Category Archives: Internalized Homophobia
Revitalized LGBT Mental Health Community
We’ve relaunched the LGBT Mental Health Community on the HealthyPlace website. You’ll find over 100 new articles and videos dealing with gay, lesbian, bisexual and transgender mental health and related issues that are important to the LGBT community. Not only do we discuss gay mental health in detail, but there’s also plenty of information on where to find gay support, gay support groups and organizations. Other topics include gay bullying, gay suicide, and things you should consider before coming out at work. Plus we have articles that address parents of gay children and some of the issues they face. We invite you to take a look.
We are also looking for a new blogger to write on LGBT and mental health issues. Could you be that person? More info here.
Related Articles
- LGBT Mental Health Homepage
- All LGBT Articles
- Why Are People Gay? Gay By Choice or Is Being Gay Genetic?
- Coming Out Gay Step-By-Step
- Gay Therapy, Gay Therapists, Gay Treatment
- Cure the Gay: Gay Conversion Therapy – Real or Hoax?
- Gay Discrimination and Stigma and How to Cope
- Domestic Violence in Lesbian Relationships
- What is Biphobia?
by Xiomara
Health, Behavior And Identity Are The Focus Of Bisexuality Studies
Bisexuality, often stigmatized, typically has been lumped with homosexuality in previous public health research. But when Indiana University scientists recently focused on the health issues and behaviors specific to behaviorally bisexual men and women, they found tremendous variety, and that commonly used labels, such as heterosexual and homosexual, can sometimes do more harm than good.
Bisexual, gay, lesbian, queer, men who have sex with men (MSM), women who have sex with women (WSW) — these are just some of the terms commonly used to characterize sexual partnering and attraction in recent research. Behavioral science researchers have long known that socially constructed sexual identity “labels” (like “gay”) are often not always reflective of the diversity and complexity of an individual’s sexual behaviors. A study led by Vanessa Schick, assistant research scientist at the Center for Sexual Health Promotion at IU Bloomington, found that how women relate to their label could influence their health.
Schick’s study involved 2,578 women who reported a history of attraction or sexual encounters with women. The Web-based survey asked about mental, physical and sexual wellness. In the paper “Bidentity: Sexual Behavior/Identity Congruence and Women’s Sexual, Physical and Mental Well-Being,” Schick reports finding that the women who identified themselves as bisexual or lesbian reported the best health when their sexual identity matched their recent sexual history.
Schick, however, warned against interpreting this as evidence that women should declare a sexual identity that corresponds to their sexual behavior. Instead, she points to the experiences of women who labeled themselves as “queer,” a sexual identity that is sometimes endorsed by individuals who want to reject traditional labels that suggest the gender of their sexual partners.
“Unlike the other women in the study, the mental, physical and sexual well-being of queer-identified women was not related to the gender of their recent sexual partners,” she said.
“This suggests that, instead of encouraging women to adopt labels that are more descriptive of their behavior, we should be more flexible in the behavioral expectations that we attach to these labels.”
For a variety of reasons, men and women often identify openly or just to themselves with a label that is different from their sexual history. One such reason is biphobia, the stigma and discrimination that bisexual individuals experience from both heterosexual and homosexual individuals.
Brian Dodge, associate professor in the School of Health, Physical Education and Recreation and associate director of the Center for Sexual Health Promotion, found in his study on sexual health among bisexual men that factors associated with biphobia contributed to feelings of isolation and social stress reported by many of his study participants. Dodge’s qualitative study, which is funded by the National Institutes of Health, is based on in-depth interviews with 75 bisexual men from the Indianapolis area, ages 19 to 70, equally divided among Latino participants, non-Latino black participants and non-Latino white participants.
“There have been large quantitative studies that examined the mental health status of men who have sex with both men and women,” Dodge said, “but no one has sat down and talked with these men about it. When we did, men were saying explicitly that being bisexual, not having a community to be involved with, not having people they could disclose to, homosexual or heterosexual, was tied to their experiences of adverse mental health.”
These are just some of the findings in the special issue of Journal of Bisexuality. Guest edited by Dodge and Schick, the special issue includes articles that stray from the more typical focus on sexual risk and sexually transmitted infections and covering topics including physical health and wellness, sexual health, and mental health among people whose identities or behaviors indicate bisexuality. Researchers contributing to the issue come from such institutions as Emory University, George Mason University, Columbia University, George Washington University and the IU School of Medicine.
“The issue gives a nice snapshot of how diverse bisexuality is among both men and women,” Dodge said.
