Gay and lesbian clients' selection of therapists and utilization of therapy.

Liddle, Becky J.

doi:10.1037/h0087742

Cited by 102 publications

(96 citation statements)

References 23 publications

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“…For some time it has been known that many lesbians and gay men face particular obstacles in seeking mental health services (Garnets, Hancock, Cochran, Goodchilds, & Peplau, 1991) including difficulties in accessing providers who are knowledgeable about lesbian and gay health and lifestyle issues (Kaufman et al, 1997;Liddle, 1997;Trippet, 1994). There is also some reason to believe that this population may access mental health related services at higher rates than others do.…”

mentioning

confidence: 99%

Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States.

Cochran¹,

Sullivan²,

Mays³

2003

Journal of Consulting and Clinical Psychology

1,143

822

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Recent estimates of mental health morbidity among adults reporting same-gender sexual partners suggest that lesbians, gay men, and bisexual individuals may experience excess risk for some mental disorders as compared with heterosexual individuals. However, sexual orientation has not been measured directly. Using data from a nationally representative survey of 2,917 midlife adults, the authors examined possible sexual orientation-related differences in morbidity, distress, and mental health services use. Results indicate that gay-bisexual men evidenced higher prevalence of depression, panic attacks, and psychological distress than heterosexual men. Lesbian-bisexual women showed greater prevalence of generalized anxiety disorder than heterosexual women. Services use was more frequent among those of minority sexual orientation. Findings support the existence of sexual orientation differences in patterns of morbidity and treatment use.Perspectives on the prevalence of mental health disorders and the need for treatment services among lesbians and gay men have undergone remarkable changes over the last century (Bailey, 1999;Friedman, 1999). Although researchers long ago documented that "illness" models (Gonsiorek, 1996) of homosexuality lacked sufficient empirical support for theoretical predictions (Hooker, 1993), there is increasing concern that lesbians and gay men may be at elevated risk for some psychological disorders because of the harmful effects of social stigma (Fife & Wright, 2000;Kessler, Mickelson, & Williams, 1999;Markowitz, 1998;Meyer, 1995;Otis & Skinner, 1996;Wright, Gronfein, & Owens, 2000). Researchers have shown that some forms of mental disorders, particularly affective, anxiety, and substance use disorders, are likely to be influenced by the effects of social stress (Dohrenwend, 2000;Kendler et al., 1995;Mazure, 1995). In this regard, homosexuality is still widely stigmatized despite greater acceptance evident in recent opinion polls of the American population (Butler, 2001). Lesbians and gay men commonly report positive histories of victimization and discrimination (Herek, Gillis, & Cogan, 1999;Hershberger & D'Augelli, 1995;Krieger & Sidney, 1997), particularly in adolescence or young adulthood (D'Augelli, Hershberger, & Pilkington, 1998;Lock & Steiner, 1999). As a consequence, homosexuality may be a risk indicator for higher rates of psychological distress and some mental disorders.Much of the recent population-based research in this area (Bloomfield, 1993;Cochran, Keenan, Schober, & Mays, 2000;Cochran & Mays, 2000a, 2000bFaulkner & Cranston, 1998;Fergusson, Horwood, & Beautrais, 1999;Garofalo, Wolf, Wissow, Woods, & Goodman, 1999;Gilman et al., 2001;Herrell et al., 1999;Lock & Steiner, 1999;Remafedi, French, Story, Resnick, & Blum, 1998;Saewyc, Bearinger, Heinz, Blum, & Resnick, 1998;Sandfort, de Graaf, Bijl, & Schnabel, 2001;Stall & Wiley, 1988) was made possible by the serendipitous inclusion of questions concerning genders of sexual partners in large healthrelated studies of the gen...

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mentioning

confidence: 99%

Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States.

Cochran¹,

Sullivan²,

Mays³

2003

Journal of Consulting and Clinical Psychology

1,143

822

View full text Add to dashboard Cite

show abstract

“…This positive therapeutic outcome had been previously correlated in part to the preference the LGB client could have for a therapist of the same sexual orientation (Isay, 1991;Liddle, 1997;McDermot, 1989). This preference seemed to share some commonalities with the theme of Lea et al's (2010) study whereby the participants understood the hardships and negative experiences which could be attributed to living in a relatively 'heternormative' culture.…”

Section: Implications For Lgb Therapists and Lgbtq Clientsmentioning

confidence: 99%

“…This was shown in a significant effect between therapist sexual orientation (matching that of the client's) and their helpfulness rating (p < 0.05). Liddle (1997) conducted a secondary analysis of the same survey data and found that gay and lesbian clients reported seeing LGB therapists for a longer duration than matched heterosexual clients. Israel et al's (2008) study used semi-structured interviews with 14 psychotherapists identifying a broad range of variables and characteristics of therapists that are useful when working with LGB clients, concluding that even when gay clients aren't working on issues related to sexuality it was still useful for them to work with a gay therapist who would naturally be gay affirmative (a therapeutic model that respects all Dr James Christopher Porter Doctoral Portfolio in Counselling Psychology!…”

Section: Empirical Research and Evidence Regarding Self-disclosurementioning

confidence: 99%

“…This has been found to have a number of positive outcomes within therapeutic relationships for clients (Atkinson, Brady & Casas, 1981;Liddle, 1996;Liddle, 1997;Martin, 2005) regarding their comfort with their therapists and increased understanding to build empathic and trusting relationships. It is however not the policy of todays healthcare providers to provide psychological therapies for LGBT individuals by therapists of a particular sexuality (APS, 2012;NHS, 2012) and this would have to be sought through the use of accessing private or LGB-centred organisations which provide psychological therapies.…”

Section: Summarising the Purpose Of Self-disclosurementioning

confidence: 99%

“…LGB therapists (Atkinson, Brady & Cass, 1981;Israel et al, 2008;Liddle, 1996Liddle, , 1997 specifically in an LGB service, which makes it unusual to the author that this area has scarcely been researched.…”

Section: Introductionmentioning

confidence: 99%

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