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Counseling LGBT Individuals

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Emily Shannon

on 24 April 2014

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Transcript of Counseling LGBT Individuals

Counseling LGBT Individuals
LGBT Sexual Identity
Timeline

LGBT Youth

Coming Out
LGBT Couples and Families

STRENGTHS OF LGBT INDIVIDUALS

Rights and Limitations of LGBT Individuals

Misconceptions of LGBT
Celebrities and Media Portrayal

Prejudice and Discrimination

Homophobia and Heterosexism
Shame and Stigma of Being LGBT

HIV
and
AIDS

Implications for Clinical Practice
CBT with LGBT Clients
Lesbian
Gay
Bisexual
Transgender/Transexual
Queer/Questioning
Intersex
Adoption of children by LGBT people is an issue of active debate.

While recognized on a the federal level, same-sex couples can only marry in 17/50 states and Washington D.C
There are 1,138 benefits, rights and protections provided on the basis of marital status in Federal law

United States v. Windsor (June 26, 2013).


"Do you not know that the wicked will not inherit the kingdom of God? Do not be deceived: Neither the sexually immoral (...)not male prostitutes nor homosexual offenders nor thieves (...) will inherit the kingdom of God."
LGBT individuals have historically been labeled as suffering from psychopathology
Research has shown that "homosexuality in and of itself is unrelated to psychological disturbance or maladjustment..."
Other common myths...
Myth #1: Gays are promiscuous, even when seriously involved with another.
Myth #2: Children raised by same-sex couples will end up gay themselves.
Myth #3. Gays are attracted to everybody of the same sex
.
Myth #4: Gays live a certain lifestyle, one reminiscent of the wild and crazy days of Studio 54.
Sexual Stigma
: negative regard, inferior status, and relative powerlessness associated with non-heterosexual identities
While the LGBT community battles negative imaging & stereotypes in television, film, and other media, coverage has become more positive.
More than 94% of LGBT adults report hate crime victimization
LGBT youth and adults face overwhelming amounts of prejudice and discrimination
In 2011, the FBI reported 1,572 hate crime victims targeted based on a sexual orientation bias, making up 20.4% of the total hate crimes for that year.
Of the total, 56.7% were targeted based on anti-male homosexual bias, 29.6% were targeted based on anti-homosexual bias, and 11.1% were targeted based on anti-female homosexual bias.
New York Gay Couple Allegedly Targeted In Subway Station Attack Speak Out
Will and Grace
, Jack McFarland
A variety of arenas are impacted by this stigma.
Herek, Gillis, and Cogan (2009) explained that sexual stigma can be expressed in at least three different ways.
Expressed Behavior
Societal Knowledge
Internalized Stigma
Shame and Stigma
(Continued)
Johnson and Yarhouse (2013) also state that stigma can be described as being of different types:
Proximal
Distal
Stigmatized status fosters a sense of shame in individuals who experience.

LGBT members use different defensive measures to protect themselves as a result.
Prejudice against LGBT remains widespread in US society, although
the public appears to be increasingly opposed to discrimination
based on sexual orientation
The term h
omophobia
, was coined in the late 1960's by heterosexual psychologist George Weinberg.

He used the word to label heterosexuals' dread of being in close
quarters with homosexuals as well as homosexuals' self loathing.
Encompasses a range of negative attitudes and feelings towards homosexuality and is observable in hostile behaviors such as violence.

Around the same time,
heterosexism
began to be used as a term analogous to sexism and racism.

It is used in describing an ideological system that denies, denigrates, and stigmatizes any nonheterosexual form of behavior, identity, relationship, or community.
1. Examine your personal views heterosexuality and homosexuality

2. Guidelines for Psychotherapy with Lesbian, Gay, and Bisexual Clients by the APA

3. Develop relationships with LGBT organizations

4. Insure that forms, interviews, and procedures are free of heterosexual bias

5. Do not assume that the presenting problems are necessarily the result of sexual orientation

6. Common mental health issues may include stress from multiple sources

7. Assess spiritual and religious needs

8. Have materials available that portray healthy and satisfying LGBT relationships

9. Recognize that a large number of LGBT clients have been subject to hate crimes.

Benefits to using CBT
Environment & social context focused
Problem-solving approach
Skill training focus
Not conceptualized as “good” or “bad”

Adapting CBT use
Develop a problem list with the client
Collaboratively create a treatment plan
Consider role of sexual orientation

Useful CBT tools

Beck Anxiety Inventory

Addiction Severity Index

Quality of Life Inventory

Things for an LGBT to consider in coming out are:
• Who are they coming out to?
• What are the consequences?
• What are the long and short term effects of those consequences?
• Are there sources of support if negative reactions occur?
• How will this affect a relationship with a partner?

A SUPPORTIVE COMMUNITY
SERVING AS A ROLE MODEL FOR OTHER LGBT INDIVIDUALS
LIVING AUTHENTICALLY

EGALITARIAN RELATIONSHIPS
SOCIAL JUSTICE AND ACTIVISM OPPORTUNITIES
FREEDOM FROM GENDER-SPECIFIC ROLES
1/5 of Same Sex couples are raising children

Mental stability of same sex couples' kids

Sexual identity confusion? Greater likelihood of
homosexuality?

Academic performance and behavioral problems




http://www.mtv.com/videos/true-life-im-out/1638181/playlist.jhtml
Full transcript