Implementing the resolution on appropriate therapeutic responses to sexual orientation: A guide for the perplexed.

Abstract

This article provides background information and concrete examples to assist practitioners in the implementation of the American Psychological Association's Resolution on Appropriate Therapeutic Responses to Sexual Orientation. It provides some general information about psychosocial aspects of lesbian, gay, or bisexual identities. It examines the issues surrounding the assertion that sexual orientation can be changed and the implications for practice. Vignettes, based on actual case studies, are used to illustrate how practitioners might respond appropriately to clients who are struggling with issues surrounding their sexual orientation.

Evangelical Christian College Students and Attitudes Toward Gay Rights: A California University Sample

“…Therefore, the idea of marriage to a member of the same sex may insinuate a sexual relationship that violates a very sacred ideal to mainstream Evangelicals, hence causing an even stronger negative affective response than is found on other measures. Perhaps this seemingly impossible difference in perspective on marriage and sexuality between the gay community and many in the Evangelical community can be bridged by emphasizing freedom of choice and determination for both communities, a commonly held value (Beckstead & Morrow, 2004;Haldeman, 2002;Schneider, Brown, & Glassgold, 2002;Worthington, 2004;Yarhouse & Burkett, 2002).…”

Can We Change Sexual Orientation?

“…Social environmental variables (e.g., parental dynamics, trauma, peer relations, cultural norms, and stigma) and personal variables (e.g., level of exploration, selfacceptance, self-concept, gender identity, emotion-management skills, and relationship style) can influence a variety of sexual identity and behavioral choices. Focusing on trying to change a person's sexual orientation and then trying to find the cause of it devalues a more significant understanding of developmental and contextual factors influencing distress (Lasser & Gottlieb, 2004;Schneider, Glassgold, & Brown, 2002).…”

Disenfranchised Grief Among Lesbian and Gay Bereaved Individuals

“…Some LG individuals may feel an initial degree of distrust within the counseling relationship, which is understandable, especially when considering the legacy of institutionalized heterosexism throughout the history of the health care system. This legacy has also included historical occurrences of explicit and implicit forms of discrimination and prejudice from the mental health community, at least prior to the 1970s when homosexuality was recognized as a variant expression of sexuality and not a mental disorder (Schneider, Brown, & Glassgold, 2002;Walker & Prince, 2010). Thus, providing a safe, empathic and affirming therapeutic container that allows for the disclosure of one's sexual orientation is critical for establishing an effective working alliance with LG clients, especially when working with older LG adults who might disclose their sexual orientation for the first time later in life (D'Augelli et al, 2001).…”