Authors: Kathleen Y. Ritter, Anthony I. Terndrup, Anthony I. Terndrup
ISBN-13: 9781572307148, ISBN-10: 1572307145
Format: Hardcover
Publisher: Guilford Publications, Inc.
Date Published: January 2002
Edition: 1st Edition
Kathleen Y. Ritter, PhD, is Professor of Counseling Psychology at California State University, Bakersfield, and maintains a private practice. Coauthor of two previous books, she has extensive experience counseling, teaching, and presenting workshops focused on working with sexual minority clients.
Anthony I. Terndrup, PhD, is a senior staff therapist at the Pastoral Counseling Center of the Mid-Willamette Valley in Corvallis, Oregon and a member of the graduate faculty in Counselor Education at Oregon State University. He is Past President of the Association for Gay, Lesbian and Bisexual Issues in Counseling (a division of the American Counseling Association). For over 15 years, he has served sexual minority clients in a variety of clinical settings, including psychosocial rehabilitation, private practice, college counseling, and pastoral care.
Together, Drs. Ritter and Terndrup have presented over 30 continuing education workshops on sexual orientation for mental health professionals across North America.
Grounded in current research, this comprehensive volume lays the foundations for effective, affirmative therapeutic practice with lesbian, gay, and bisexual clients. Timely, clinically relevant information is provided to help clinicians understand and address the unique concerns these clients bring to the therapeutic setting. Coverage includes the sociocultural factors that influence lesbian and gay mental health; the process of lesbian, gay, and bisexual identity formation; and lifespan developmental tasks and transitions from adolescence to later life. Also addressed are family of origin issues; couple problems, including sex therapy with same-sex partners; vocational and workplace issues; health and medical concerns; meeting the needs of same-sex parents and their children; religious and spiritual concerns; and cultural diversity issues. The extensive resource section lists a broad array of publications, advocacy groups, and Web-based resources for both professionals and consumers.
Written for clinicians wishing to enhance their psychotherapeutic treatment of sexual minority clients, this guide addresses the special issues this population presents from a positive regard perspective irrespective of the particular type of therapy or problem. Ritter (counseling psychology, California State U., Bakersfield) and Terndrup (counselor education, Oregon State U., Corvallis) discuss the developmental-social-legal context of sexual orientation, identity formation theories and life span issues, affirmative practice, and working with families and couples. The book includes a substantial list of resources and references. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Introduction | 1 | |
Affirmative Psychotherapy | 1 | |
Psychotherapy Literature | 2 | |
Guidelines for Psychotherapy | 3 | |
Focus of Treatment | 5 | |
Overview of the Book | 6 | |
Part I. | Social, Developmental, and Political Foundations | |
Chapter 1 | Heterosexism: A Fundamental Reality | 11 |
Heterosexist Assumptions and Their Negative Impact | 13 | |
Popular Opinion | 14 | |
Media | 15 | |
Stereotypes | 16 | |
Correlates of Heterosexism | 17 | |
Effects of Heterosexism on Mental Health | 22 | |
Conclusion | 24 | |
Chapter 2 | Concepts of Sexual Orientation | 25 |
Historical Perspectives | 25 | |
The Classification of Homosexuality | 27 | |
Contemporary Models of Sexual Orientation | 32 | |
Bisexuality | 37 | |
Social Constructionism | 44 | |
Conclusion | 46 | |
Chapter 3 | Sexual Orientations: Origins and Influences | 47 |
Development and Minority Sexual Orientations | 48 | |
Conclusion | 66 | |
Chapter 4 | Sexual Orientation and the Law | 68 |
Constitutional Rights | 69 | |
Legal Concerns of Sexual Minority Clients | 70 | |
Legal Protection for Sexual Minority Clients | 84 | |
Conclusion | 85 | |
Part II. | Identity Formation and Psychological Development | |
Chapter 5 | Theories of Gay, Lesbian, and Bisexual Identity Formation | 89 |
Lesbian and Gay Identity Development Models | 90 | |
Bisexual Identity Formation | 108 | |
Conclusion | 112 | |
Chapter 6 | Issues for Sexual Minority Adolescents | 114 |
Gay, Lesbian, and Bisexual Adolescent Issues | 115 | |
Psychotherapeutic Considerations | 126 | |
Conclusion | 128 | |
Chapter 7 | Midlife and Later-Life Issues for Sexual Minority Adults | 130 |
Midlife | 131 | |
Later Life | 135 | |
Conclusion | 145 | |
Part III. | Affirmative Practice | |
Chapter 8 | Psychodiagnostic Considerations | 149 |
Heterosexist Bias in Diagnosis | 150 | |
Stigma, Stress, or Psychopathology? | 151 | |
Gender Identity Disorder | 162 | |
Conclusion | 167 | |
Chapter 9 | Psychotherapeutic Applications for Identity Formation | 168 |
Phase-Specific Psychotherapeutic Interventions | 169 | |
Factors Affecting Movement along the Trajectory | 181 | |
Conclusion | 188 | |
Chapter 10 | Sexual Minorities within Other Minority Populations | 189 |
Identity Formation | 190 | |
Cultural Factors | 194 | |
Specific Populations | 202 | |
Psychotherapeutic Considerations | 216 | |
Conclusion | 220 | |
Chapter 11 | Career Choice and Development with Sexual Minority Clients | 221 |
Theoretical Adaptations to Sexual Minority Clients | 221 | |
Lesbians and Work | 228 | |
Career Counseling with Sexual Minority Clients | 230 | |
Conclusion | 237 | |
Chapter 12 | Health and Medical Concerns | 239 |
Barriers to Seeking Healthcare | 239 | |
Chemical Dependency | 241 | |
Lesbian Health Concerns | 250 | |
Gay Men's Health Concerns | 256 | |
Conclusion | 271 | |
Chapter 13 | Religious Concerns and Spiritual Development | 272 |
Religion and Sexual Minorities | 272 | |
Sexual Minorities and the Viability of Religion | 274 | |
Religion-Based Conversion | 277 | |
Revitalizing Religion for Sexual Minorities | 283 | |
Reformulating Spirituality for Sexual Minorities | 285 | |
Conclusion | 291 | |
Part IV. | Working with Couples and Families | |
Chapter 14 | Families of Origin and Coming-Out Issues | 295 |
Families of Origin | 295 | |
Parents | 298 | |
Conclusion | 311 | |
Chapter 15 | Understanding Same-Sex Couples | 312 |
Heterosexism | 312 | |
Gender Role Socialization | 320 | |
Relationship Stages | 332 | |
Conclusion | 343 | |
Chapter 16 | Sex Therapy with Gay and Lesbian Couples | 344 |
Heterosexist Bias | 344 | |
Assessment | 349 | |
Sexual Dysfunctions | 351 | |
Conclusion | 365 | |
Chapter 17 | Families with a Gay, Lesbian, or Bisexual Parent | 367 |
Formation of Families | 368 | |
Sexual Minority Parents | 372 | |
Children | 376 | |
Conclusion | 387 | |
Resources | 389 | |
Bisexuality | 389 | |
Bookstores and Publishers | 389 | |
Chemical Dependency | 390 | |
Culturally Specific Resources | 391 | |
Family | 393 | |
Legal and Advocacy | 394 | |
National Publications | 397 | |
Professional Journals | 398 | |
Professional Organizations | 399 | |
Religious Organizations | 400 | |
Sexual Minority Health | 405 | |
Sexual Minority Seniors | 408 | |
Sexual Minority Youth | 409 | |
Violence and Harassment | 412 | |
References | 413 | |
Index | 477 |