Treating the Coming Out LGBTQ Conflict

Questions: 1. What is a cause of homophobia? 2. In the late 70s, Cass had an identity model that contained which six stages? 3. How would you define Identity Achievement? 4. In the acronym LGBTQ, what does the "Q" stand for? 5. Why do "questioners" need a supportive environment? 6. During the "Further Exploration" phase, what thoughts and feelings might your client experience? 7. Where can role models be found for young LGBTQ students? 8. What are the two most important factors to ensure the emotional health of adolescent lesbians and gays? 9. If a teen is unsure about their sexual identity, what are some negative behaviors that may be present that require attention? 10. What are some risks as the student owns their identity? 11. What is an example of a "blaming-the-victim statement" made by a teacher that would indicate the need for an in-service for the teachers? 12. What are three factors a LGBTQ client might face on the path toward an integrated identity? 13. What makes it difficult for adults to come out? 14. In the three case studies given for Jake, Belle, and Dori, what identity stages does the group decide they were in, respectively?

Answers: A. Strong self-esteem and a non-family support system B. Professional guild; shadowing professionals as role models or mentors; PFLAG Parents; C. Questioners D. Identity confusion, Identity comparison, identity tolerance, identity acceptance, identity pride, identity synthesis E. "It's kind of his fault. If he would just be more quiet about it." F. Can't do the things they used to do; Losing the "heterosexual privilege" that they have lived with for a significant number of years G. The idea that we can identify with something else becomes kind of scary; they are afraid that in that person there is a piece of them and they want to deny it H. Increased risk of depression, hopelessness, suicide, family rejection, societal intolerance, increased negative school attitudes, more trouble in school, lower GPAs, homelessness, prostitution I. They don't get the support from friends and peers J. Potential barriers, dichotomous identity, coming out K. "I'm excited," "I want to meet other gays," "I want to look gay" L. Sabotaging myself at work and at school; lying to others; withdrawing from relationship; not interacting with a lot of people outside my group M. Identity Diffusion, Identity Achievement, and Identity Foreclosure N. Having experienced the deciding moment and subsequent commitment to a gay identity

Questions: 15. According to the diversity-repressing theory, what is the benefit of sex? 16. What is the positive relationship Adams found between working as a flight attendant and acculturation into the gay community? 17. Why do gay male couples tend to develop an affectional relationship from a sexual one and to have a briefer courting period, whereas lesbian couples often develop a sexual relationship from an affectional one after a more lengthy courtship? 18. What are three "holes" in the universal sexual selection theory? 19. What is an example of aversion therapy that has been used to "cure" gay behavior? 20. For whom does Roughgarden feel Joan of Arc might serve as a role model? 21. What makes counseling someone from a different culture difficult for a therapist? 22. Identifying the counseling session with the model of a hologram permits the therapist to do what? 23. In an intercultural counseling session, what can empathy generate? 24. What is a key factor in using empathy with LBGTQ clients? 25. What are three goals for reducing heterosexual bias in language? 26. A 1981 study showed what common mistake physicians made regarding patients who informed them of their sexual orientation?

Answers: A. They tended to interpret the presenting problem in sexual terms, before considering other logical diagnoses. B. transgendered people C. Counselors often lack implicit cultural inferences to create coherent images of their clients. D. Three "holes" are: sex roles are reversible, same-sex sexuality is common in nature, and females do not select mates based on "good genes". E. sex protects the genetic quality of the species F. Not using one's own emotional identity to guide responses. G. A hologram permits the therapist to isolate a brief slice of time and yet accept the client as a person existing in the broader landscape of his or her cultural existence H. Gay couples and lesbian couples have differential socialization patterns with their affectional relationships I. A gay man, is brought to the clinic, exposed to erotic photographs of nude men, and then punished for any signs of arousal. J. Three goals are: clarity of expression, avoidance of inaccurate stereotypes, and making comparisons of lesbians or gay men to parallel groups. K. Empathy can generate regressions towards cultural assumptions, values, and patterns of thinking L. The positive relationship according to Adams is an increase in openness with others, and heightened self-esteem.

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