Negotiating connection to GLBT experience: Family members' experience of anti-GLBT movements and policies.

There have been numerous legislative initiatives to limit gay, lesbian, bisexual, and transgender (GLBT) people's rights at local, state, and national levels (G. M. Herek, 2006). Although research has focused on how GLBT people are affected by these initiatives, to date no research has explored the impact of this legislation upon the families of origin of GLBT people. This qualitative study sought to explore this topic. Through use of grounded theory methodology (B. G. Glaser & A. L. Strauss, 1967), 10 family members of GLBT people living in a state facing a marriage amendment to limit marriage to heterosexual couples were interviewed. All participants interviewed for this study were supportive of their GLBT relative. The results of this study reflected that anti-GLBT movements and policies affected participants' personal relationships, mental and physical health, perspectives about their country and government, and hopes about the future. Movements and policies shaped personal identity and beliefs for some participants. The clusters, underlying categories and a core category of this study, Negotiating My Connection to GLBT experience, are described with implications for counseling psychologists and other mental health professionals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Minority stress experiences in committed same-sex couple relationships.

Providing culturally competent services to same-sex couples requires an understanding of the social context in which these relationships are formed and maintained. Using minority stress theory (I. H. Meyer, 2003) as an interpretive framework, the authors conducted a dyadic-level qualitative analysis of 40 (20 female; 20 male) couples' conversations about their committed partnerships. Findings indicate that couples experience minority stress as they interact with their family members, coworkers, and communities. In response to stressors, couples use coping strategies that include reframing negative experiences, concealing their relationship, creating social support, and affirming self and partnership. Recommendations for practitioners based on these findings include assessing minority stress, facilitating coping, and taking a critical stance toward policies that perpetuate social stigma and chronic stress. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.

In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress--explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems. The model describes stress processes, including the experience of prejudice events, expectations of rejection, hiding and concealing, internalized homophobia, and ameliorative coping processes. This conceptual framework is the basis for the review of research evidence, suggestions for future research directions, and exploration of public policy implications. (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)     

Minority stress, masculinity, and social norms predicting gay men's health risk behaviors.

The authors examined the contributions of the minority stress model, traditional masculine gender roles, and perceived social norms in accounting for gay men's use of alcohol, tobacco, illicit drugs, and risky sexual practices. Three hundred fifteen gay men recruited from listserv communities completed measures assessing internalized homophobia, stigma, antigay physical attack, masculinity, and perceptions of normative health behaviors, along with health risk behaviors of alcohol use, illicit drug use, smoking, and high-risk sexual behaviors. Pearson correlations supported several hypotheses; social norms and masculinity variables were significantly related to health risk behaviors. Four multiple regression analyses indicated that masculinity and perceptions of social norms predicted health risk behaviors. Additionally, a significant interaction was found between minority stress and perceptions of social norms. The clinical implications of the findings, limitations, and suggestions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marriage amendments and psychological distress in lesbian, gay, and bisexual (LGB) adults.

An online survey of lesbian, gay, and bisexual (LGB) adults (N = 1,552) examined minority stress (I. H. Meyer, 2003) and psychological distress following the 2006 general election in which constitutional amendments to limit marriage to 1 man and 1 woman were on the ballot in 9 states. Following the November election, participants living in states that passed a marriage amendment reported significantly more minority stress (i.e., exposure to negative media messages and negative conversations, negative amendment-related affect, and LGB activism) and higher levels of psychological distress (negative affect, stress, and depressive symptoms) than participants living in the other states. Multiple hierarchical regression analyses revealed significant positive main effects of minority stress factors and state ballot status on psychological distress. In addition, the association between amendment-related affect and psychological distress was significantly higher in states that had passed a marriage amendment compared with other states. Discussion of these findings emphasizes that marriage amendments create an environment associated with negative psychological outcomes for LGB individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Lesbian and gay psychology: Theory, research, and clinical applications.

Reviews the book, Lesbian and gay psychology: Theory, research, and clinical applications by Beverly Greene and Gregory M. Herek (1994). This volume is a collection of theoretical, research, and clinical articles which share in common only their focus of a psychological approach to gay and lesbian issues. Particularly admirable is the handling of a variety of lesbian issues including sexual pride and shame, physical appearance, and feminist politics of sexual orientation. There are also good articles on stereotypes and attitudes toward lesbians and gay men. This volume moves the psychological study of lesbian and gay issues beyond being merely gay affirmative into looking at hard issues, and reconnecting gay studies with the larger body of psychological theory, research, and clinical practice. As a psychological potpourri of articles, it suggests what can be accomplished in lesbian and gay psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Minority stress and mental health among Dutch LGBs: Examination of differences between sex and sexual orientation.

