Search

Byline: Jose A. Bauermeister (1), Michelle Marie Johns (1), Theo G. M. Sandfort (2), Anna Eisenberg (1), Arnold H. Grossman (3), Anthony R. D'Augelli (4) Keywords: Dating; Sexual minority; Gay, lesbian and bisexual; Mental health; Adolescence; Sexuality Abstract: Dating in adolescence plays an integral part in the development of sexual and social identities. This process is particularly salient for sexual minority youth who face additional obstacles to their identity formation due to their marginalized status. We investigated the influence of participating in a same-sex relationship (SSR) or an opposite-sex relationship (OSR) on sexual minority youths' psychological well-being (i.e., symptoms of depression, anxiety and internalized homophobia, and self-esteem) in an ethnically-diverse sample of 350 youth (55% male) between the ages of 15--19 years, recruited from three GLBT drop-in centers in the New York City area. Using longitudinal data, we examined youths' SSR and OSR over time. Multivariate regression analyses suggest that involvement in a SSR was positively associated with changes in self-esteem in males, and negatively correlated with changes in internalized homophobia in females. We discuss the implications for positive development in sexual minority adolescent populations. Author Affiliation: (1) Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, SPH I, Room 3822, Ann Arbor, MI, 48109-2029, USA (2) HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA (3) Department of Applied Psychology, New York University, New York, NY, USA (4) Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA, USA Article History: Registration Date: 29/05/2010 Received Date: 06/04/2010 Accepted Date: 28/05/2010 Online Date: 10/06/2010

Objective: Prior research has established that lesbian, gay, and bisexual (LGB) people experience higher rates of childhood abuse than heterosexuals. However, there has been little research on the mental health impact of these experiences or how race/ethnicity might influence prevalence and mental health impact of childhood abuse in this population. The study's objective was to examine the relationships between race/ethnicity, childhood abuse, and mental health indicators in a national sample of LGB adults. Method: Participants were recruited via the Internet through snowball and targeted sampling methods. Six hundred and sixty-nine LGB adults, 21% of whom were people of color, participated in an online survey. Participants completed the Childhood Trauma Questionnaire--Short Form, the Center for Epidemiologic Studies Depression Scale, the Patient Health Questionnaire Generalized Anxiety Disorder Scale, the Posttraumatic Stress Disorder (PTSD) Checklist--Civilian Version, and the Perceived Stress Scale--Short Form. Results: Latina/o and Asian American participants reported the highest levels of physical abuse (p < .0l), and Latina/o and African American participants reported the highest levels of sexual abuse (p < .01). Childhood emotional abuse was the strongest predictor of psychopathology symptoms for all participants (ps < .01). Relative to White participants, emotional abuse showed a stronger relationship with PTSD and anxiety symptoms for African American participants (ps < .01), and physical abuse showed a stronger relationship with PTSD and anxiety symptoms for Latina/o participants (ps < .05). Conclusions: Race/ethnicity may be an important factor when examining childhood abuse and mental health correlates among LGB populations. Keywords: sexual orientation, race, child abuse, gay, lesbian DOI: 10.1037/a0018661

Relations between family type and psychological and parental distress and the moderating role of social support were studied for 90 Israeli lesbian mothers, single heterosexual mothers by choice and 2-parent heterosexual mothers who completed measures of psychological distress, well-being, parental distress, and direct and indirect social support. Findings indicated differences on psychological and parental outcome between mothers from the two heterosexual groups. Social support was higher for lesbian than single heterosexual mothers and was correlated with psychological and parental indices. Unique because of the distinctive demographics of Israeli society (especially in relation to Western Europe and North America), this study highlights ways in which social and individual processes affect psychological outcomes among minority groups. DOI: 10.1111/j.1939-0025.2010.01031.x

The aim of this study was to explore the experience of an older lesbian in managing the disclosure of her sexual identity. Specifically, the team wanted to better understand the ways she managed her identity in an assisted living facility. Using a qualitative case study methodology, 2 in-depth interviews were conducted. The following 5 themes were identified in the data: keeping her own counsel, maintaining 'family' connection, celebrating second chances, living outside the L box, and staying morally centered. Practice and research implications are offered and the case study is used to expand understanding of disclosure management and resiliency theory. KEYWORDS Lesbian, older adult, assisted living, disclosure, resiliency DOI: 10.1080/01634372.2010.488280

