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Identity in Crisis: Spirituality and Homosexuality in Adolescence

Abstract

Adolescents experiencing same-sex attraction are increasingly comfortable identifying themselves as gay/lesbian/bisexual. For at least a minority of these youth, that identification conflicts with their spiritual values, and they or their families seek conversion therapy. The efficacy of conversion and ethics of conversion therapy for same-sex orientation stirs significant debate. The complexities of an approach to same-sex issues with adults multiply when the client is an adolescent. This article uses three adolescent case studies to examine issues of identity, ethics, confidentiality, social expectations, and therapist role.

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References

  • Altemeyer, B. (2003). Why do religious fundamentalists tend to be prejudiced? The International Journal for the Psychology of Religion, 13, 17–28.

    Article  Google Scholar 

  • American Association of Marriage and Family Therapy. (2004). Board of directors statement: The issue of reparative or conversion therapy and journal independence. Retrieved June 8, 2005 from http://www.aamft.org/about/boardletter.asp

  • American Psychiatric Association. (2004). Gay and lesbian issues. Retrieved June 8, 2005 from http://www.psych.org/public_info/homose∼1.cfm?pf=y

  • American Psychoanalytic Association. (1992). Position statement on homosexuality. Retrieved June 8, 2005 from http://www.apsa-co.org/ctf/cgli/position.htm

  • American Psychological Association. (2004). Guidelines for psychotherapy with lesbian, Gay, & bisexual clients. Retrieved June 8, 2005 from http://www.apa.org/pi/lgbc/ guidelines.html

  • American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285.

    Article  Google Scholar 

  • American School Counselors Association. (2004). Ethical standards for school counselors. Retrieved June 8, 2005 from http://www.schoolcounselor.org/ content.asp?contentid=173

  • Baker, J. G., & Fishbein, H. D. (1998). The development of prejudice towards gays and lesbians by adolescents. Journal of Homosexuality, 36, 89–100.

    PubMed  Article  Google Scholar 

  • Beaty, L. A. (1999). Identity development of homosexual youth and parental and family influences on the coming out process. Adolescence, 34, 597–601.

    PubMed  Google Scholar 

  • Beckstead, A. L. (2003). “We’re approaching this too narrowly:” The need for a Broader-based therapy for conflicted same-sex attracted clients. American Psychological Association Division 44 Newsletter, 19(1), 8–11.

    Google Scholar 

  • Benoit, M. (2005). Conflict between religious commitment and same-sex attraction: Possibilities for a virtuous response. Ethics and Behavior, 15, 309–325.

    Article  Google Scholar 

  • Carrion, V. J., & Lock, J. (1997). The coming out process: Developmental stages for sexual minority youth. Clinical Child Psychology and Psychiatry, 2, 369–377.

    Article  Google Scholar 

  • Carver, P. R., Egan, S. K., & Perry, D. G., (2004). Children who question their heterosexuality. Developmental Psychology, 40, 43–53.

    PubMed  Article  Google Scholar 

  • D’Augelli, A. R. (2002). Mental health problems among lesbian, gay, and bisexual youths ages 14–21. Clinical Child Psychology and Psychiatry, 7, 433–456.

    Google Scholar 

  • Diamond, L. M. (2003). What does sexual orientation orient? A biobehavioral model distinguishing romantic love and sexual desire. Psychological Review, 110, 173–192.

    PubMed  Article  Google Scholar 

  • Fontaine, J. H., & Hammond, N. L. (1996). Counseling issues with gay and lesbian adolescents. Adolescence, 31, 817–830.

    PubMed  Google Scholar 

  • Francis, L. J. (2000). The relationship between bible reading and purpose in life among 13–15-year-olds. Mental Health, Religion, and Culture, 3, 27–36.

    Article  Google Scholar 

  • Grossman, A. H., & Kerner, M. S. (1998a). Self-esteem and supportiveness as predictors of emotional distress in gay male and lesbian youth. Journal of Homosexuality, 35, 25–39.

    PubMed  Article  Google Scholar 

  • Grossman, A. H., & Kerner, M.S. (1998b). Support networks of gay male and lesbian youth. Journal of Gay, Lesbian, and Bisexual Identity, 3, 27–46.

    Google Scholar 

  • Haldeman, D. C. (1994). The practice and ethics of sexual orientation conversion therapy. Journal of Consulting and Clinical Psychology, 62, 221–227.