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the “gay-friendly” Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A survey of clinical psychologists on treating lesbian, gay, and bisexual clients.

Should the average psychologist receive specific training on lesbian, gay, and bisexual (LGB) concerns? On the basis of a random sample of practicing psychologists, LGB clients are present in most caseloads. Respondents rated the most important therapeutic issues with LGB clients and identified training that would improve their work with LGB clients (including the topics of coming out, estrangement from family, support system development, and internalized homophobia). In addition, participants reported on the types of training that they are getting (most frequently reading articles, supervision, and continuing education). The implications for training programs and private practitioners are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Threat and guilt aspects of internalized antilesbian and gay prejudice: An application of personal construct theory.

Building on G. A. Kelly's (1991a, 1991b) personal construct theory, this study introduced concepts of threat and guilt as different manifestations of internalized antilesbian and gay prejudice. Results with 102 lesbian and gay participants indicated that internalized threat and guilt each accounted for unique variance in global internalized antilesbian and gay prejudice. Also, as expected, internalized threat was associated uniquely with lower preference for lesbian or gay sexual orientation, whereas internalized guilt was associated uniquely with lesbian and gay identity denigration. Finally, threat partially mediated the relations of internalized antilesbian and gay prejudice with intrapersonal identity stresses (i.e., identity confusion, difficulty of identity formation process), whereas guilt partially mediated the relations of internalized antilesbian and gay prejudice with interpersonal identity stresses (i.e., maintaining privacy, discomfort with disclosure). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pink triangles: Antecedents and consequences of perceived workplace discrimination against gay and lesbian employees.

A model of perceived sexual orientation discrimination was tested in a national sample of 534 gay and lesbian employees. The effects of legislation, organizational policies and practices, and work group composition on perceived sexual orientation discrimination were examined, as well as the attitudinal and organizational outcomes associated with discrimination. Gay employees were more likely to report discrimination when employed in groups that were primarily heterosexual and in organizations that lacked supportive policies and were not covered by protective legislation. Disclosure of sexual orientation at work was related to discrimination and antecedent variables. Perceived discrimination was associated with negative work attitudes and fewer promotions. Organizational policies and practices had the strongest impact on perceived discrimination and were directly related to outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Legal recognition of same-sex relationships in the United States: A social science perspective.

Whether and how civil society should recognize committed relationships between same-sex partners has become a prominent, often divisive, policy issue. The present article reviews relevant behavioral and social science research to assess the validity of key factual claims in this debate. The data indicate that same-sex and heterosexual relationships do not differ in their essential psychosocial dimensions; that a parent's sexual orientation is unrelated to her or his ability to provide a healthy and nurturing family environment; and that marriage bestows substantial psychological, social, and health benefits. It is concluded that same-sex couples and their children are likely to benefit in numerous ways from legal recognition of their families, and providing such recognition through marriage will bestow greater benefit than civil unions or domestic partnerships. Trends in public opinion toward greater support for legal recognition of same-sex couples are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological distress, well-being, and legal recognition in same-sex couple relationships.

Legal recognition of same-sex couple relationships provides at least some material benefits to couple members; however, few studies have examined the associations between legal recognition and psychological distress or well-being. Using an online survey sample of 2,677 lesbian, gay, bisexual (LGB) individuals, participants were placed in 4 groups: single, dating, in a committed relationship, and in a legally recognized relationship. Analyses revealed that participants in committed or legally recognized relationships reported less psychological distress (i.e., internalized homophobia, depressive symptoms, and stress) and more well-being (i.e., the presence of meaning in life) than single participants. Significant group differences and multivariate analyses indicated that participants in a legally recognized relationship reported less internalized homophobia, fewer depressive symptoms, lower levels of stress, and more meaning in their lives than those in committed relationships, even after controlling for other factors. The need for further research on the psychological benefits of legal relationship recognition for same-sex couples is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A reply to Kaplan and Parlow: Minority rights and public health are not mutually exclusive.

