Validity and reliability of the Lesbian, Gay, Bisexual Working Alliance Self-Efficacy Scales.

In this paper, the authors report on the development and initial psychometric evaluation of the Lesbian, Gay, and Bisexual Working Alliance Self-Efficacy Scales (LGB-WASES) with data collected from two studies and 534 counseling trainees. Exploratory factor analysis results yielded a 32-item scale with a three-factor model (a) Emotional Bond, (b) Establishing Tasks, and (c) Setting Goals. LGB-WASES scores were internally consistent and remained stable over a 3-week period. Construct validity evidence suggests the LGB-WASES scores were (a) positively related to general perceptions of counseling self-efficacy and multicultural counseling competency, (b) negatively related to attitudes toward lesbians and gay men, and (d) unrelated to social desirability. Recommendations for future research are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists' Attitudes and Therapeutic Approaches Toward Gay, Lesbian, and Bisexual Issues Continue To Improve: An Update.

Psychologists' attitudes and approaches toward the gay, lesbian, and bisexual (GLB) lifestyle continue to change, on the basis of results from 437 responding members of the American Psychological Association. Psychologists are more likely to view an active GLB lifestyle-identity as acceptable and non-pathological, more likely to support and provide gay-affirmative therapy, and much less likely to support changing sexual orientation through psychotherapy. Female psychologists are significantly more likely to view a GLB lifestyle as accepting and to provide gay-affirmative therapy to GLB clients compared with their male counterparts. Finally, training opportunities for psychologists involving GLB issues appear to be increasing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Finding equilibrium: Mentoring, sexual orientation, and gender identity.

The authors explore mentoring relationships in which one or both members are lesbian, gay, bisexual, or transgender (LGBT). They highlight the role of stigma, in its variable presentations, as an important underpinning of these relationships. They argue that explicit attention to stigma, both within the mentoring relationship and beyond, is of value to the mentoring process and outcome. The authors offer a developmental perspective on mentoring needs, and they suggest specific considerations for LGBT and heterosexual mentors of LGBT students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gay, Lesbian, and Bisexual Training Competencies in American Psychological Association Accredited Graduate Programs.

The current study examines the extent to which American Psychological Association accredited clinical and counseling doctoral programs incorporate training on issues relevant to gay, lesbian, and bisexual (GLB) clients. One hundred four training directors completed surveys. Results reveal the 1st snapshot of how doctoral programs are addressing GLB issues in existing curricula. For example, programs are incorporating GLB issues in multicultural classes and practicum. However, counseling programs incorporated GLB issues more than clinical programs in several areas, such as requiring multicultural courses (where GLB issues are potentially addressed) and mentoring students in GLB research. Differences in levels of inclusion between clinical and counseling programs could be attributable to the programs' differential emphases on subspecialization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical Issues in Working With Lesbian, Gay, and Bisexual Clients.

This article discusses some of the key clinical issues for therapists to consider when working with lesbian, gay, and bisexual (LGB) clients. After a discussion of the biases that can influence psychotherapy, guidelines are given for conducting LGB-affirmative therapy that avoids these biases. Issues that therapists need to be familiar with in working with LGB clients include LGB identity development; couple relationships and parenting; LGB individuals as members of families; the unique stressors faced by individuals who are underrepresented in the LGB research literature (e.g., older LGB individuals, ethnic minorities, religious LGB individuals, bisexual individuals); and legal and workplace issues. An examination of the published literature is offered with particular emphasis given to the available empirical research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of Psychotherapeutic Benefit of Lesbian, Gay, and Bisexual Clients: The Effects of Sexual Orientation Matching and Other Factors.

[Correction Notice: An erratum for this article was reported in Vol 41(1) of Psychotherapy: Theory, Research, Practice, Training (see record 2007-16875-001). On page 293, Table 3 is incorrectly identified as Table 2, and on pages 294-295, Table 2 is incorrectly identified as Table 3.] Predictors of the level of benefit derived from nearly 2,000 psychotherapy episodes reported by a nationwide, nonprobability sample of 600 lesbian, gay, and bisexual clients were analyzed using ordinary least squares regression, corrected by generalized-estimating-equation (GEE) procedures for lack of independence in the data. Among the positive predictors of benefit are the following: the year the episode began; the number of sessions in the episode; the client's identifying him- or herself as gay, lesbian, or bisexual at the beginning of the episode and being unconflicted about it; and having a therapist who is female, gay, or lesbian or who trained as a social worker or a psychologist. Negative predictors include having a therapist who is an analyst, who uses reparative therapy, or who violates sexual boundaries. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development, reliability, and validity of the Measure of Sexual Identity Exploration and Commitment (MOSIEC).