Here are more findings from Dodge’s and Schick’s studies:
- Schick’s paper “Variations in the Sexual Repertoires of Bisexually Identified Women in the United States and the United Kingdom” examined the diversity of sexual behavior reported by bisexual women. When looking at their recent sexual experiences, the women were divided almost evenly as having no recent sexual partners, having only a male sexual partner, only a female sexual partner, or both male and female sexual partners. This study involved 710 bisexually identified women, making it one of the largest studies of its kind. “Like all people, bisexual women are living their sexual lives in diverse ways,” Schick said. “Some women may choose to have both male and female partners while others may engage in sexual behavior with only men or women. Other bisexually identified women may decide not to have any sexual partners at all. They don’t simply fit into one mold. This contradicts the hypersexualized representations of bisexual women that we often find within the media.”
- For both papers in the special issue, Schick and her research team gathered more detailed information than other studies because of the variety of questions asked. Instead of asking whether they used a sex toy, for example, they asked about five different kinds of toys. When they asked about behaviors such as oral sex, they asked who was giving and receiving separately for men and women. Overall, they found that bisexual women tended to engage in parallel behaviors with men and women. In other words, they were similarly as likely to engage in oral sex with a male partner as they were to engage in oral sex with a female partner.
- In Dodge’s study, men were asked to report a wide range of sexual behaviors with both male and female partners based on measures developed for the National Survey of Sexual Health and Behavior, a recent study conducted by the Center for Sexual Health Promotion examining the sexual behaviors and experiences of a nationally representative sample of more than 6,000 individuals in the United States. Such detailed data on the specific oral, vaginal, anal and other sexual behaviors in which these men engage with both male and female partners have been absent from scientific literature. The paper “Sexual Behaviors and Experiences Among Behaviorally Bisexual Men in the Midwestern United States: Implications for Interventions,” written by postdoctoral research fellow Omar Martinez of the HIVCenter for Clinical and Behavioral Studies at Columbia University, explores the unique sexual behaviors and experiences of bisexual Latino men in the study.
- In Dodge’s paper “Individual and Social Factors Related to Mental Health Concerns Among Bisexual Men in the Midwestern United States,” participants reported mental health concerns tied to both individual and social struggles associated with being bisexual, particularly the isolation and lack of support and perceived stigma associated with bisexuality among men. They reported feeling they would automatically receive negative reactions from both homosexual and heterosexual family, friends and other people in their social networks. As a result, participants were not likely to disclose their bisexuality, further increasing their invisibility and isolation.
- In large part, men in Dodge’s study tended to use condoms with male partners for HIV/STI prevention purposes and with female partners for pregnancy prevention purposes. Women were seen as being “safer” in terms of STI transmission risk. In the paper “Subjective Sexual Experiences of Behaviorally Bisexual Men in the Midwestern United States: Sexual Attraction, Sexual Behaviors and Condom Use,” authored by IU doctoral candidate Phillip Schnarrs, participants describe the patterns and meanings of their sexual repertoires with both male and female partners.
Dodge said a better understanding of men’s sexual behaviors and experiences will lead to more effective health programming for bisexual men and their male and female sexual partners.
“Because the content of most current sexual health programs for gay and bisexual men focus only on their behaviors and experiences with male partners, interventions are urgently needed that are specifically tailored to the wide range of sexual behaviors and experiences which bisexual men share with both male and female partners,” he said.
Indiana University
http://www.medicalnewstoday.com/releases/245920.php
by Xiomara
Family Acceptance: Groundbreaking ‘Best Practice’ for Reducing Suicide Risk for LGBT Youth
Twenty-year-old Javie came to a youth shelter after his mom and stepfather forced him out of their home. He was depressed and had been drinking regularly with friends after fights with his parents about his clothes and his friends, and especially after they discovered he had a boyfriend. Javie had attempted suicide when he was 13, was hospitalized for a week, and was in counseling on and off throughout his adolescence. His mom regularly criticized his behavior and often asked when he was going to get a girlfriend. Javie had made a plan to commit suicide one morning, but after getting into a fight with his stepfather about the kinds of friends he hung out with, Javie left the house with a bag of clothes and went to a friend’s house, where he stayed before finding a youth shelter.
Javie’s story is far from unique. LGBT teen suicides have tragically become more visible than ever in recent years, and experts across many fields have looked for answers to both explain and prevent such tragedies. Those of us who provide services to LGBT youth (including my organization, Green Chimneys NYC) are increasingly vigilant in looking for signs of suicidal thoughts, evidence of being bullied, and psychological symptoms such as depression and isolation. We provide a safe haven for LGBT youth who have been kicked out from their family homes or who have fled abuse by their families. Thus we know that the support that families offer, or the lack thereof, can make all the difference in the lives of these youth. Research bears us out: The Family Acceptance Project (FAP) has found that youth who are accepted by their families are at significantly lower risk of suicidality, depression, HIV, drug use, and more. Even a small movement by family members toward acceptance can have a significant positive impact.
