Higher rates of Major Depression reported by gay men, especially earlier in their identity development. |
Elevated rates of Major Depression, Generalized Anxiety Disorder and substance abuse among lesbian and gay youth. |
Internalized homophobia and Gender Dysphoria are a concern |
Gender is psychological while Sex is biological |
Pansexual: when a person is not limited to sexual choice with regard to biological sex, gender, or gender identity |
Transgender: when a person's gender identity does not match one's biological sex |
Ritter's Model of LGB Identity Development: |
Integrates various models (Cass, Troiden, Grace, and Coleman) |
Phase 1: Same sex attractions are not in conscious awareness, Feel socially different, alienated, alone, fearful. Depression is common, Might engage in problematic behaviors like substance abuse Interventions: do risk assessment, treat depression |
Phase 2: Begin to question their own sexual identity, and to feel sexually different, Confusion is common. “Possibly” gay Interventions: empathic exploration of confusion, fear, anxiety. Avoid premature labeling. Provide accurate and affirming info, dispel harmful myths, Reframe being LGBQ as positive. |
Phase 3: “probably” gay, Begin to connect more with other LGB people, reduce isolation, May report feeling like a teen again Interventions: continue to assist with coming out; role play difficult coming out scenarios. |
Phase 4: accept (rather than tolerate) new identity. Can now refer to client as LGBQ. Interventions: assist with decision making |
Phase 5: might immerse in LGBQ community, sever ties with heterosexuals Interventions: validate anger re: oppression and pride as LGBQ. |
Troiden’s Model of Identity Development |
Stage 1 Sensitization: occurs before puberty, involves being marginalized and made to feel different from peers |
Stage 2 Identify Confusion: occurs usually in adolescence, begin to recognize feelings and behaviors that could be labeled homosexual |
Stage 3 Identity Assumption occurs on average for males at ages 19-21 and for females at ages 21-23. See a reduction in social isolation and an increase in contact with other lesbians and gay men. Task is to learn to manage social stigma: coping techniques. Capitualization: negative view of homosexuality but acknowledges his or her membership in this group, Minstralization: The person adopts stereotypic and often exaggerated homosexual mannerisms and behavior, Passing, Group alignment/immersion |
Stage 4 Commitment: integration of homosexuality; becomes a state or way of being, rather than a description of sexual behavior |