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)     

Addressing Multiple Relationships Between Clients and Therapists in Lesbian, Gay, Bisexual, and Transgender Communities.

Therapists working in lesbian, gay, bisexual, and transgender (LGBT) communities are likely to experience the potential to engage in multiple relationships with their clients. Currently, the American Psychological Association's (2002) ethics code and the related literature base offer minimal direct guidance to therapists practicing in LGBT communities. In this article, the authors review current literature regarding multiple relationships in psychotherapy, considering how this literature addresses issues specific to practitioners working within LGBT communities, present a case study highlighting the negotiation of a multiple relationship between a client and therapist who both identify as lesbian, and offer recommendations for practitioners working within LGBT communities. (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)     

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)     

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)     

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)     

Revision and extension of a multidimensional measure of sexual minority identity: The Lesbian, Gay, and Bisexual Identity Scale.

Two studies were conducted to investigate a revised and extended version of the Lesbian and Gay Identity Scale (Mohr & Fassinger, 2000): the 27-item Lesbian, Gay, and Bisexual Identity Scale (LGBIS). This revision features more inclusive and less stigmatizing language than the previous version and includes 2 new subscales assessing identity affirmation and centrality. In Study 1, an exploratory factor analysis (n = 297) and a confirmatory factor analysis (n = 357) supported an 8-factor solution assessing acceptance concerns, concealment motivation, identity uncertainty, internalized homonegativity, difficulty with the identity development process, identity superiority, identity affirmation, and identity centrality. Predicted associations with measures of identity-related constructs and psychosocial functioning provided preliminary validity evidence for LGBIS scores in a college student population. Study 2 (N = 51) provided evidence of the test–retest and internal consistency reliability of LGBIS scores. These studies suggest that the LGBIS may offer researchers an efficient means of assessing multiple dimensions of sexual orientation minority identity. (PsycINFO Database Record (c) 2011 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)     

Mental Health of Lesbian, Gay, Bisexual, and Heterosexual Siblings: Effects of Gender, Sexual Orientation, and Family.

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings. (PsycINFO Database Record (c) 2010 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)     

Pioneers in Partnership: Lesbian and Gay Male Couples in Civil Unions Compared With Those Not in Civil Unions and Married Heterosexual Siblings.

This study compared 212 lesbians and 123 gay men who had civil unions in Vermont (during the first year legislation made this available) with 166 lesbians and 72 gay men in their friendship network who had not had civil unions, and also with 219 heterosexual married women and 193 heterosexual married men consisting of civil union couples' siblings and their spouses. Married heterosexual couples had been together longer and had more traditional division of labor and child care than did lesbians and gay men in both types of couples. Lesbians in civil unions were more open about their sexual orientation than those not in civil unions, and gay men in civil unions were closer to their family of origin than gay men not in civil unions. This is the first study on same-sex couples with civil unions, and the first to compare lesbians and gay men with their married siblings. At a time of legal changes for same-sex couples, these results indicate that legalized same-sex relationships are related to visibility of same-sex couples to their family and the general public. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Service delivery in a "don't ask, don't tell" world: Ethical care of gay, lesbian, and bisexual military personnel.

Because current federal law prohibits gay, lesbian, and bisexual (GLB) persons from serving openly in the military, the 65,000 GLB men and women estimated to currently serve in the armed forces face unique occupational stressors and a heightened need for supportive services. Psychologists in military settings face numerous obstacles in efforts to provide ethical and efficacious clinical services to GLB service members. The authors highlight common clinical problems and referral issues for GLB persons in military settings, as well as primary ethical and administrative problems for the psychologists who treat them. The authors conclude with several recommendations for enhancing appropriate treatment while minimizing harm to GLB clients in the military. (PsycINFO Database Record (c) 2010 APA, all rights reserved)