We now have a new, powerful tool to build these vital connections between LGBT youth and their families: FAP’s Supportive Families, Healthy Children booklet, which educates families about the positive impacts of accepting their LGBT children. And in what is truly monumental news for those in my field, the Suicide Prevention Resource Council, the leading suicide prevention organization, has granted Supportive Families its Best Practices designation — the first of its kind for a suicide-prevention tool aimed specifically at LGBT youth. This designation will help bring this valuable and life-saving material to service providers in many fields, a huge step in acknowledging that there are many service areas in which we can decrease the negative affects of family rejection and help LGBT youth and their families have stronger relationships — in schools, through crisis response services, in mental health clinics, at youth shelters, and more.
What makes Supportive Families, and indeed all of FAP’s work, so remarkable is that it is culturally sensitive to a diverse set of families, allowing it to be used for a broad range of people. It is printed in multiple languages (English, Spanish, and Cantonese, with more to come) and addresses religiously conservative families in a way that any parent or caretaker can relate to. And the central message is straightforward and consistent: that accepting your LGBT child will have a dramatic impact on his or her health, well-being, and future. Among foster care, homeless, and other out-of-home youth, like the youth served by Green Chimneys NYC, we see the most devastating outcomes, caused by layers of trauma, abuse, rejection, and instability. These are the populations that are most in need of intervention — intervention by well-equipped professionals who can readily identify those at high risk and have effective tools to intervene in that risk.
FAP, and Green Chimneys NYC, as well, are realistic about the outcomes of such intervention. Many parents and family members come from conservative cultural and religious traditions that make it very difficult for them to fully accept their children.. But outcomes are not binary; there is a middle ground between full rejection and full acceptance. We can help even conservative families understand that minimizing specific rejecting behaviors can be enough to save their child’s life.
Supportive Families, in short, is not just a booklet but a vital new tool that service providers and families should embrace. This service will help save lives. People around the country, from all walks of life and up to the White House, know that LGBT youth need to feel supported, that they aren’t alone, and that it will get better. Together, we can also embrace that families can be a place of healing, of refuge, of affirmation, a way to counteract the bullying and harassment that a youth may experience out in the world. And by increasing affirmation a little bit at a time, we can change the world for LGBT youth.
Theresa Nolan
Division Director of NYC Programs, Green Chimneys Children’s Services
by Xiomara
World Health Organization Releases Groundbreaking Report Condemning Conversion Therapies for Sexual Minorities (GLBT)
Xiomara A. Sosa, XAS Founder & Principal
From Pan American Health Organization
Washington, D.C., 17 May 2012 (PAHO/WHO) — Services that purport to “cure” people with non-heterosexual sexual orientation lack medical justification and represent a serious threat to the health and well-being of affected people, the Pan American Health Organization (PAHO) said in a position statement launched on 17 May, the International Day against Homophobia. The statement calls on governments, academic institutions, professional associations and the media to expose these practices and to promote respect for diversity.
From Pan American Health Organization
Washington, D.C., 17 May 2012 (PAHO/WHO) — Services that purport to “cure” people with non-heterosexual sexual orientation lack medical justification and represent a serious threat to the health and well-being of affected people, the Pan American Health Organization (PAHO) said in a position statement launched on 17 May, the International Day against Homophobia. The statement calls on governments, academic institutions, professional associations and the media to expose these practices and to promote respect for diversity.
Twenty two years ago, on May 17, the World Health Assembly removed homosexuality from the list of mental disorders when it approved a new version of the World Health Organization’s International Classification of Diseases (ICD-10).
“Since homosexuality is not a disorder or a disease, it does not require a cure. There is no medical indication for changing sexual orientation,” said PAHO Director Dr. Mirta Roses Periago. Practices known as “reparative therapy” or “conversion therapy” represent “a serious threat to the health and well-being—even the lives—of affected people.”
The PAHO statement notes that there is a professional consensus that homosexuality is a natural variation of human sexuality and cannot be regarded as a pathological condition. However, several United Nations bodies have confirmed the existence of “therapists” and “clinics” that promote treatment intended to change the sexual orientation of non-heterosexual people.