Objectives. We examined the relation between living in states that instituted bans on same-sex marriage during the 2004 and 2005 elections and the prevalence of psychiatric morbidity among lesbian, gay, and bisexual (LGB) populations. Methods. We used data from wave 1 (2001-2002) and wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (N=34653), a longitudinal, nationally representative study of noninstitutionalized US adults. Results. Psychiatric disorders defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, increased significantly between waves 1 and 2 among LGB respondents living in states that banned gay marriage for the following outcomes: any mood disorder (36.6% increase), generalized anxiety disorder (248.2% increase), any alcohol use disorder (41.9% increase), and psychiatric comorbidity (36.3% increase). These psychiatric disorders did not increase significantly among LGB respondents living in states without constitutional amendments. Additionally, we found no evidence for increases of the same magnitude among heterosexuals living in states with constitutional amendments. Conclusions. Living in states with discriminatory policies may have pernicious consequences for the mental health of LGB populations. These findings lend scientific support to recent efforts to overturn these policies. (Am J Public Health. 2010;100:452-459. doi: 10.2105/AJPH.2009.168815)

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1559-1816.2009.00567.x Byline: Wim Vanden Berghe (1), Alexis Dewaele ([dagger]), Nele Cox (*), John Vincke (*) Abstract: This study discusses the impact of stress specific to being lesbian, gay, or bisexual (LGB)-measured by means of the concepts of stigma consciousness and internalized homonegativity-on the mental well-being of LGB youth. Also, the effects of positive and negative social support were considered within the model. The sample consisted of 743 LGBs less than 26 years old who were recruited during the online ZZZIP survey in Flanders, Belgium. Hierarchical regression shows that LGB-specific unsupportive social interactions have the greatest direct effect on mental well-being of LGB youth, followed respectively by stigma consciousness, internalized homonegativity, and confidant support. Author Affiliation: (*)Department of SociologyGhent UniversityGhent, Belgium ([dagger])Policy Research Centre on Equal OpportunitiesUniversity of AntwerpAntwerp, Belgium Article note: (1) Wim Vanden Berghe, who is now at the HIV/STI Epidemiology and Control Unit, Department of Microbiology, Institute of Tropical Medicine, Nationalestraat 155, B-2000 Antwerp, Belgium. E-mail: wvandenberghe@itg.be

This study examined differences in the way heterosexual men and women feel about gay men and lesbians who either confirm or disconfirm prevailing stereotypes. Fifty-three heterosexual college men and women read descriptions about 2 fictitious homosexual students at their university, both of whom were either male or female. One of the students was portrayed as being more stereotypically masculine, whereas the other was portrayed as more stereotypically feminine. Participants rated the targets on a variety of dimensions, including liking. Male participants liked the masculine gay man more than the feminine gay man, whereas female participants showed similar degrees of liking for both men. Both male and female participants reported greater liking for the feminine lesbian than the masculine lesbian. Implications for understanding attitudes toward stereotypical versus counterstereotypical gay men and lesbians are discussed., The popularity of such television shows as Queer Eye for the Straight Guy, in which a team of five gay men teaches clueless straight men how to dress more fashionably, [...]

Research has indicated that a sense of belonging is important for mental health. This study investigated sense of belonging to the general community, and sense of belonging to the lesbian community as predictors of depression among self identified lesbians (n = 178). Participants completed the Psychological subscale of the Sense of Belonging Instrument and the Depression subscale of the Depression Anxiety Stress Scales. Results showed that although sense of belonging to the general community and sense of belonging to the lesbian community were directly related to depression, only sense of belonging to the general community contributed significantly to the prediction of depression when they were entered together in a regression analysis. Sense of belonging to the general community and sense of belonging to the lesbian community interacted in the prediction of depression. Low sense of belonging to the general community buffered the association between sense of belonging to the lesbian community and depression, while high sense of belonging to the general community, exacerbated the association between sense of belonging to the lesbian community and depression. Results also showed that sense of belonging to the general community mediated the relation between sense of belonging to the lesbian community and depression. Results imply that enhancing a sense of belonging to the general community should be a priority for lesbians who do not feel that they belong to the lesbian community.

Varying measures of sexual orientation are used in women's health research. As they incorporate different dimensions, definitions, and categorical groupings, the comparability of results obtained across studies using different measures remains unknown. We examined the comparability of results using data from the U.S. 2002 National Survey of Family Growth (n = 6,356). Women were classified according to sexual orientation identity, sex of sex partners in the past year, and sex of sex partners over the lifetime. Associations with six health outcomes were compared across sexual orientation schemes. Associations differed in magnitude and statistical significance, even producing conflicting results. Our analyses resulted in a series of methodological recommendations for research on sexual minority women. Data on both behavioral and identity measures should be gathered in health research; identity groups should not be combined for analysis; and researchers should carefully consider which classification scheme(s) to use based on the theoretical basis for the study and the implications for informing interventions. KEYWORDS. Homosexual, lesbian, bisexual, heterosexual, methodology, sexual orientation, measurement, survey design