Four studies were conducted on the development and validation of the Measure of Sexual Identity Exploration and Commitment (MoSIEC). Exploratory factor analysis of an initial item pool yielded a 22-item measure with 4 distinct factors assessing commitment, exploration, sexual orientation identity uncertainty, and synthesis/integration. Exploratory factor analysis findings support the argument that sexual identity is a broad, multidimensional construct and that the MoSIEC assesses the construct of sexual identity in a manner consistent with J. E. Marcia's (1966) model of identity development. Confirmatory factor analyses demonstrated the stability of the MoSIEC factor structure, providing evidence of construct validity. Test-retest stability, internal consistency, and validity coefficients supported the use and continued development of the MoSIEC. Significant differences in levels of exploration and sexual orientation identity uncertainty were found among different sexual orientation identity groups, establishing the criterion-related validity of the MoSIEC. Implications for further development and use of the MoSIEC are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Retrospective recall of sexual orientation identity development among gay, lesbian, and bisexual adults.

Although recent attention has focused on the likelihood that contemporary sexual minority youth (i.e., gay, lesbian, bisexual [GLB]) are “coming out” at younger ages, few studies have examined whether early sexual orientation identity development is also present in older GLB cohorts. We analyzed retrospective data on the timing of sexual orientation milestones in a sample of sexual minorities drawn from the California Quality of Life Surveys. Latent profile analysis of 1,260 GLB adults, ages 18–84 years, identified 3 trajectories of development: early (n = 951; milestones spanning ages 12–20), middle (n = 239; milestones spanning ages 18–31), and late (n = 70; milestones spanning ages 32–43). Motivated by previous research on variability in adolescent developmental trajectories, we identified 2 subgroups in post hoc analyses of the early profile group: child onset (n = 284; milestones spanning ages 8–18) and teen onset (n = 667; milestones spanning ages 14–22). Nearly all patterns of development were identity centered, with average age of self-identification as GLB preceding average age of first same-sex sexual activity. Overall, younger participants and the majority of older participants were classified to the early profile, suggesting that early development is common regardless of age cohort. The additional gender differences observed in the onset and pace of sexual orientation identity development warrant future research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A Multicultural Test of the Theory of Work Adjustment: Investigating the Role of Heterosexism and Fit Perceptions in the Job Satisfaction of Lesbian, Gay, and Bisexual Employees.

Two expanded models (i.e., mediated and moderated) of the theory of work adjustment (TWA; R. V. Dawis, G. England, & L. H. Lofquist, 1964; R. V. Dawis & L. H. Lofquist, 1984) were tested for their capacity to explain the job satisfaction of a sample of lesbian, gay, and bisexual employees (N=397). Consistent with cultural critiques of the TWA, person-organization fit perceptions were tested as the mediator of the relationship between heterosexism and job satisfaction in one set of hypotheses, and experiences with informal heterosexism were tested as a moderator in the relationship between person-organization fit perceptions and job satisfaction in a separate set of hypotheses. The mediated model but not the moderated model was supported. Results were confirmed by a cross-validation sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adaptation to sexual orientation stigma: A comparison of bisexual and lesbian/gay adults.

This study extends research on dimensions of sexual minority experience by examining differences between bisexual and lesbian/gay adults in adaptation to sexual orientation stigma. The authors investigated sexual orientation self-disclosure, connection to community, and 4 identity-related variables (internalized homonegativity, stigma sensitivity, identity confusion, and identity superiority) in a community sample of 613 lesbian, gay, and bisexual adults. Sexual orientation effects were found on 3 of these 6 variables: Bisexual participants reported higher levels of identity confusion and lower levels of both self-disclosure and community connection relative to their lesbian/gay peers. Taken together, the 6 variables predicted indicators of psychosocial functioning. Associations among the 6 dimensions of sexual minority experience and psychosocial functioning did not differ for bisexual and lesbian/gay participants. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Internalized stigma among sexual minority adults: Insights from a social psychological perspective.

