Skip to main content

Advertisement

Log in

Acknowledging the Impact of Social Forces on Sexual Minority Clients: Introduction to the Special Issue on Clinical Practice with LGBTQ Populations

  • Introduction
  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

Abstract

Over the last two to three decades, advances in clinical practice with lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals have been extensive. Many clinical social workers now incorporate LGBTQ-affirmative approaches into their practice, and a number of social workers have contributed to the literature on clinical practice with sexual minority clients. Despite these advances, we still require specialized knowledge to understand a number of LGBTQ-related mental health issues. The Clinical Social Work Journal’s first special issue on clinical practice with LGBTQ populations emphasizes psychotherapy techniques that acknowledge and also address social forces (e.g., transphobia, homophobia, and heterosexism) that affect the psychosocial functioning of LGBTQ clients. The special issue focuses on LGBTQ populations, such as transgender and bisexual individuals, sexual minority youth, and older adults, and psychotherapy modalities informed by a number of clinical and theoretical approaches. These in-depth articles offer guidance to clinical social workers who need to expand their knowledge of LGBTQ-related mental health issues and also provide those with existing knowledge an opportunity to refine their clinical skills and sharpen their thinking.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Alessi, E. J. (2008). Staying put in the closet: Examining clinical practice and countertransference issues in work with gay men married to heterosexual women. Clinical Social Work Journal, 36, 195–201. doi:10.1007/s10615-007-0092-6.

    Article  Google Scholar 

  • Alessi, E. J. (2013). A framework for incorporating minority stress theory into treatment with sexual minority clients. Journal of Gay & Lesbian Mental Health. doi:10.1080/19359705.2013.789811.

    Google Scholar 

  • Appleby, G. A., & Anastas, J. W. (1998). Not just a passing phase: Social work with gay, lesbian, and bisexual people. New York: Columbia University Press.

    Google Scholar 

  • Bieschke, K. J., Eberz, A. B., Bard, C. C., & Croteau, J. (1998). Applying social cognitive theory to the creation of GLB-affirmative research training environments. The Counseling Psychologist, 26, 735–753. doi:10.1177/0011000098265003.

    Article  Google Scholar 

  • Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103, 943–951. doi:10.2105/AJPH.2013.301241.

    Article  PubMed  Google Scholar 

  • Bowers, R., Plummer, D., & Minichiello, V. (2005). Homophobia in counseling practice. International Journal for the Advancement of Counseling, 27, 471–489. doi:10.1007/s10447-005-8207-7.

    Article  Google Scholar 

  • Chambers, A. (2013). I am sorry. Retrieved 3 July 2013, from http://exodusinternational.org/2013/06/i-am-sorry/.

  • Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53–61. doi:10.1037/0022-006X.71.1.53.

    Article  PubMed  Google Scholar 

  • Cole, S. W. (2006). Social threat, personal identity, and physical health in closeted gay men. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in gay, lesbian, and bisexual people (pp. 245–267). Washington: American Psychological Association.

    Chapter  Google Scholar 

  • Cornett, C. (1995). Reclaiming the authentic self: Dynamic psychotherapy with gay men. Northvale: Jason Aronson, Inc.

    Google Scholar 

  • Crisp, C. (2006). The gay affirmative practice scale (GAP): A new measure for assessing cultural competence with gay and lesbian clients. Social Work, 51, 115–126. doi:10.1093/sw/51.2.115.

    Article  PubMed  Google Scholar 

  • Cross, M. C. (2001). The appropriation and reification of deviance: Personal construct psychology and affirmative therapy. A response to Harrison. British Journal of Guidance & Counselling, 29, 337–343.

    Article  Google Scholar 

  • Erikson, E. H. (1963). Childhood and society (2nd ed.). New York: Norton.

    Google Scholar 

  • Erikson, E. H. (1968). Identity: Youth and crisis. Oxford: Norton.

    Google Scholar 

  • Exodus International. (2013). Exodus International to shut down. Retrieved 3 July 2013, from http://exodusinternational.org/2013/06/exodus-international-to-shut-down/.

  • Goldstein, E. (2007). Social work education and clinical learning: Yesterday, today, and tomorrow. Clinical Social Work Journal, 35, 15–23. doi:10.1007/s10615-006-0067-z.

    Article  Google Scholar 

  • Goldstein, E., & Horowitz, L. (2003). Lesbian identity and contemporary psychotherapy: A framework for clinical practice. Hillsdale: Analytic Press.

    Google Scholar 

  • Grant, J. M., Mattet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2010). Injustice at every turn: A report of the national transgender discrimination survey. Retrieved 25 May 2013, from http://endtransdiscrimination.org/report.html.

  • Haas, P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, A. R., et al. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58(1), 10–51. doi:10.1080/00918369.2011.534038.

    Article  PubMed  Google Scholar 

  • Herek, G. M. (2009). Hate-crimes and stigma-related experiences among sexual minority adults in the United States: Prevalence estimates from a national probability sample. Journal of Interpersonal Violence, 24, 54–74. doi:10.1177/0886260508316477.