This study explores minority stress among lesbian and bisexual women by examining the relationship of sexist and heterosexist events, self-concealment, and self-monitoring to positive psychological well being. The sample was made up of 373 lesbian and bisexual women, including 77 women of color. Results of a multiple regression analysis of the total sample indicated that, considered simultaneously, self-concealment and self-monitoring explained significant variance in positive psychological well being, while sexist and heterosexist events, though present, were not significantly related to positive psychological well being. Results were similar for the women of color alone. This research provides evidence for the resiliency of lesbian and bisexual women and offers some applicable concepts (e.g., self-concealment and self-monitoring) to consider in research and practice with lesbian and bisexual female clients. KEYWORDS. Lesbian, bisexual, women of color, well being, heterosexist, resiliency

This study examined the relationship of internalized oppressions to the psychological distress of 304 lesbian and bisexual women. In addition, it investigated whether self-esteem and social support mediated the relationship between internalized oppressions and mental health. Results indicate that after controlling for education, internalized sexism (IS) and internalized heterosexism/internalized homophobia (IH) are significant predictors of psychological distress and account for 17% of the variance. The interactions between IS and IH are not significant predictors of psychological distress. Furthermore, results reveal that self-esteem and social support fully mediate the relationships between IH and psychological distress. Social support was also found to fully mediate the relationship between IS and psychological distress. However, no support was found for the mediational role of self-esteem in the link between IS and psychological distress. Research and practice implications are discussed.

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1741-3729.2008.00500.x Byline: Abbie E. Goldberg (*), JuliAnna Z. Smith (*) Keywords: adoption; anxiety; depression; infertility; lesbian; social support Abstract: Abstract: This study examines predictors of social support and mental health among 36 lesbian and 39 heterosexual couples who were waiting to adopt. Lesbian preadoptive partners perceived less support from family than heterosexual partners but similar levels of support from friends. Lesbian and heterosexual partners reported similar levels of well-being. Aspects of the adoption process were associated with anxiety, whereas couples' conception history was associated with depression. Adoption practitioners should acknowledge these distinct pathways in prevention efforts. Article note: (*) Abbie E. Goldberg is an assistant professor in the Department of Psychology at the Clark University, 950 Main Street, Worcester, MA 01610 (agoldberg@clarku.edu) . JuliAnna Z. Smith is a methodological consultant at the Center for Research on Families, University of Massachusetts-Amherst, 622 Tobin Hall, Amherst, MA 01003 (julianns@acad.umass.edu).

Background and Purpose: Disclosure of lesbian sexual identity has been associated with greater self-esteem, less anxiety, and greater relationship satisfaction. Nondisclosure interferes with supportive, congenial, and intimate relationships with important people in their lives. Lesbian mothers choose nondisclosure to protect their children from social, psychological, and physical harm. Since disclosure is a health concern, ALIDA was designed to measure disclosure for lesbian mothers. Methods: ALIDA is a written, self-administered instrument with 15 questions that fall under 6 categories. It was tested on 360 lesbian mothers from 38 U.S. states. Results: ALIDA was one-dimensional, reliable (.79), and had face and concurrent validity. Regression indicated that 58% of the scores were predicted by eight variables. Conclusions: ALIDA measures disclosure and should be used in more studies. KEYWORDS. Lesbian disclosure, coming out, lesbian families, lesbian mothers, disclosure, stigma, disclosure measurement, lesbian family disclosure

A modified version of the Kansas Marital Satisfaction Scale was administered to 239 women who belonged to 8 different faith communities in Topeka, Kansas in 2001. 12 members of a Metropolitan (gay and lesbian) church identified themselves as lesbians. Lesbian respondents reported significantly higher relationship satisfaction scores than heterosexual women (Cohen's d = 0.69). Controlling for numbet of children and social desirability reduced the regression coefficient for sexual orientation to a statistically nonsignificant level. Using a matched sample of 12 heterosexual women compared with the lesbians yielded a nonsignificant result (ES=0.31). Nevertheless, although not statistically significant, comparisons between lesbians and heterosexual women continued to feature effect sizes that represented higher satisfaction for lesbians with no children or with only one child when compared to heterosexual women with no children or only one child. It is apparent that methodology made a difference in the results obtained in this comparative study of lesbian and heterosexual relationships. It was also observed, among members of churches other than the Metropolitan church, that relationship satisfaction was significantly lower (d = 0.22) among females than males, including among wives compared to husbands; significant linear and cubic relationships between a single-item measure of relationship social desirability and relationship satisfaction were also observed.