    PubMed  Article  Google Scholar 

  • Haldeman, D. C. (2002). Gay rights, patient rights: The implications of sexual orientation conversion therapy. Professional Psychology: Research and Practice, 33, 260–264.

    Article  Google Scholar 

  • Haldeman, D. C. (2003). APA’s policy on conversion therapy: A brief history. American Psychological Association Division 44 Newsletter, 19(1), 6–8.

    Google Scholar 

  • Hardy, S. A., & Raffaelli, M. (2003). Adolescent religiosity and sexuality: An investigation of reciprocal influences. Journal of Adolescence, 26, 731–739.

    PubMed  Article  Google Scholar 

  • Hillier, L., & Harrison, L. (2004). Homophobia and the production of shame: Young people and same sex attraction. Culture, Health, and Sexuality, 6, 79–94.

    Article  Google Scholar 

  • Holder, D. W., Durant, R. H., Harris, L. H., Daniel, J. H., Obeidallah, D., & Goodman, E. (2000). The association between adolescent spirituality and voluntary sexual activity. Journal of Adolescent Health, 26, 295–302.

    PubMed  Article  Google Scholar 

  • Jones, M. A., Botsko, M., & Gorman, B. S. (2003). Predictors of psychotherapeutic benefit of lesbian, gay, and bisexual clients: The effects of sexual orientation matching and other factors. Psychotherapy: Theory, Research, and Practice, 34, 275–287.

    Google Scholar 

  • King, P. E., Furrow, J. L., & Roth, N. (2002). The influence of families and peers on adolescent religiousness. Journal of Psychology and Christianity, 21, 109–120.

    Google Scholar 

  • Kort, J. (2004). Covert cultural sexual abuse of gay male teenagers contributing to etiology of sexual addiction. Sexual Addiction and Compulsivity, 11, 287–300.

    Article  Google Scholar 

  • Kulkin, H. S., Chauvin, E. A., & Percle, G. A. (2000). Suicide among gay and lesbian adolescents and young adults: A review of the literature. Journal of Homosexuality, 40, 1–29.

    PubMed  Article  Google Scholar 

  • Lock, J. (1998). Treatment of homophobia in a gay male adolescent. American Journal of Psychotherapy, 52, 202–214.

    PubMed  Google Scholar 

  • Maguen, S., Floyd, F. J., Bakeman, R., & Armistead, L. (2002). Developmental milestones and disclosure of sexual orientation among gay, lesbian, and bisexual youth. Applied Developmental Psychology, 23, 219–233.

    Article  Google Scholar 

  • Malyon, A. K. (1981). The homosexual adolescent: Developmental issues and social bias. Child Welfare, 5, 321–330.

    Google Scholar 

  • Martin, J. I., & D’Augelli, A. R. (2003). How lonely are gay and lesbian youth? Psychological Reports, 93, 486.

    PubMed  Article  Google Scholar 

  • National Association of Social Workers (2005). Revision of the 1996 gay, lesbian, and Bisexual issues policy. Retrieved June 8, 2005 http://www.socialworkers.org/da/ da2005/documents/glb.pdf

  • Peters, A. J. (1997). Themes in group work with lesbian and gay adolescents. Social Work with Groups, 20, 51–69.

    Article  Google Scholar 

  • Peters, A. J. (2003). Isolation or inclusion: Creating safe spaces for lesbian and gay youth. Families in Society, 84, 3331–3337.

    Google Scholar 

  • Plugge-Foust, C., & Strickland, G. (2000). Homophobia, irrationality, and Christian ideology: Does a relationship exist? Journal of Sex Education and Therapy, 25, 240–244.

    Google Scholar 

  • Radkowsky, M., & Siegel, L. J. (1997). The gay adolescent: Stressors, adaptations, and psychosocial interventions. Clinical Psychology Review, 17, 191–216.

    PubMed  Article  Google Scholar 

  • Rosik, C. H. (2003). Motivational, ethical, and epistemological foundations in the treatment of unwanted homoerotic attraction. Journal of Marital and Family Therapy, 29, 13–28.

    PubMed  Article  Google Scholar 

  • Sanders, G. L., & Kroll, I. T. (2000). Generating stories of resilience: Helping gay and lesbian youth and their families. Journal of Marital and Family Therapy, 26, 433–442.

    PubMed  Article  Google Scholar 

  • Schaeffer, K. W., Hyde, R. A., Kroencke, T., McCormick, B., & Nottebaum, L. (2000). Religiously-motivated sexual orientation change. Journal of Psychology and Christianity, 19, 61–70.