It is unfortunate that Kaplan and Parlow (1988) misinterpreted our plea for justice and compassion in balancing the rights of smokers and non-smokers (1987; see record 1989-01264-001) as a blanket endorsement of smokers' rights to expose abstainers to environmental tobacco smoke (ETS). We absolutely do not advocate such a straw man; obviously, innocent third parties have the right to be protected. Kaplan and Parlow's assertion that our position is that "smoking is not a legitimate threat" is totally incorrect. In pointing to the controversy in the scientific literature about the degree of risk associated with ETS, we were not arguing that the risk is non-existent, nor that smokers are entitled to do as they please if others are adversely affected (or even if abstainers simply find ETS esthetically objectionable). Rather, we were emphasizing that the warlike rhetoric, emotionalism, and morally superior stance of the anti-smoking crusade can have a negative impact on the scientific objectivity that ought to guide social policy. The commendability of one's goals is not an excuse for ignoring contrary evidence or failing to examine the evidence for preferred hypotheses as critically as one would the support for unpopular causes. Our concern in our article, which Kaplan and Parlow failed to realize, was with how the rights of both smokers and non-smokers can best be achieved with a minimum of social and personal costs. The intent of our article was to remind readers that, in the past, emotionality and haste on the part of well-intentioned reformers have often been responsible for unnecessary social disruption and trammelling of individual rights--all while failing to achieve their noble goals. We agree with Kaplan and Parlow's position that individuals must be protected from exposure to unwanted ETS and that is the position we took in our article. This, however, can be done without creating greater social problems by trampling on the rights of smokers. (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 to Jones et al. (2003).

Reports an error in "Predictors of Psychotherapeutic Benefit of Lesbian, Gay, and Bisexual Clients: The Effects of Sexual Orientation Matching and Other Factors" by Mary Ann Jones, Michael Botsko and Bernard S. Gorman (Psychotherapy: Theory, Research, Practice, Training, 2003[Win], Vol 40[4], 289-301). On page 293, Table 3 is incorrectly identified as Table 2, and on pages 294-295, Table 2 is incorrectly identified as Table 3. (The following abstract of the original article appeared in record 2003-11058-004.) 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)     

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)     

Science and advocacy issues in research on children of gay and lesbian parents.

Herek (see record 2006-11202-004) identified the question "Does having gay, lesbian, or bisexual parents disadvantage a child relative to comparable children of heterosexual parents, parents, such that denying same-sex couples the right to marry is ultimately beneficial for children?" (p. 607) as a central issue that has featured prominently in legal and policy debates about same-sex marriage. This comment is a response to Herek's minimization of the significance of the virtual lack of any research focusing on the overall adjustment of children of gay fathers and his failure to clarify that findings about children raised by lesbians are being generalized to children of gay fathers. Given that opponents make egregious statements about the unfitness of gay and lesbian parents and the pathology of their children, are we justified in lowering our standards about how scientific research is described and reported? Herek was correct when he called for more research in understudied areas (p. 614), but until such research is conducted, psychologists must consider carefully what standards to use in summarizing and communicating research findings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victimization, social support, and psychosocial functioning among children of same-sex and opposite-sex couples in the United Kingdom.

To further develop an understanding of psychological and social functioning of children raised by lesbian couples, the authors compared 18 students ages 12-16 raised in families led by female same-sex couples, who were identified from a large school-based survey, with 18 matched students raised by opposite-sex couples and the general student sample. Comparisons were made on factors including victimization, social support, and psychological functioning. Results indicate that those students raised by female same-sex couples did not differ significantly from those raised by opposite-sex couples or the general student sample in terms of reports of victimization, psychological functioning, experience of common adolescent concerns, or prospective use of support outlets provided by family and peers. However, children of same-sex couples reported significantly less likelihood of using school-based support than did children of opposite-sex couples or the general student sample. Findings indicate the need for school administrators, teachers, and psychologists to be knowledgeable of and provide appropriate support and resources for these children. Additional implications for research and application are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Change in relationship quality for partners from lesbian, gay male, and heterosexual couples.

Growth curves for relationship quality over the first 10 years of cohabitation, controlling for separation, were estimated on the basis of survey data obtained over part or all of this time interval. Participants were both partners from 95 lesbian, 92 gay male, and 226 heterosexual couples living without children, and both partners from 312 heterosexual couples living with children. Relative to other partners, those from lesbian couples showed the highest levels of relationship quality averaged over all assessments. Pattern of change in relationship quality varied by type of couple. Partners from lesbian and gay male couples showed no change, those from heterosexual couples without children showed an early phase of accelerated decline followed by a leveling off, and those from heterosexual couples with children showed an early phase of accelerated decline followed by a 2nd phase of accelerated decline. (PsycINFO Database Record (c) 2010 APA, all rights reserved)