Previous research has reported that when compared to heterosexual women, lesbians may use alcohol and illicit substances to a greater degree and may experience greater psychiatric symptomatology. This study sought to describe any differences in clinical diagnoses, familial histories, and substance usage between lesbian and heterosexual women in a psychiatric outpatient clinic. A chart review was conducted and a sample of 455 heterosexuals and 75 lesbians was obtained. Data, where available, included demographic information, clinical diagnoses, time in treatment, sexual orientation, past and present substance use, and familial substance abuse and psychiatric history. Lesbians were found to have greater past illicit substance use but less current use. No significant differences were found for alcohol use. Similarly, no significant differences in clinical diagnoses were found. Significant differences were found among families. Family members of lesbians had greater substance use and psychiatric histories. These findings both support and dispute some previous research and suggest areas for future researchers to explore. KEYWORDS. Lesbian, heterosexual, women, mental health, substance use, families, clinical treatment, chart review

Women who consider themselves traditional or conservative in the context of religious practice often experience tremendous conflicts regarding the integration of same-sex emotional and sexual feelings with their religion and spirituality. Current religious teachings about homosexuality make this combination difficult as only heterosexual sexuality within marriage is permitted in most orthodox faiths. Further, the way that spirituality and sexuality are conceptualized as opposing dichotomous categories (e.g., body vs. soul) presents women with a framework where integration does not seem possible. Observant women who come to psychotherapy often experience tremendous distress, guilt, depression, and even suicidality due to the conflict between their sexual feelings and religious doctrine. Relieving the distress, and resolving the conflicts while honoring the emotional complexity of sexual feelings, spirituality, and religious orthodoxy can present tremendous dilemmas for the practitioner as well as the client. Using the example of psychotherapy of an Orthodox Jewish woman who integrated same-sex desire into her life, this article describes psychotherapy process and alternative ways of viewing spirituality and sexuality that permit possible resolutions for clients. KEYWORDS. Lesbian, Judaism, spirituality, orthodoxy, psychotherapy

Research conducted on heterosexual women has been generalized to lesbians. However, the question remains whether lesbians differ in their adult development from heterosexual men and women. This article reviews results of 10 one-on-one life story interviews conducted with self-identified lesbians between the ages of 35 and 45. Information from these interviews was analyzed to see if or how they fit into a Levinsonian (D. J. Levinson, 1978) developmental model compared with heterosexual men and women., Heterosexual women constitute the basis of adult development research in women. In reviewing several studies on adult development in women, I found only one study that mentioned lesbian participants (3% [...]

Objective: This study examined the relationships between childhood and family background variables, including sexual and physical abuse, and subsequent alcohol abuse and psychological distress in adult lesbians. Methodology: Structural equation modeling was used to evaluate relationships between childhood sexual and physical abuse and parenting variables and latent measures of lifetime alcohol abuse and psychological distress in a large community-based sample of lesbians. Results: Childhood sexual abuse (CSA) directly predicted lifetime alcohol abuse, and childhood physical abuse (CPA) directly predicted lifetime psychological distress. In addition, CSA indirectly increased the risk of lifetime alcohol abuse through its negative effect on age at first heterosexual intercourse. Childhood physical abuse had only indirect effects on lifetime alcohol abuse through its strong relationship to lifetime psychological distress. Parental drinking problems and parental strictness directly predicted lifetime psychological distress; parental drinking problems indirectly predicted lifetime alcohol abuse through the mediators of age of drinking onset and lifetime psychological distress. White lesbians, younger lesbians, and those with lower levels of education were at greatest risk of psychological distress. Conclusion: While the cross-sectional design precludes causal conclusions, study findings--especially those related to CSA--are consistent with previous research on predominantly heterosexual women in the general population. Lesbians who experienced CSA were at heightened risk of lifetime alcohol abuse and those who experienced CPA were at heightened risk of lifetime psychological distress relative to lesbians without abuse histories. Given the dearth of research on childhood abuse and sexual orientation, studies are needed that examine the similarities and differences between lesbians' and heterosexual women's experiences of, and responses to, childhood abuse. Keywords: Childhood abuse; Alcohol abuse; Psychological distress; Lesbian; Sexual orientation

Gaydar is a popular culture term that refers to the ability for one individual to correctly identify the sexual orientation of another. Recent studies have documented a phenomenon that mirrors gaydar. The purpose of this paper is to provide a cognitive analysis of the 'gaydar' phenomenon. Gaydar is best regarded as a high skill. As such, work in the areas of expert-novice research and cognitive apprenticeship is relevant. Determining someone's sexual orientation is a problem to be solved. Gay and lesbian individuals are more likely to have participated in informal social training or apprenticeship to become 'expert' at it, especially in comparison with heterosexual individuals. Cultural forces prompt the necessity for a skill like gaydar. doi: 10.1300/J082v53n03_02 KEYWORDS. Gaydar, intuition, gay, lesbian, cognitive apprenticeship, expert-novice, problem solving

