Hate crimes against lesbians and gay men: Issues for research and policy.

Antigay hate crimes (words or actions that are intended to harm or intimidate individuals because they are lesbian or gay) constitute a serious national problem. In recent surveys, as many as 92% of lesbians and gay men report that they have been the targets of antigay verbal abuse or threats, and as many as 24% report physical attacks because of their sexual orientation. Assaults may have increased in frequency during the last few years, with many incidents now including spoken references to the acquired immunodeficiency syndrome (AIDS) by the assailants. Trends cannot be assessed, however, because most antigay hate crimes are never reported and no comprehensive national surveys of antigay victimization have been conducted. Suggestions are offered for research and policy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals.

The authors examined the associations between internalized homophobia, outness, community connectedness, depressive symptoms, and relationship quality among a diverse community sample of 396 lesbian, gay, and bisexual (LGB) individuals. Structural equation models showed that internalized homophobia was associated with greater relationship problems both generally and among coupled participants independent of outness and community connectedness. Depressive symptoms mediated the association between internalized homophobia and relationship problems. This study improves present understandings of the association between internalized homophobia and relationship quality by distinguishing between the effects of the core construct of internalized homophobia and its correlates and outcomes. The findings are useful for counselors interested in interventions and treatment approaches to help LGB individuals cope with internalized homophobia and relationship problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the special section: Mental health of lesbians and gay men.

There has been little focus on the mental health of lesbians and gay men in the 2 decades since homosexuality was removed as a diagnostic category from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed.; American Psychiatric Association, 1980). This special section contains articles on research methodology on lesbian and gay mental health; the practice and ethics of sexual orientation conversion therapy; the mental health results of the National Lesbian Health Care Survey; ethnicity and sexual orientation; sexual orientation as a factor in research on eating disorders and body dissatisfaction; and verbal and physical abuse as stressors in the lives of lesbian and gay youths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The challenge of health care social work with gay men and lesbians

Inflammation in the subarachnoid space represents the pathological hallmark of bacterial meningitis. The intrathecal accumulation of leukocytes, in response to bacterial pathogens, and the subsequent release of endogenous inflammatory mediators are associated with a breakdown of the blood-brain barrier function and poor prognosis. Complement has been shown to play a major role in the inflammatory response within the intrathecal compartment in bacterial meningitis. In the present review, we provide an outline of the current understanding of the involvement of the complement system in the pathophysiology of bacterial meningitis, and propose future directions of investigation.     

The disclosure dilemma for gay men and lesbians: "Coming out" at work.

This study examined disclosing sexual orientation at work for 220 gay men and 159 lesbians. Self-acceptance, the centrality of one's identity, how "out" one is to friends and family, employer policies, and perceived employer gay-supportiveness were associated with disclosure behaviors at work for gay/lesbian employees. Disclosing at work and working for an organization perceived to be more gay supportive was related to higher job satisfaction and lower job anxiety. Reactions of coworkers to gay or lesbian workers mediated the relationship between disclosure and gay/lesbian workers' job attitudes. Implications and solutions for management are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood physical abuse, internalized homophobia, and experiential avoidance among lesbians and gay men.

This study explored relations among childhood physical abuse, internalized homophobia, experiential avoidance, and current psychological symptoms in a community sample of 122 adult lesbians and 115 adult gay men. Childhood physical abuse predicted depression and posttraumatic stress disorder (PTSD) symptoms. Furthermore, for gay men, internalized homophobia completely mediated the relation between childhood physical abuse and depression symptoms and partially mediated the relation between childhood physical abuse and PTSD symptoms. However, experiential avoidance did not mediate these relations. In contrast, experiential avoidance partially mediated the relation between childhood physical abuse and PTSD symptoms among lesbians; however, internalized homophobia did not mediate these relations. These findings suggest that internalized homophobia and experiential avoidance may have differential mediating roles in predicting psychological symptoms among lesbians and gay men who have experienced childhood physical abuse. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Butch, femme, or straight acting? Partner preferences of gay men and lesbians.

