Bisexual stereotypes in clinical evaluation.

Abstract

Psychologists nowadays tend to view same-sex attraction as a normal part of human sexuality, but it is less clear whether they still hold prejudicial views regarding bisexuality. Previous studies have demonstrated that psychotherapists' clinical evaluation is affected by whether their client is bisexual. One plausible interpretation is that such differences stem from an uncritical adoption of bisexual stereotypes, namely, that bisexual people are confused, immature, and unable to maintain romantic relationships. However, an alternative hypothesis suggests that differences in evaluation may be based on the psychotherapists' experience with bisexual clients. To adjudicate between these possibilities, psychotherapists and clinical psychology interns (N = 229) were presented with a description of a hypothetical clienta bisexual man, a gay man, or a heterosexual manseeking counseling for academic issues. Compared to non-bisexual clients, bisexual clients were evaluated as more likely to suffer from identity and relationship issues. These clinical evaluations were observed regardless of whether the therapist was personally acquainted with bisexual people or had any experience with bisexual clients. Instead, stereotypical clinical issues were perceived as particularly salient among psychotherapists who viewed the hypothetical bisexual clients as immature and confused. These results suggest that like the general public, psychotherapists adhere to stereotypical beliefs about bisexual people. Such biases are likely to have negative impacts on bisexual clients' diagnoses and overall satisfaction from therapy. We conclude that education may be key to curbing anti-bisexual bias among psychotherapists and ensuring better therapeutic outcomes for bisexual clients. Public Significance StatementThe current study shows that psychotherapists' clinical evaluation of bisexual people is affected by the stereotypical notions that bisexual people are confused about their identity and unable to maintain intimate relationships. Addressing this issue is crucial as bisexual people are more likely to experience mental health issues and to report dissatisfaction from therapy.