This study extends research on objectification theory as it applies to eating disorder symptomatology by examining whether its tenets generalize to women identifying as lesbian. Lesbian women (N = 181) and a comparison sample of heterosexual women (N = 196) completed measures of objectification theory constructs (interpersonal sexual objectification, body surveillance, body shame, interoceptive awareness, disordered eating). The model of objectification theory was tested separately for lesbian and heterosexual participants. Path analyses revealed that this model provided a poor fit to the data for the lesbian sample, whereas it provided an excellent fit to the data for the heterosexual sample. Based on the data from the lesbian participants, an exploratory model was evaluated. Overall, findings suggested that the interrelationships among the objectification theory constructs were different and more complex for the lesbian participants than for the heterosexual participants.

The present study examined associations between lesbian and feminist identity and predictors of female physical attractiveness. Seventy-two nonfeminist heterosexuals, 38 feminist heterosexuals, 75 nonfeminist lesbians, and 33 feminist lesbians were asked to rate according to physical attractiveness a set of images of real women with known body mass indexes (BMIs). The results showed that regardless of sexual orientation and feminist ascription, BMI was a dominant predictor of physical attractiveness. The results also showed that there were significant differences between lesbians and heterosexual women in BMIs of images found to be most attractive, with lesbians preferring images of women with significantly higher BMIs than heterosexual women. Self-identification as a feminist did not appear to be associated with a preference for larger BMIs. The findings are discussed in terms of sociocultural theory, which suggests that different communities may have different ideals of beauty.

This study compared the experiences of 39 self-identified lesbians and 39 heterosexual women who had recently been treated for breast cancer. They were matched by age, stage of disease, time since diagnosis, and ethnicity. Data were collected by a questionnaire completed at home and returned by mail. Variables assessed included emotional adjustment, thought intrusion and avoidance, perceived quality of life, concerns about breast cancer, benefit finding, relationship and sexual disruption, psychosexual adjustment, social support, and coping. Compared to the heterosexual women, lesbians reported less thought avoidance, lower levels of sexual concern, less concern about their appearance, and less disruption in sexual activity, but also substantially lower perceptions of benefit from having had cancer. Lesbians reported less social connection to family, but no group difference emerged in connection to friends. Lesbians reported less denial coping, and more use of support from friends, more venting, and more positive reframing. Better understanding of the similarities and differences between groups will help address the relevant clinical issues appropriately, in order to optimize psychosocial adjustment to breast cancer. doi: 10.1300/J013v44n02_05 KEYWORDS. Breast cancer, lesbian, coping, social support, psychosexual, benefit finding

Objectives. We sought to determine whether sexual orientation is related to mental and physical health and health behaviors in the general population. Methods. Data was derived from a health interview survey that was part of the second Dutch National Survey of General Practice, carried out in 2001 among an all-age random sample of the population. Of the 19685 persons invited to participate, 65% took part in the survey. Sexual orientation was assessed in persons aged 18 years and older and reported by 98.2% of 9684 participants. The respondents' characteristics are comparable with those of the Dutch general population. Results. Gay/lesbian participants reported more acute mental health symptoms than heterosexual people and their general mental health also was poorer. Gay/lesbian people more frequently reported acute physical symptoms and chronic conditions than heterosexual people. Differences in smoking, alcohol use, and drug use were less prominent. Conclusions. We found that sexual orientation was associated with mental as well as physical health. The causal processes responsible for these differences by sexual orientation need further exploration. doi:10.2105/AJPH.2004.058891)

Sex researchers and mental health clinicians have long recognized that the stigma surrounding homosexuality plays an important role in shaping the social psychological adjustment of gay, lesbian, and bisexual (g/l/b) people. In recent years, researchers have suggested that sexual identity-related distress may influence the physical health status of g/l/b people, primarily because of the ways these self-related feelings and beliefs impact patterns of health-related behavior. This study examines the influence of sexual identity distress and social support on g/l/b youth's drag and alcohol use, psychological distress, and risky sexual behavior. The data come from a services research demonstration program conducted at the Indiana Youth Group, Inc., a g/l/b youth development agency based in Indianapolis, Indiana. Results indicate that sexual identity distress is strongly associated with psychological distress, less frequent use of alcohol, and using fewer types of illegal drugs. Being out to more people in one's support network, however, attenuates the severity of youth's sexual identity-related distress. Youth who report more support ties to g/l/b people indicate engaging in more frequent risky sexual behavior. The implications of these findings for theories of g/l/b youth's sexual identity development are discussed. KEYWORDS. Gay, lesbian, bisexual youth, social support, health risk behavior, internalized homophobia, sexual identity distress

