Clinical Issues in Working With Lesbian, Gay, and Bisexual Clients.

Abstract

Lesbian, gay, and bisexual (LGB) women and men utilize therapy at rates higher than the general population

Acceptability and Preliminary Efficacy of a Lesbian, Gay, Bisexual, and Transgender-Affirmative Mental Health Practice Training in a Highly Stigmatizing National Context

“…The modules included case studies, such that each theoretical and practical aspect of the training was paired with real-life cases of LGBTcompetent therapy examples (e.g., from our Romanian clinical research). Otherwise, the training content was based on previous research and clinical scholarship regarding LGBT mental health, 27,52,[56][57][58][59][60][61] direct clinical practice experience in the United States, and our provision of similar trainings, workshops, and seminars in the United States.…”

“…Theories of sexual and gender identity (including how they are distinct from each other and cannot be conflated or interchangeable), development, and appropriate social supports were discussed, alongside clinical guidance for integrating these considerations into practice. 52,58,62,63 We presented theoretical and empirical evidence documenting associations between stigma-related stressors and barriers to healthcare, and poor health outcomes.…”

“…This module presented counseling models that affirm and support LGBT individuals to reduce psychological distress arising from stigma and nonaffirmative healthcare. 52,[58][59][60]62,63 Providers were trained in helping LGBT clients find supportive communities and relationships. The module reviewed selfaffirming communication skills, building safe networks to overcome isolation and depression; safe disclosure of sexual orientation (when and to whom, including in healthcare contexts); and navigation of hostile contexts.…”

O coming out de gays e lésbicas e as relações familiares

“…Apesar desta mudança, de existirem directivas oficiais a nível associativo (e.g., A.P.A., 2003), de existirem textos académicos sobre as especificidades do trabalho clínico com esta população (e.g., Adams, Jaques & May, 2004;Fontaine & Hammond, 1996;Pachankis & Goldfried, 2004;Slater, 1988) e de se criarem modelos de psicoterapia afirmativa para gays e lésbicas (Davies & Neal, 1996, cit. por Pereira, 2004Clarke & Peel, no prelo), ainda existe muito trabalho a fazer para a transformação das posições dos técnicos de saúde mental (D'Augelli, 2003;Hochstedler, 2005).…”

“…por Pachankis & Goldfried, 2004) efectuaram uma análise dos estudos efectuados entre 1970 e 1980, tendo verificado que a população gay começava a suspeitar da sua homossexualidade entre os 12-13 anos, no caso dos rapazes, e entre os 14-16 anos nas raparigas. Em 1980, a média de idades do coming out era de 19-21 anos para os gays e de 21-23 anos para as lésbicas, e surgia quando a maioria dos jovens frequentava a universidade ou estabelecia uma vida independente (Troiden, 1988, cit.…”