The bear movement emerged in the gay male culture of the 1980s, but little research on this group has been conducted. The purpose of this qualitative study was to examine the meanings and functions of bear identity. Six bear-identified men participated in intensive interviews investigating this question. Results suggest that men who identify as bears consciously adopt a masculine aesthetic that signifies values of self-acceptance and maturity. The participants described the acceptance of diverse body shapes and ages within the bear community as leading to positive self-esteem and body image. Results are discussed in relation to clinical and advocacy work. They broaden the awareness of the diversity of cultures that exist within the gay community.

Current research on publicly communicating one’s sexual orientation (heretofore referred to as “coming-out”) and sexual identity formation models are examined within the two prevalent theoretical orientations: essentialism and social constructionism. Aspects of both theories find support in the empirical literature reviewed. Carrion and Lock’s stage model of sexual identity formation is described and used as a template. The discovery process will be discussed and three coming-out audiences identified. Relationships between the individual coming out and the identified audiences exist in a dynamic and fluid environment. Data suggest that perceptions of the relationship climate can affect the coming-out process. Implications for family therapists and couples counselors are provided in the conclusion of the article. More research with diverse samples is needed to further understand the process of coming-out and identity formation.

Lesbian, gay, and bisexual youth (LGBY) report higher rates of mental health concerns compared to heterosexual youth due to minority stressors. This study examined the interpersonal and intrapersonal variables that predict psychological distress and self-reported suicide attempts in a sample of 61 LGBY in the Mid-South, which is a highly overlooked regional area for LGBY research. Youth who lost friends when coming out were 29 times more likely to report suicide attempts, and those who experienced psychological maltreatment from caregivers were 9.5 times more likely to report a suicide attempt. Internalized heterosexism, feelings of guilt or shame, and psychological maltreatment from caregivers were significant predictors of depression and anxiety symptoms. This study highlights the importance of creating affirming spaces for LGBY, particularly in areas of the country that experience greater political oppression of sexual minorities, such as the Mid-South.

Sexual health and well-being are integral aspects of human growth and development. Specifically, sex and sexuality involve complex and dynamic interpersonal and intrapersonal behaviors within dynamic sociopolitical environments. Sex positivity acknowledges such complexities as positive forces in human interactions and experiences, rather than as risk factors, deviance, and pathology. Current theories within counseling psychology, however, perpetuate sex-negative perspectives of sex and sexuality, further marginalizing people of color, lesbian, gay, bisexual, transgender, queer, and intersex individuals, and people with disabilities. This article presents historical contributions from the professional fields of history, law, psychology, philosophy, and sociology, and from popular contemporary writings, to pose a sex-positive paradigm in counseling psychology. Sex-positive counseling psychology is an integrated, comprehensive approach to understanding sex and sexuality, with contributions from social justice, feminist, multicultural, and queer theories. Implications for future theories, research, and practice within counseling psychology are presented.

Unresolved, complicated, prolonged, or traumatic grief can have detrimental effects on mental and/or physical health. The effects of traditional grief counseling, with its focus on the client's acceptance of separation and integration of loss, are unclear. Within the model of continuing bonds, however, grief resolution includes an ongoing relationship between the living and the deceased. Spontaneous and induced experiences of after-death communication (ADC) have been shown to be beneficial in the resolution of grief by demonstrating these continued bonds. Presently, many bereaved individuals are experiencing assisted ADCs by receiving readings from psychic mediums and though little is known about the effects of this selfprescribed treatment option, anecdotal reports and exploratory data posit a positive outcome. This article aims to inform those who work with the bereaved about the relationships between grief, spontaneous, induced, and assisted ADC experiences, and the continuing bonds paradigm. Suggestions for future research are also included.