This study examines mental health issues among women of different sexual orientations. An anonymous survey was administered at 33 health care sites across the United States; the sample (N = 1304) included lesbians (n = 524), bisexual (n = 143) and heterosexual women (n = 637). Not only did sexual orientation influence the probability of experiencing emotional stress, but also whether a bisexual woman or lesbian had disclosed her sexual orientation (was 'out') impacted the likelihood of having or having had mental health problems. Bisexual women and lesbians experienced more emotional stress as teenagers than did heterosexual women. Bisexual women were more than twice as likely to have had an eating disorder compared to lesbians. If a bisexual woman reported being out she was twice as likely to have had an eating disorder compared to a heterosexual woman. Lesbians who were not out and bisexual women who were out were 2-2.5 times more likely to experience suicidal ideation in the past 12 months. Lesbians and bisexual women who were not out were more likely to have had a suicide attempt compared to heterosexual women. Lesbians used psychotherapy for depression more commonly than did heterosexual or bisexual women. This is one of the few studies that compares lesbians, bisexual and heterosexual women. The implications of these findings are discussed. KEYWORDS. Sexual orientation, mental health, lesbian, bisexual women, sexual orientation disclosure, suicidality, eating disorders, methodology

This study examined the relationship between internalized homophobia, self-esteem, and lesbian identity development in 35 undergraduate women. Results indicated evidence of a strong relationship between the two identity development measures, the Stage Allocation Measure (SAM; Cass, 1984) and the Gay Identity Questionnaire (GIQ; Brady & Busse, 1994), and moderate relationships between identity development and internalized homophobia, between identity development and self-esteem, and between internalized homophobia and self-esteem. Implications for research and clinical practice are discussed. KEYWORDS. Lesbian, identity development, lesbian identity development, internalized homophobia, self-esteem, identity formation, sexual identity formation

Adult lesbians are not sufficiently physically active to achieve physical and psychological health benefits. Lesbians are one of the least understood minority groups. Therefore, the purpose of this study was to use an ecological framework to identify factors internal to individuals and present in their social environments that may impede participation in regular physical activity. Twenty-one self-identified lesbians aged 22 to 61 years participated in one of four focus groups. The lesbian participants reported many general barriers (i.e., obstacles to participation regardless of sexual orientation) similar to previous research with other populations of women, not stratified by sexual orientation, such as being too tired and the lack of a physical activity partner. A number of lesbian-specific barriers (i.e., obstacles unique to being a lesbian) were also identified, such as the lack of lesbian-focused physical activity groups and the lack of same-sex family memberships to fitness facilities. In conclusion, for many of the general barriers, some of the proven and effective traditional intervention strategies are likely to be effective in increasing physical activity participation rates in the lesbian population. However, barriers related to sexual orientation are likely deeply entrenched in the socio-cultural system of American society and require a societal rethinking of attitudes towards lesbians, a cultural change that is not as easily amenable to traditional health promotion interventions. KEYWORDS. Physical activity, lesbians, barriers, sexual orientation, public health

Stigma consciousness, the expectation of prejudice and discrimination, has been associated with negative psychological outcomes for lesbians. This research examined the moderating role of social constraints or difficulty lesbians experience in talking with others about sexual orientation-related issues. One hundred five, predominantly out, lesbians completed measures of stigma consciousness, social constraints, lesbian-related stress, intrusive thoughts, internalized homopbobia, negative mood, and physical symptoms. For lesbians who were high (but not low) in social constraints, stigma consciousness was positively associated with intrusive thoughts, internalized homophobia, and physical symptoms. These results add to the literature on the negative consequences of social constraints by suggesting that constraints in combination with high stress that is not necessarily traumatic (i.e., stigma consciousness) are associated with the most negative outcomes. Keywords: stigma, social constraints, lesbian, gay-related stress, sexual orientation

This is the first study in German-speaking countries to compare the suicidality of lesbian, gay, and bisexual adults (n = 358) with matched heterosexual adults (n = 267). The former had significantly elevated incidences of current suicide ideation (28% vs. 13%) and lifetime suicide attempts defined in three ways (14% vs. 1% to 10% vs. 2 %), including higher incidences for most suicidality-related risk factors. Increased psychosocial stress and vulnerability is indicated, especially with respect to a lack of family support. Controlling for risk factors in multivariate analysis diminished the association of sexual orientation with current suicide ideation.