The document notes that no rigorous scientific studies demonstrate any efficacy of efforts to change sexual orientation. However, there are many testimonies about the severe harm to mental and physical health that such “services” can cause. Repression of sexual orientation has been associated with feelings of guilt and shame, depression, anxiety, and even suicide.
As an aggravating factor, there have been a growing number of reports about degrading treatments, and physical and sexual harassment under the guise of such “therapies,” which are often provided illicitly. In some cases, adolescents have been subjected to such interventions involuntarily and even deprived of their liberty, sometimes kept in isolation for several months.
“These practices are unjustifiable and should be denounced and subject to sanctions and penalties under national legislation,” said Dr. Roses. “These supposed conversion therapies constitute a violation of the ethical principles of health care and violate human rights that are protected by international and regional agreements.”
To address the problem, PAHO makes a series of recommendations for governments, academic institutions, professional associations, the media, and civil society, including:
• “Conversion” or “reparative” therapies and the clinics offering them should be denounced and subject to adequate sanctions.
• Public institutions responsible for training health professionals should include courses on human sexuality and sexual health in their curricula, with a focus on respect for diversity and the elimination of attitudes of pathologization, rejection, and hate toward non-heterosexual persons.
• Professional associations should disseminate documents and resolutions by national and international institutions and agencies that call for the de-psychopathologization of sexual diversity and the prevention of interventions aimed at changing sexual orientation.
• In the media, homophobia in any of its manifestations and expressed by any person should be exposed as a public health problem and a threat to human dignity and human rights.
• Civil society organizations can develop mechanisms of civil vigilance to detect violations of the human rights of non-heterosexual persons and report them to the relevant authorities. They can also help to identify and report people and institutions involved in the administration of “reparative” or “conversion therapies.”
PAHO, which celebrates its 110th anniversary this year, is the oldest public health organization in the world. It works with its member countries to improve the health and the quality of life of the people of the Americas. It also serves as the Regional Office for the Americas of WHO.
LINKS: “Cures” for an illness that does not exist Link:
http://www.facebook.com/PAHOWHO
http://www.youtube.com/pahopin
Media Contacts:
Leticia Linn, linnl@paho.org, Tel. + 202 974 3440, Mobile +1 202 701 4005, Donna Eberwine-Villagran, eberwind@paho.org, Tel. +1 202 974 3122, Mobile +1 202 316 5469, Sonia Mey-Schmidt, maysonia@paho.org, Tel. + 1 202 974 3036, Mobile +1 202 251 2646, Knowledge Management and Communications, PAHO/WHO–www.paho.org
http://www.dayagainsthomophobia.org/Media-Release-World-Health,1557
by Xiomara
Official Statement Concerning Homosexuality from the American Counseling Association
Xiomara A. Sosa, XAS Founder
The American Counseling Association has a division called the “Association for Gay, Lesbian, and Bisexual Issues in Counseling”. Its mission is as follows:
Mission Statement
The mission of the Association for Gay, Lesbian, and Bisexual Issues in Counseling is to educate mental health service providers about issues confronting gay, lesbian, bisexual and transgender (GLBT) individuals. We believe that all individuals should be free to develop their full potential regardless of sexual orientation and gender identity, and that professional counselors must understand the unique ways gays, lesbians, bisexuals and transgendered individuals experience inequality and injustice resulting from discrimination and prejudice.
From the mission statement for the Association for Gay, Lesbian, and Bisexual Issues in Counseling.
“Reparative Therapy”
The American Counseling Association has adopted a resolution that states that it: “opposes portrayals of lesbian, gay, and bisexual youth and adults as mentally ill due to their sexual orientation; and supports the dissemination of accurate information about sexual orientation, mental health, and appropriate interventions in order to counteract bias that is based on ignorance or unfounded beliefs about same-gender sexual orientation.” [Resolution adopted by American Counseling Association Governing Council, March 1998.] Further, at its 1999 World Conference, ACA adopted a position opposing the promotion of “reparative therapy” as a “cure” for individuals who are homosexual. [Action by American Counseling Association Governing Council, April 1999.]
Taken from The American Psychological Association Online Fact Sheet — Just the Facts About Sexual Orientation & Youth: A Primer for Principals, Educators and School Personnel.
http://www.clgs.org/official-statement-concerning-homosexuality-american-counseling-association
Xiomara A. Sosa, XAS Founder
CSAT (2001) state that homophobia and heterosexism can affect GLBT people by causing internalized homophobia, shame, and a negative self-concept. Some GLBT individuals learn to devalue themselves and value only heterosexual persons instead. The negative effects of heterosexism include the following:
• Self-blame for the victimization one has suffered
• Negative self-concept as a result of negative messages about homosexuality
• Anger directed inward resulting in destructive patterns such as substance abuse
• Victim mentality or feelings of inadequacy, hopelessness, and despair that interfere with leading a fulfilling life
• Self-victimization that may hinder emotional growth and development.