On average, gay men are somewhat feminine and lesbians somewhat masculine, but there is variation within each group. The authors examined the consequences of this variation for gay men's and lesbians' desirability as romantic partners. In 2 studies the authors analyzed personal advertisements. Homosexual people were more likely than heterosexual people to mention traits related to sex typicality and more likely to request sex-typical than sex-atypical partners. In 2 studies the authors assessed partner preferences directly. On average, gay men preferred men who described themselves as masculine rather than feminine, but this preference was weaker among men who rated themselves as relatively feminine. Lesbians preferred women who described themselves as feminine looking but did not discriminate against women calling themselves masculine acting. The authors discuss implications of the results for theories of sexual orientation and the adjustment of sex-atypical homosexual people. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Required skills and training needs of recent counseling psychology graduates.

Surveyed 183 recent graduates (mean age 38.2 yrs) in counseling psychology to determine which activities and competencies were important for effective job performance and to what extent doctoral training programs provided adequate training in those areas. Responses indicated significant differences between ratings of importance and adequacy of training for several competencies. Although overall discrepancies between job needs and training needs were moderate, it is suggested that training efforts should extend toward competency building in the less traditional areas (e.g., consultation, special population) without jeopardizing effectiveness in traditional curriculum areas. (28 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation of job satisfaction and degree of openness about one''s sexual orientation for lesbians and gay men

Previous studies have shown that cardiovascular patients benefit from exercise. The explanations are partly physical and partly psychological, yet evidence for the latter is contradictory, possibly because only selected samples start and maintain prolonged exercising. The authors examined psychological effects of short-term exercise started as soon as possible after myocardial infarction, focusing on the motivation for health of 62 male and female patients who had had a myocardial infarction 7 to 10 days earlier. Patients were divided into those who exercised for a week in a recovery camp, those who merely stayed for a week in the camp, and those who did not stay in the camp. Results of before and after tests indicated that two scores of the motivation for health (goals and norms) of patients in the exercise group increased, even when complications, former exercising, and infarct location were considered. A month later, 53 of the patients completed a cardiological adjustment questionnaire. The exercise group scored higher than the others on 8 of 9 domains, including subjective health state, sexuality, and work. Even short-term supervised exercise, if done immediately after infarction, has a great potential for beneficial psychological effects, the authors concluded.     

Therapists' sexual values for self and clients: Implications for practice and training.

Therapists may be confronted with clients whose sexual values and behaviors are different from their own. To understand more about therapists' sexual values and how these values may affect therapy, the current study assessed therapists' sexual values for both themselves and their clients in the areas of premarital, casual, and extramarital sex, open marriages, sexual orientation, and sex in adolescence and late adulthood. Therapists differed selectively in their sexual values depending on their gender, religious involvement, and political affiliation. Therapists appeared comfortable working with a variety of sexual issues in therapy, and it appears that training in sexual issues is helpful in clinical work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Education and training in counseling psychology.

Suggests that employment settings are related to SES trends and discusses their combined impact on the training of counseling psychologists (CPs). Some training models are described, and doctoral programs are reviewed in terms of history, setting, and training emphases. Certification and licensing issues are considered, along with related issues such as retraining. The ever-changing identity of counseling psychology is presented as an obstacle to reaching a consensus as to what constitutes appropriate training for CPs. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reframing HIV prevention for gay men in the United States.

The HIV epidemic in the United States has affected at least two generations of gay men. Despite numerous efforts to intervene on this public health crisis, HIV infections continue to escalate, especially among young men. This condition is compounded by an ever-growing number of gay men who are aging and living with HIV. We must enact an innovative and proactive vision and framework for HIV prevention that moves us beyond the undertakings rooted in social–cognitive paradigms that have informed this work for the past 25 years. A new framework for HIV prevention must give voice to gay men; must consider the totality of their lives; must delineate the underlying logic, which directs their relation to sex and HIV; and must concurrently respect their diverse life experiences. This approach should be rooted in a biopsychosocial paradigm, should be informed by both theory and practice, and should be directed by three theoretical lenses—a theory of syndemics, developmental theories, and contextual understandings of HIV disease. Taken together, these elements are a call to action for research and practice psychologists who are working to improve the lives of gay men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lesbian and gay male group identity attitudes and self-esteem: Implications for counseling.

