“…Although there are no published epidemiological studies documenting the prevalence of internalized homonegativity among LGBT individuals, evidence from community studies have shown that this phenomenon is present in virtually all LGBT individuals in varying degrees of intensity (see, e.g., Herek, Gillis, & Cogan, 2009). Internalized homonegativity has been shown to be associated with low self-esteem, psychological distress, substance abuse, risky sexual behaviors, and suicide and suicide attempts-all of which have important health and clinical implications (Dew & Chaney, 2005;Lehavot & Simoni, 2011;Meyer & Dean, 1998;Remafedi, Farrow, & Deisher, 1991). In fact, internalized homonegativity is one of the most important factors affecting mental health of LGBT individuals (Gonsiorek, 1993) and the main issue in LGBT counseling and psychotherapy (Cabaj, 1996).…”