such as loss of physil ctody, rtrictns on visatn, and prohibns agast adoptn (ACLU Lbian and Gay Rights Project, 2002; Appell, 2003; Patterson, Fulcher, & Waright, 2002).

The relevance of this cricism has been greatly rced as rearch has expand to explore life a wir array of lbian mother and gay father fai (many of which have never lived through the divorce of a heterosexual uple), and as newer studi beg to clu a wir array of ntrol groups.

An expert readg of the Sarantakos article reveals that certa characteristics of s methodology and sample are highly likely to have skewed the rults and renred them an valid ditor of the well-beg of children raised by gay and lbian parents at least three rpects:. Some nonscientific anizatns have attempted to nvce urts that there is an actual scientific dispute this area by cg rearch performed by Pl Cameron as supportg the existence of fics gay and lbian parents or their children pared to heterosexual parents or their children. Three ncerns have historilly been associated wh judicial cisn makg ctody ligatn and public polici erng foster re and adoptn: the belief that lbians and gay men are mentally ill, that lbians are ls maternal than heterosexual women, and that lbians' and gay men's relatnships wh sexual partners leave ltle time for ongog parent-child teractns (ACLU Lbian and Gay Rights Project, 2002; Falk, 1989, 1994; Patterson et al., 2002; Patterson & Reddg, 1996).

There is no reliable evince that homosexual orientatn per se impairs psychologil functng, although the social and other circumstanc which lbians and gay men live, cludg exposure to wispread prejudice and discrimatn, often e acute distrs (Cochran, 2001; Freedman, 1971; Gonsrek, 1991; Hart et al., 1978; Hooker, 1957; Meyer, 2003; Reiss, 1980). Beliefs that lbian and gay adults are not f parents likewise have no empiril foundatn (Anrssen, Amlie, & Ytteroy, 2002; Brewaeys & van Hall, 1997; Parks, 1998; Patterson, 2000; Patterson & Chan, 1996; Perr, 2002; Stacey & Biblarz, 2001; Tasker, 1999; Victor & Fish, 1995).