96 lesbians and gay men (aged 18–46 yrs) completed the Rosenberg Self-Esteem Scale and a modified version of J. E. Helms and T. A. Parham's (1985) Racial Identity Attitude Scale (RIAS). Based on W. E. Cross's (1971, 1978) model of African-American identity development, the RIAS assesses 4 distinct psychological stages (preencounter, encounter, immersion-emersion, and internalization), which are thought to correspond to a parallel process in the development of gay male and lesbian group identity attitudes. Consistent with findings among other minority groups, the results indicated a moderate inverse relationship between preencounter attitudes and self-esteem and a positive relationship between internalization attitudes and self-esteem. Encounter and immersion-emersion attitudes were (nonsignificantly) negatively correlated with self-esteem. Implications for counseling gay men and lesbians are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"I only read about myself on bathroom walls": the need for research on the mental health of lesbians and gay men

The very recent history of pathologizing homosexuality still has a strong impact on the public in general and mental health professionals in particular. In contrast to the early research on sexual reorientation of lesbians and gay men, there is relatively little empirical research on the mental health issues of lesbians and gay men. Whether researchers choose to define sexual orientation by sexual behavior, self-definition, or membership in lesbian and gay community groups will have an impact on the results. Research on mental health issues that include lesbians, gay men, and heterosexual women and men would allow an examination of the relative salience of gender versus sexual orientation. Finally, the experiences of lesbians and gay men in society may place them at increased risk for some mental health problems and may protect them from other mental health problems.     

Countertransference considerations for the gay male when leading psychotherapy groups for gay men

During the last decade we have seen the development of gay-affirmative psychotherapy and an increase in the use of homogeneous psychotherapy groups for gay men. Today there is greater acceptance that homosexuality is a normal variant within human sexuality and that being gay both describes the focus of one's sexual and emotional expression and constitutes a central aspect of one's core identity. In their pursuit of full acceptance of their lesbian or gay identity, lesbians and gay men continue to experience pressures that are unique, however. Within a psychotherapy group, when the group leader is gay, the process by which the group members work on their transference reactions, as well as their internalized homophobia and shame, can evoke strong countertransference in the gay male group leader and his supervisor; this countertransference is at times distinctly different than that with a nongay group therapist. This article highlights many countertransference themes in such groups and proposes ways to identify and manage these themes.     

HIV sexual risk behavior following bereavement in gay men.

The present study followed a group of 100 gay men up to 1 year before and 1 year after losing a partner to AIDS (University of California, San Francisco Coping Project). Following bereavement, participants were at increased risk for engaging in unprotected anal intercourse: at 4 to 6 months for HIV-negative men and at 8 to 12 months for HIV-positive men. Sociodemographic variables, HIV serostatus, substance use, depression, prebereavement relationship quality, and social support did not explain sexual risk-taking in this sample. However; men who engaged in unprotected anal intercourse were twice as likely to be involved in a new primary relationship as those who did not. The authors concluded that risk varies over time by HIV status and may involve engagement in new relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender role conflict and psychological well-being among gay men.

The authors used the Gender Role Conflict Scale, Attitudes Toward Seeking Professional Psychological Help Scale, and Hopkins Symptom Checklist to examine the relation of gender role conflict to certain aspects of (N?=?117) gay men's psychological experience. Gay men with less gender role conflict had a more positive view of seeking psychological help and reported fewer symptoms of anger, anxiety, and depression. On the basis of these findings, some tentative counseling implications are considered and directions for future research are proposed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drug use and unprotected anal intercourse among gay men.

Examined the link between unprotected insertive and receptive anal intercourse and drug use with sex in 604 gay men. Data spanning 4 12-mo periods from 1980 to 1987 indicate that the link between drug use and high-risk sex diminished as the acquired immune deficiency syndrome (AIDS) epidemic progressed. Strong and significant cross-sectional associations were found between drug use with sex and both types of anal intercourse in the year prior to the onset of AIDS. By 1987 the magnitude of these associations was markedly reduced. Findings support both causal and noncausal interpretations of the link between substance use and high-risk sex among gay men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical and counseling supervision references: Trends and needs.

W. N. Robiner and W. Schofield (1990) presented an article compiling the then current literature on supervision in clinical and counseling psychology. As the arena of health-care delivery has changed, so have training and supervision practices. Supervision had been one of the top 5 activities of psychologists (W. N. Robiner & W. Schofield, 1990), and an important change occurred when the American Psychological Association's Committee on Accreditation (APA, 1996, 2000) included supervision as one of the central domains of training. In this article, the authors address updated issues in supervision such as the call for empirically supported treatments, brief therapy models, and changing ethics in an environment influenced by cost containment. The references listed in the Appendix are from the literature between 1990 and 2000. (PsycINFO Database Record (c) 2010 APA, all rights reserved)