Religious faith plays a central role in the lives of many people. Although studies and anecdotal literature have explored the conflict between sexual and religious identities, no research has investigated the role of faith group affirmation of a lesbian, gay, or bisexual (LGB) identity on the mental health of LGB members. This study compared 2 models of the relations between psychological health and current faith affirmation experiences, internalized homonegativity, and spirituality. Participants were 583 LGB individuals who identified themselves as currently affiliated with a faith group. Results indicated that the fully mediated model was a good fit and offered a more parsimonious explanation than the partially mediated model. Affirming faith experiences were related to psychological health through internalized homonegativity and spirituality. Keywords: lesbian, gay, spirituality, religion, psychological well-being

This study examined the effects of external and internalized heterosexism and sexism on lesbians&apos; mental health. Hierarchical regression analysis, controlling for education and income, identified recent sexual-orientation-based hate crime victimization, recent sexist events, internalized heterosexism, and the interaction of recent sexual-orientation-based hate crime victimization and recent sexist events as significant predictors of psychological distress, accounting for 31% of the variance., Feminist therapy theorists have made significant contributions to enhancing counselors' understanding of how social, economic, political, and institutional factors affect women's lives and the particular problems that women bring to [...]

Lifetime victimization was examined in a primarily European American sample that comprised 557 lesbian/gay, 163 bisexual, and 525 heterosexual adults. Lesbian, gay, and bisexual (LGB) participants were recruited via LGB e-mail lists, periodicals, and organizations; these participants recruited 1 of more siblings for participation in the study (81% heterosexual, 19% LGB). In hierarchical linear modeling analyses, sexual orientation was a significant predictor of most of the victimization variables. Compared with heterosexual participants, LGB participants reported more childhood psychological and physical abuse by parents of caretakers, more childhood sexual abuse, more partner psychological and pbysical victimization in adulthood, and more sexual assault experiences in adulthood. Sexual orientation differences in sexual victimization were greater among men than among women.

Research addressing the lives and friendships of older Black lesbians is virtually nonexistent. Using narrative analysis, we chronicle the lives of two older Black lesbians (73 and 85 years of age) through the lens of positive marginality. The concept of positive marginality asserts that living both inside and outside of the mainstream produces strengths rather than helplessness (Mayo, 1982). We use four conceptual frames of reference to explore positive marginality: critical watching and reframing of life experiences on the margins, wise conversion of obstacles into opportunities, the subversion of social institutions, and the creation of safe spaces for people on the margin. From these two women's stories, we show how each, through lives of activism and seduction, created positive environments that defied traditional categories. We discuss how race, class, gender, sexual orientation, and aging affected their lives and how their friendship was an anchor for each. We offer their stories as a point of entry to future inquiry concerning older Black lesbians.

This research tested predictions about the association of identity support and identity devaluation with psychological well-being (self-esteem, life satisfaction, and depression). Lesbian women completed baseline surveys (N = 42), then provided daily experience reports during a 2-week period (n = 38), and completed a 2-month follow-up survey (n = 34). Several types of evidence consistently demonstrated the importance of identity support for well-being. Lesbians who reported more identity support scored higher on measures of well-being at initial assessment, during the daily phase of the study, and at the follow-up. Comparable results were found for the negative association between identity devaluation and well-being. Identity measures proved to be significant predictors of lesbians' well-being even after controlling for other types of support and social stress. Both identity support and identity devaluation contributed independently to the prediction of daily self-esteem and life satisfaction. Strengths and limitations of this study are discussed.

The diverse life experiences of contemporary lesbians are shaped by women's differing ties to two social worlds, the majority heterosexual society and the minority subculture of the lesbian or sexual-minority world. This article presents a detailed conceptual analysis of a dual-identity framework that emphasizes lesbians' simultaneous affiliations with both lesbian and mainstream/heterosexual communities. The usefulness of this approach is discussed, with emphasis on implications for understanding individual differences in exposure to gay-related stress and mental health. Results from a survey of 116 lesbians showed that scores on measures of Lesbian Identity and Mainstream Identity were not significantly correlated with each other. Both lesbian and mainstream identities were significantly related to lesbians' reported experiences of discrimination, feelings of internalized homophobia, and life satisfaction. Limitations of the dual-identity framework and suggestions for future research are considered.