This article describes a social psychological framework for understanding sexual stigma, and it reports data on sexual minority individuals' stigma-related experiences. The framework distinguishes between stigma's manifestations in society's institutions (heterosexism) and among individuals. The latter include enacted sexual stigma (overt negative actions against sexual minorities, such as hate crimes), felt sexual stigma (expectations about the circumstances in which sexual stigma will be enacted), and internalized sexual stigma (personal acceptance of sexual stigma as part of one's value system and self-concept). Drawing from previous research on internalized sexual stigma among heterosexuals (i.e., sexual prejudice), the article considers possible parallels in how sexual minorities experience internalized sexual stigma (i.e., self-stigma, or negative attitudes toward the self). Data are presented from a community sample of lesbian, gay, and bisexual adults (N = 2,259) to illustrate the model's utility for generating and testing hypotheses concerning self-stigma. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lesbian, gay, and bisexual supervisees' experiences of LGB-affirmative and nonaffirmative supervision.

Lesbian, gay, and bisexual (LGB) supervisees were interviewed regarding their experiences of LGB-affirmative and nonaffirmative supervision. Supervisees were asked to describe one of each type of event (i.e., affirmative, nonaffirmative) from their past supervision. In LGB-affirmative supervision, all supervisees felt supported in their LGB-affirmative work with clients. Supervisees perceived that the affirming events also positively affected the supervision relationship, client outcomes, and themselves as supervisees. In LGB nonaffirming supervision, supervisees perceived supervisors to be biased or oppressive toward supervisees' clients or themselves on the basis of LGB concerns or identity. From supervisees' perspectives, the nonaffirming events negatively affected the supervision relationship, client outcomes, and supervisees. Implications for research and supervision are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development, Reliability, and Validity of the Lesbian, Gay, and Bisexual Knowledge and Attitudes Scale for Heterosexuals (LGB-KASH).

Four studies on the development and validation of the Lesbian, Gay, and Bisexual Knowledge and Attitudes Scale for Heterosexuals (LGB-KASH) were conducted. Exploratory factor analysis of an initial item pool yielded 5 factors assessing internalized affirmativeness, civil rights attitudes, knowledge, religious conflict, and hate--indicating that heterosexual knowledge and attitudes regarding LGB individuals could be conceptualized as multidimensional and wide-ranging. The stability of the multidimensional factor structure of the LGB-KASH was evaluated by confirmatory factor analysis. Test-retest stability, internal consistency, and validity coefficients supported the use and continued development of the new instrument. Significant differences were found between heterosexual and LGB individuals on all 5 factors, especially internalized affirmativeness, knowledge, and religious conflict. Implications for theory and research on heterosexual knowledge and attitudes are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Affirming Faith Experiences and Psychological Health for Caucasian Lesbian, Gay, and Bisexual Individuals.

Religious faith plays a central role in the lives of many people. Although studies and anecdotal literature have explored the conflict between sexual and religious identities, no research has investigated the role of faith group affirmation of a lesbian, gay, or bisexual (LGB) identity on the mental health of LGB members. This study compared 2 models of the relations between psychological health and current faith affirmation experiences, internalized homonegativity, and spirituality. Participants were 583 LGB individuals who identified themselves as currently affiliated with a faith group. Results indicated that the fully mediated model was a good fit and offered a more parsimonious explanation than the partially mediated model. Affirming faith experiences were related to psychological health through internalized homonegativity and spirituality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender and sexual identity-based predictors of lesbian, gay, and bisexual affirmative counseling self-efficacy.

This exploratory study applies the tenets of social cognitive theory to investigate the influence of gender self-confidence and of sexual identity exploration and commitment on lesbian, gay, and bisexual (LGB) affirmative counselor self-efficacy. Data were gathered from a convenience sample of 178 mental health clinicians. Controlling for participants' age, professional experience, level of income, race and ethnicity, and sexual orientation, findings revealed that higher levels of LGB-affirmative counseling self-efficacy were positively associated with gender self-definition and with sexual identity commitment. Post hoc analyses conducted with the 5 subscales of the LGB-affirmative counseling self-efficacy measure indicated that findings varied across specific self-efficacy domains. Implications of these results for continuing education, training, and research promoting LGB-affirmative psychotherapy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Deaf Identity Development Scale: A revision and validation.

The Deaf Identity Development Scale (DIDS; N. S. Glickman, 1993) was revised on the basis of recommendations by N. S. Glickman and was validated on a sample of 323 hearing-impaired participants residing in the southwestern part of the United States. The DIDS is an instrument designed to measure 4 deaf identity constructs: hearing, marginal, immersion, and bicultural. The findings were tested according to the deaf identity development theory and the data were analyzed for internal consistency reliability, item-to-scale reliability, and interscale correlations. Results of these and factor analysis support the existence of 4 relatively independent deaf identities. Results of 4 separate analyses of variance with post hoc multiple comparisons reveal that onset and severity of hearing loss influences one's deaf identity development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling psychology research on sexual (orientation) minority issues: Conceptual and methodological challenges and opportunities.