Beatty et al. (1999) state that a sexual minority status may cause GLBT individuals to face prejudicial attitudes, discriminatory behaviors, hatred, and verbal, emotional, or physical abuse. This discrimination can lead to loss of job and residence and rejection by family and peers. The result of living this type of existence is often immeasurable psychological stress that leads to escape with alcohol and other drugs or causes depression,, among other maladaptie behaviors such as overworking at the expense of personal relationships.
(Substance Abuse Counseling: Theory and Practice, 4/e for Laureate Education, 4th Edition. Pearson Learning Solutions pp. 315 – 316).
Xiomara A. Sosa, XAS Founder
‘Coming out’ as gay, lesbian or bisexual may be good for your health, particularly when parental support is involved.
A comprehensive new study led by Boston University School of Public Health (BUSPH) researcher Emily Rothman shows that two-thirds of lesbian, gay and bisexual adults in a representative Massachusetts sample reported receiving positive support from their parents after coming out to them.
Xiomara A. Sosa, XAS Founder
Gay affirmative psychotherapy is a form of psychotherapy for gay and lesbian clients which encourages them to accept their sexual orientation, and does not attempt to change them to heterosexual, or to eliminate or diminish same-sex desires and behaviors. The American Psychological Association (APA) offers guidelines and materials for gay affirmative psychotherapy. Affirmative psychotherapy states that homosexuality or bisexuality is not a mental illness. In fact, embracing and affirming gay identity can be a key component to recovery from other mental illnesses or substance abuse. There are a number of individuals for whom neither gay-affirmative therapy nor conversion therapy might be appropriate, however. Clients whose religious beliefs teach against homosexual behavior may require some other method of integration of their conflicting religious and sexual selves.
Gay Affirmative Therapy (GAT) takes the position that there is nothing inherently wrong with being gay or lesbian.What’s wrong is what is done to gay men and lesbians by a homophobic, homo-ignorant society and heterosexist therapy. Living in a shame-based culture creates a variety of behavioral and psychological disorders. GAT focuses on repairing the harm done to these clients, helping them move from shame to pride.
http://www.gayaffirmativetherapy.com/default.asp?id=1158
http://en.wikipedia.org/wiki/Gay_affirmative_psychotherapy
The Lesbian, Gay, Bisexual, and Transgender Concerns Office (LGBTCO) advances psychology as a means of improving the health and well-being of LGBT people, of increasing understanding of gender identity and sexual orientation as aspects of human diversity, and of reducing stigma, prejudice, discrimination, and violence toward LGBT people.
Living with truth and love is radical now. Perhaps it’s always been so.
But the damaging effects of hatred are so powerful that they erode the human spirit as powerfully as any chemical toxin.
The effects of hatred among religious fundamentalists and warriors are well known and documented throughout history. Tyrants and dictators, fascists and dominating factions of oppression have always haunted our lives, our grandparents’ lives, and have been the reason we have immigrated, migrated, developed, and reinvented ourselves.
But what about the subtle hatred, the insidious negativity that poisons children in a family or workers in an office? The rejecting glances, the off-color comments, the divisive, manipulative behavior of bosses and co-workers, the back stabbing, the gossiping, the rumors of high school, the bullying of middle school? What about the yearning for acceptance and petty, life destroying, soul destroying games that people play to end up a winner?
It’s so difficult for people to be positive and supportive toward one another that more people are suffering from hurt feelings and a strong sense of not fitting in, not belonging, or not being good enough for their own family members, their “friends,” their neighbors or co-workers, their bosses and mates, than can possibly be expressed.
We are mammals, after all; a strange and confusing hybrid of territorial creature and higher ordered thinking being, capable of love, acceptance and mercy.
But if someone has a choice, why do they so often choose insulting, negative language over kind, accepting language?
Is it evolutionarily programmed into us as a way of regaining territory, regaining control, or, to use a phrase I detest, being a “winner?” After all, the most scathing cliques at high school and at the workplace are not full of armed soldiers, they are usually rampant with armed tongues, fiery tempers, and flaring words.
Kindness is so often perceived as weakness that we continually imagine “standing up” to our spouse, significant other, parent, co-worker, boss, as if the technique of turning the other cheek or not fighting fire with fire are somehow something quite less than heroic. We long for the bar brawl, the frenzy, the “coming to blows.” For what?
Aimee Boyle.
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