This study examined heterosexism that is not specifically targeted at LGB individuals, but may be experienced as antigay harassment, and may contribute to the stigma and stress they experience. LGB participants (N = 175, primarily Euro-American college students), read scenarios of heterosexuals saying or assuming things potentially offensive to gay men or lesbian women. For each scenario, they indicated the extent to which they would be offended and less open about their sexuality, and their perceptions of the behaviors as evidence of antigay prejudice. Not only did respondents find the scenarios to be offensive and indicative of prejudice, but perceived offensiveness was associated with a decreased likelihood of coming out. In comparison to gay men, lesbian women and bisexuals found the scenarios more offensive and more indicative of prejudice. Limitations of the current study and directions for future research are outlined. KEYWORDS. Heterosexism, antigay harassment, homophobic language, hate speech, coming out

Social empowerment is designed to prepare individuals to reconstruct their political, economic, psychological, and social environments. Addressing empowerment for lesbian and gay male populations is critical because of the numerous stereotypical situations that result in their powerlessness. The application of social empowerment strategies as tools for self-advocacy with lesbian and gay male populations is presented as a consideration for counseling., The Social Empowerment Model (SEM) is based on a conflict theory that assumes society consists of separate groups that have advantages of power and control in relation to social, psychological, [...]

HIV-positive women who have sex with women (WSW) have been overlooked by government researchers, health care providers and the AIDS service community. In addition to stigmas against homosexuality and HIV in larger society, low-income, African-American and Latina HIV-positive WSWs face culturally-based stigmas and are disproportionately affected by poverty, drug addiction, homelessness, sex work and abuse. Through an analysis of sixteen intensive interviews with low-income HIV-positive WSWs of color, I critically examine the physical, emotional and psychological needs of this population and their methods of coping with HIV. I also examine the participants' perceptions of available support networks and patterns of disclosure in order to raise awareness of their struggle against HIV and homophobia and to assist in empowering the low-income HIV-positive WSW community. KEYWORDS. HIV/AIDS, lesbian, WSW, WSWO

The article is a collection of essays on issues like queer aesthetic servitude, metro sexual life, work pressures, and heterosexual abjection.

Research has suggested that the majority of psychologists feel underprepared to provide services to lesbian, gay. and bisexual clients, including same-sex couples. To provide competent services to same-sex couples, psychologists must be aware of and sensitive to legal status issues. One special area of vulnerability for couples can be addressed and at least partially alleviated by advance planning for possible medical crises, including the death of a partner. The creation of wills, powers of attorney, and advance medical directives can create and protect the rights of partners during these times of crisis. Issues related to minority stress may discourage couples from planning. Case illustrations of culturally competent practice in dealing with issues of minority stress and advance planning are provided.

Therapists working in lesbian, gay, bisexual, and transgender (LGBT) communities are likely to experience the potential to engage in multiple relationships with their clients. Currently, the American Psychological Association's (2002) ethics code and the related literature base offer minimal direct guidance to therapists practicing in LGBT communities. In this article, the authors review current literature regarding multiple relationships in psychotherapy, considering how this literature addresses issues specific to practitioners working within LGBT communities, present a case study highlighting the negotiation of a multiple relationship between a client and therapist who both identify as lesbian, and offer recommendations for practitioners working within LGBT communities.

This study compares participation in deviant subsistence strategies, street victimization, and lifetime prevalence of the mental disorder (conduct disorder, major depressive disorder; post-traumatic stress disorder, alcohol abuse, and drug abuse) among heterosexual males and females (n = 366) and gay, lesbian, and bisexual (n = 63) homeless and runaway adolescents from the first wave of a longitudinal study of homelesss youth in four Midwestern states. The results indicate that gay lesbian, and bisexual adolescents were more likely to have been physically and sexually abused by caretakers, were more likely to engage in risky survival strategies when on their own (including survival sex), were more likely to be physically and sexually victimized when on the streets, and were mote likely to meet criteria for mental disorder than were their heterosexual counterparts., Variations in the experiences of gay, lesbian, and bisexual (GLB) adolescents have just begun to be explored, most often in the context of survival sex and HIV risk (e.g., Coleman, [...]

This paper deals with the ways in which young educated Israeli lesbians construct their bodies, disregarding the traditional categories based on binary criteria such as Butch/Femme. The 'lack of codes' is deconstructed in order to bring forward their complexity and their adherence to the postmodern era. The results, based on 50 in-depth interviews, point to the young lesbians' tendency to unify within their bodies two trends: one that allows the mingling of the male with the female body; and another that eliminates the option to choose to be either femme or butch. This study points to means of social control that assure the acceptance of the dressing code as well as bodily codes by the lesbian community. Their acceptance allows drawing boundaries not only between the lesbian and the heterosexual women but also between the young lesbians and the former generation of lesbians who lived out of the closet. KEYWORDS. Lesbian community, binary codes, butch-femme distinction, body, lesbian chic. dressing style, bodily perception, aesthetic criteria, young professional lesbians