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I was very pleased at the inclusion of the case of Felix (Glassgold, 2009). It was refreshing to see affirmative LGBTQ+ therapy in action as opposed to stated in passing reference. I liked the author’s concise explanation of 1 of the 16 American Psychological Association’s Guidelines for Psychotherapy with Lesbian, Gay, and Bisexual Clients (2000) that stated the guidelines encourage therapists to accept client’s “sexual orientation and their same-sex desires and behaviors.” I have attached the revised 2011 guidelines. For over half of the clients I currently see at IHI, disclosure of their orientation has impacted their relationship with their family of origin (covered in Guideline 10). This has varied from being asked not to speak openly about their sexuality to complete disownment or rejection from communities.
I thought using the minority stress model in the conceptualization was fitting and like the author’s view of prejudice and
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I always appreciate definitions, and like that the authors defined culture as, “a system of beliefs, perspectives, and values a group of a particular race/ ethnicity or geographic region collectively share” (Asnaani & Hofmann, 2012). I was curious what people thought of the acronym ADDRESSING, on the one hand I preferred the simplicity of the sub-heading, “culturally informed but person-specific assessment” but on the other hand I liked that gender, sexual orientation, disability and spiritual orientation (among other) were included in the article’s concept of cultural identity. I appreciated the emphasis that, although it is important to learn about the culture of clients, this in itself is insufficient and that “all patients are still regarded as unique
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Counselors today face the task of how to appropriately counsel multicultural clients. Being sensitive to cultural variables can be conceptualized as holding a cultural lens to human behavior and making allowances for the possibility of cultural influence. However, to avoid stereotyping, it is important that the clinician recognize the existence of within-group differences as well as the influence of the client’s own personal culture and values (Furman, Negi, Iwamoto, Shukraft, & Gragg, 2009). One’s background is not always black or white and a counselor needs to be able to discern and adjust one’s treatment plan according to their client.
Treatments such as conversion therapy have been thoroughly debated by doctors, everyday civilians and even politicians. The question surrounding the topic asks whether or not the treatment is ethically and morally acceptable. Conversion therapy is an option of treatment catering to the LGBTQ community that claims to be able to change a person’s sexual behaviors such as orientation, preference and identity. The main controversies on the topic argue the physical and psychological side effects, treatment options and whether or not different sexual behaviors are mental illnesses that requires treatment.
Baptist, Joyce A., and Katherine R. Allen. "A Family’s Coming Out Process: Systemic Change and Multiple Realities." Contemporary Family Therapy 30.2 (2008): 92-110. Print.
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
Cognitive behavior therapy helps to change the way that people think or behave. This paper will discuss this approach applied through multicultural lenses. It will discuss a therapy session and how the therapist applied this approach and how effective it was. It will then explain how the therapist applied the AMCD multicultural counseling competencies.
It is very reasonable to conclude that research on depression of those who identify as gay, lesbian or transsexual is not accurate; there is an underreporting of people who identify as these sexual orientations because of the fear of being different. It is understood that those apart of the LGBTQ community actively hide their identity in hopes to avoid being rejected or abused (Bird, 2013). Once the reporting issue of having a smaller percentage of the actual representation of the LGBTQ population is put aside, there is evidence that highly suggests that lesbians and gay men are at higher risk for psychiatric disorders than heterosexuals (Cochran, 2001). Even after underreporting, there is still enough information to conclude that sexual discrimination can have harmful effects on the quality of life. Common factors that have been observed in lesbians and gays that can potentially increase depression during Cochran's study are anxiety and mood disorders and decreased self esteem. Cochran and her partner also noted that dissatisfaction with how one is treated beca...
Jr., Bernard E. Whitley and Mary E. Kite. The Psychology of Prejudice and Discrimination. Belmont: Cengage Learning, 2010. Web.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
It is also important to recognize that it is vital that therapists remain self-aware and avoid judgments based upon their own understanding. This session is my first opportunity to work with a same-sex couple and to see therapy unfold over the span of the quarter. I have based my approach on the data that was presented to me through intake forms and prior sessions with the couple. To protect the couple from any negative counter-transference, I filtered my observations through the theories of Gottman’s Married Couple Therapy (2008), Johnson’s Emotionally Focused Therapy (2008) (EFT), and David’s Integrated Model of Couple Therapy (2013a) (ICT). The bulk of this paper will then examine my therapeutic approach, the supporting theoretical concepts, and my strengths and weaknesses as a therapist during the session.
There is very little research that has been done in the past on the mental health of LGBT individuals. In 1997 the federal center for Mental Health Services called for information to be compiled on the topic (Lucksted 3). Most of the information came from small publications, grass root information and self-reporting and even this information was incomplete because of the lesser reporting on people of the transgender and bisexual communities. This older report shows what the state of affairs was in ...
Lipson, J.G. & Dubble, S.L. (Eds). (2007). Culture & clinical care. San Francisco, California: The Regents, University of California.
An issue that has, in recent years, begun to increase in arguments, is the acceptability of homosexuality in society. Until recently, homosexuality was considered strictly taboo. If an individual was homosexual, it was considered a secret to be kept from all family, friends, and society. However, it seems that society has begun to accept this lifestyle by allowing same sex couples. The idea of coming out of the closet has moved to the head of homosexual individuals when it used to be the exception.
I’ve always been open to everything but for some reason I could never approach a gay, lesbian, or gender fluid person. I thought they would try to hit on me or not accept me because I wasn’t a lesbian. I don’t know why I made these assumptions. I guess I thought they were all the same. I have quite a bit of friends who are gay, lesbian, bisexual, and gender fluid. They are all wonderful people. These people are full of love and compassion for everyone. They don’t have one mean bone in their body. I am beyond words that these people approached me and became my friend. I’m a friendly person and can get along with almost everyone. With that being said, the gay and lesbian couples provide a model of family life. They don’t fall into the patterns of inequality like heterosexual couples. Gay and lesbian couples share housework and lesbian couples get to put in the same amount of input for all couple arrangements. Gay and lesbian couples also make great parents. They also had to face the struggle of acknowledging their sexuality and having a family. In 1976, there were between 300,000 and 500,000 gay and lesbian parents. Today there are an estimated 1.5 million to 5 million lesbian mothers and between one and three million gay fathers. Also, there are eight and thirteen million children being raised by at least on gay parent. That’s five percent of all children in the United States. There is no evidence that gay fathers or lesbian mothers have a negative influence on the children or that sexually abuse their children. Studies have shown that the outcomes for children in these families tend to be better than average. The research also proved that children raised by lesbian mothers develop the same way in gender identity as children raised by a heterosexual or “normal” couple.