    Article  PubMed  Google Scholar 

  • Hunter, S., & Hickerson, J. (2003). Affirmative practice: Understanding and working with gay, lesbian, bisexual, and transgender persons. Washington: NASW Press.

    Google Scholar 

  • Hunter, S., Shannon, C., Knox, J., & Martin, J. I. (1998). Lesbian, gay, and bisexual youths and adults: Knowledge for human services practice. Thousand Oaks: Sage Publications.

    Google Scholar 

  • Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington: National Academies Press.

    Google Scholar 

  • King, M., Semlyn, J., Killaspy, H., Nazareth, I., & Osborn, D. (2007). A systematic review of research on counseling and psychotherapy for lesbian, gay, bisexual, and transgender people. Retrieved 1 September 2012, from http://www.nitherapy.net/assets/images/2012/05/BACP_LGBTreview.pdf.

  • LaSala, M. C. (2010). Coming out, coming home: Helping families adjust to a gay or lesbian child. New York: Columbia University Press.

    Google Scholar 

  • Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. New York: Hayworth.

    Google Scholar 

  • Liptak, A. (2013, June 26). Supreme Court bolsters gay marriage with two major rulings. Retrieved 4 July 2013, from http://www.nytimes.com/2013/06/27/us/politics/supreme-court-gay-marriage.html?pagewanted=all.

  • Mallon, G. P. (Ed.). (2008). Social work practice with lesbian, gay, bisexual, and transgender people (2nd ed.). New York: Routledge.

    Google Scholar 

  • Martin, J. I., Messinger, L., Kull, R., Holmes, J., Bermudez, F., & Sommer, S. (2009). Council on Social Work EducationLambda Legal study of LGBT issues in social work. Retrieved 4 February 2010, from http://www.cswe.org/File.aspx?id=25678.

  • Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876. doi:10.2105/AJPH.91.11.1869.

    Article  PubMed  Google Scholar 

  • Messinger, L. (2006). Toward affirmative practice. In D. F. Morrow & L. Messinger (Eds.), Sexual orientation and gender expression in social work practice: Working with gay, lesbian, bisexual, and transgender people (pp. 460–470). New York: Columbia University Press.

    Google Scholar 

  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5.674.

    Article  PubMed  Google Scholar 

  • Morrow, D. F. (2004). Social work practice with gay, lesbian, bisexual, and transgender adolescents. Families in Society, 85(1), 91–99.

    Article  Google Scholar 

  • Morrow, D. F., & Messinger, L. (Eds.). (2006). Sexual orientation and gender expression in social work practice: Working with gay, lesbian, bisexual, and transgender people. New York: Columbia University Press.

    Google Scholar 

  • New York Times. (2013). How the rulings affect gay couples. Retrieved 4 July 2013, from http://www.nytimes.com/interactive/2013/06/26/us/scotus-gay-marriage.html?_r=0.

  • Saltzburg, S. (2007). Narrative therapy pathways for re-authoring with parents of adolescents coming-out as lesbian and gay. Contemporary Family Therapy: An International Journal, 29, 57–69.

    Article  Google Scholar 

  • Shelton, K., & Delgado-Romero, E. A. (2011). Sexual orientation microaggressions: The experience of lesbian, gay, and queer clients in psychotherapy. Journal of Counseling Psychology, 58, 210–221. doi:10.1037/a0022251.

    Article  PubMed  Google Scholar 

  • Stone Fish, L., & Harvey, R. G. (2005). Nurturing queer youth: Family therapy transformed. New York: W. W. Norton & Company.

    Google Scholar 

  • United Nations. (2011). Discriminatory laws and practices and acts of violence against individuals based on their sexual orientation and gender identity: Report of the United Nations High Commissioner for Human Rights. Retrieved 4 July 2013, from http://www2.ohchr.org/english/bodies/hrcouncil/docs/19session/A.HRC.19.41_English.pdf.

  • Van Den Bergh, N., & Crisp, C. (2004). Defining culturally competent practice with sexual minorities: Implications for social work education and practice. Journal of Social Work Education, 40, 221–237.

    Google Scholar 

  • Warner, J., McKeown, E., Griffin, M., Johnson, K., Ramsay, A., Cort, C., et al. (2004). Rates and predictors of mental illness in gay men, lesbians, and bisexual men and women. British Journal of Psychiatry, 185, 479–485. doi:10.1192/bjp.185.6.479.

    Article  PubMed  Google Scholar 

  • Wright, R. G., LeBlanc, A. J., & Badgett, M. L. V. (2013). Same-sex legal marriage and psychological well-being: Findings from the California Health Interview Survey. American Journal of Public Health, 103, 339–346. doi:10.2105/AJPH.2012.301113.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edward J. Alessi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Alessi, E.J. Acknowledging the Impact of Social Forces on Sexual Minority Clients: Introduction to the Special Issue on Clinical Practice with LGBTQ Populations. Clin Soc Work J 41, 223–227 (2013). https://doi.org/10.1007/s10615-013-0458-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-013-0458-x

Keywords

Navigation