This lead article of the special issue discusses conceptual and methodological considerations in studying sexual minority issues, particularly in research conducted by counseling psychologists (including the work represented in this special issue). First, the overarching challenge of conceptualizing and defining sexual minority populations is described. Second, the importance and value of scholarship about sexual minority issues are highlighted. Third, challenges in sexual minority research are outlined, using the articles in this special issue for illustrative purposes, and suggestions are offered for consideration in future research. Finally, the article concludes with a discussion of the ways in which counseling psychologists are uniquely positioned to advance knowledge, practice, and social justice through research on sexual minority issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of minority stress on mental health and substance use among sexual minority women.

Objective: We examined the direct and indirect impact of minority stress on mental health and substance use among sexual minority women. Method: A combination of snowball and targeted sampling strategies was used to recruit lesbian and bisexual women (N = 1,381) for a cross-sectional, online survey. Participants (M age = 33.54 years; 74% White) completed a questionnaire assessing gender expression, minority stressors (i.e., victimization, internalized homophobia, and concealment), social–psychological resources (i.e., social support, spirituality), and health-related outcomes. We used structural equation modeling to test associations among these factors, with gender expression as an antecedent and social–psychological resources as a mediator between minority stress and health. Results: The final model demonstrated acceptable fit, χ2(79) = 414.00, p confirmatory fit index = .93, Tucker–Lewis index = .91, standardized root-mean-square residual = .05, root-mean-square error of approximation = .06, accounting for significant portions of the variance in mental health problems (56%) and substance use (14%), as well as the mediator social–psychological resources (24%). Beyond indirect effects of minority stress on health outcomes, direct links emerged between victimization and substance use and between internalized homophobia and substance use. Conclusions: Findings indicate a significant impact of minority stressors and social–psychological resources on mental health and substance use among sexual minority women. The results improve understanding of the distinct role of various minority stressors and their mechanisms on health outcomes. Health care professionals should assess for minority stress and coping resources and refer for evidence-based psychosocial treatments. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The Lesbian, Gay and Bisexual Affirmative Counseling Self-Efficacy Inventory (LGB-CSI): Development, validation, and training implications.

Five studies on the development of the Lesbian, Gay, and Bisexual Affirmative Counseling Self-Efficacy Inventory (LGB-CSI) were conducted. Exploratory and confirmatory factor analyses of an initial pool of 64 items yielded 5 factors that assess counselor self-efficacy to perform lesbian, gay, and bisexual (LGB) affirmative counseling behaviors (Application of Knowledge, Advocacy Skills, Self-Awareness, Relationship, and Assessment Skills). The LGB-CSI evidenced high internal consistency; however, low test-retest reliability was found over a 2-week period. Convergent validity was supported by correlations with measures of general counseling self-efficacy and attitudes toward LGB individuals. Discriminant validity was evidenced by an absence of relations between the LGB-CSI and measures of social desirability, self-deceptive positivity, and impression management. Construct validity was supported by findings indicating varying levels of self-efficacy commensurate with status in the field. Recommendations for training interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

LGB allies and Christian identity: A qualitative exploration of resolving conflicts and integrating identities.

A phenomenological method of qualitative inquiry was used to understand the process by which individuals who hold identities of being both a Christian and an ally of lesbian, gay, and bisexual (LGB) individuals make meaning of and integrate these 2 identities. Interviews were conducted with 11 doctoral-level psychologists who self-identified as being LGB allies, as holding Christian-based beliefs, and as living in the midwestern United States. Data analysis revealed that integration of Christian and LGB-ally identities involves increasing awareness of conflict among one’s identities or values, experiencing confusion and dissonance, engaging in questioning and exploration processes, challenging and redefining the self, and identifying integration as a goal toward which one is moving as a way to manage and honor one’s identities. Questioning and exploration processes involved self-exploration and self-acceptance and exploration of Christian-based beliefs and beliefs about sexual orientation. The processes revealed that the Christian LGB allies exemplified personal qualities such as having a questioning mind and valuing integrity, spirituality, and congruence between beliefs and behavior. Experiences influencing conflict resolution and integration of identities were described. These included relationships, education and training, specific emotional experiences, and cultural factors such as experiences of oppression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)