    Google Scholar 

  • Schneider, M. S., Brown, L. S., & Glassgold, J. M. (2002). Implementing the resolution on appropriate therapeutic response to sexual orientation: A guide for the perplexed. Professional Psychology: Research and Practice, 33, 265–276.

    Article  Google Scholar 

  • Schroeder, M., & Shidlo, A. (2003). Religiously based conversion therapy: The need to belong. American Psychological Association Division 44 Newsletter, 19(1), 5.

    Google Scholar 

  • Shidlo, A., & Schroeder, M. (2002). Changing sexual orientation: A consumer’s report. Professional Psychology: Research and Practice, 33, 249–259.

    Article  Google Scholar 

  • Sobocinski, M. R. (1990). Ethical principles in the counseling of gay and lesbian adolescents: Issues of autonomy, competence, and confidentiality. Professional Psychology: Research and Practice, 21, 240–247.

    Article  Google Scholar 

  • Slater, B. R. (1988). Essential issues in working with lesbian and gay male youths. Professional Psychology: Research and Practice, 19, 226–235.

    Article  Google Scholar 

  • Spitzer, R. L. (2003). Can some gay men and lesbians change their sexual orientation? 200 participants reporting a change from homosexual to heterosexual orientation. Archives of Sexual Behavior, 32, 403–417.

    PubMed  Article  Google Scholar 

  • Sullivan, M., & Wodarski, J. S. (2002). Social alienation in gay youth. Journal of Human Behavior in the Social Environment, 5, 1–17.

    Article  Google Scholar 

  • Thornton, A., & Camburn, D. (1989). Religious participation and adolescent sexual Behavior and attitudes. Journal of Marriage and the Family, 51, 641–653.

    Article  Google Scholar 

  • Throckmorton, W. (1998). Efforts to modify sexual orientation: A review of the outcome literature and ethical issues. Journal of Mental Health Counseling, 20, 283–304.

    Google Scholar 

  • Throckmorton, W. (2002). Initial empirical and clinical findings concerning the change process for ex-gays. Professional Psychology: Research and Practice, 33, 242–248.

    Article  Google Scholar 

  • Tozer, E. E., & Hayes, J. A. (2004). Why do individuals seek conversion therapy? The Counseling Psychologist, 32, 716–740.

    Article  Google Scholar 

  • Troiden, R. R. (1984). Self, self-concept, identity, and homosexual identity: Constructs in need of definition and differentiation. Journal of Homosexuality, 10, 97–109.

    PubMed  Article  Google Scholar 

  • Troiden, R. R. (1988). Homosexual identity development. Journal of Adolescent Health Care, 9, 105–113.

    PubMed  Article  Google Scholar 

  • Troiden, R. R., & Goode, E. (1980). Variables related to the acquisition of a homosexual identity. Journal of Homosexuality, 5, 383–392.

    PubMed  Article  Google Scholar 

  • Waller, R., & Nicolosi, L. A. (2005). Spitzer study published: Evidence found for effectiveness of reorientation therapy. Retrieved June 8, 2005, from http://www.narth.com/docs/evidencefound.html

  • Yarbrough, D. G. (2003). Gay adolescents in rural areas: Experiences and coping Strategies. Journal of Human Behavior in the Social Environment, 8, 129–144.

    Article  Google Scholar 

  • Yarhouse, M.A., & Burkett, L. A. (2002). An inclusive response to LGB and Conservative religious persons: The case of same sex attraction and behavior. Professional Psychology: Research and Practice, 33, 235–241.

    Article  Google Scholar 

  • Yarhouse, M. A., & Throckmorton, W. (2002). Ethical issues in attempts to ban reorientation therapies. Psychotherapy: Theory/Research/Practice/Training, 39, 66–75.

    Google Scholar 

  • Zucker, K. J. (2003). The politics of “reparative therapy”. Archives of Sexual Behavior, 32, 399–402.

    PubMed  Article  Google Scholar 

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Correspondence to James A. Cates.

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Cates, J.A. Identity in Crisis: Spirituality and Homosexuality in Adolescence. Child Adolesc Soc Work J 24, 369–383 (2007). https://doi.org/10.1007/s10560-007-0089-6

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  • DOI: https://doi.org/10.1007/s10560-007-0089-6

Keywords

  • Adolescent sexual identity
  • Spirituality
  • Homosexuality