Skip to main content

REBT with LGBTQ Clients

  • Chapter
  • First Online:
REBT with Diverse Client Problems and Populations

Abstract

Lesbian, gay, bisexual and transgender (LGBT) communities have witnessed significant progress in recent years in terms of increased visibility, acceptance, protections, and rights. However, in many developed countries, the progress for sexual minorities has outpaced that of transgender communities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Alessi, E. J. (2014). A framework for incorporating minority stress theory into treatment with sexual minority clients. Journal of Gay & Lesbian Mental Health, 18(1), 47–66. https://doi.org/10.1080/19359705.2013.789811.

    Article  Google Scholar 

  • Amadio, D. M. (2006). Internalized heterosexism, alcohol use, and alcohol-related problems among lesbians and gay men. Addictive Behaviors, 31(7), 1153–1162. https://doi.org/10.1016/j.addbeh.2005.08.013.

    Article  PubMed  Google Scholar 

  • American Psychological Association. (2012). Guidelines for psychological practice with lesbian, gay, and bisexual clients. American Psychologist, 67(1), 10–42. https://doi.org/10.1037/a0024659.

    Article  Google Scholar 

  • American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864. https://doi.org/10.1037/a0039906.

    Article  Google Scholar 

  • Balsam, K. F., Bednell, B., & Molina, Y. (2012). The daily heterosexist experiences questionnaire: Measuring minority stress among lesbian, gay, bisexual, and transgender adults. Measurement and Evaluation in Counseling and Development, 46(1), 3–25. https://doi.org/10.1177/0748175612449743.

    Article  Google Scholar 

  • Bouman, W. P., Schwend, A. S., Motmans, J., Smiley, A., Safer, J. D., Deutsch, M. B., et al. (2017). Language and trans health. International Journal of Transgenderism, 18(1), 1–6. https://doi.org/10.1080/15532739.2016.1262127.

    Article  Google Scholar 

  • Burgess, D., Lee, R., Tran, A., & van Ryn, M. (2008). Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons. Journal of LGBT Health Research, 3(4), 1–14. https://doi.org/10.1080/15574090802226626.

    Article  Google Scholar 

  • CDC. (2015). Trends in U.S. HIV Diagnoses, 2005–2014. CDC Fact Sheet. http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/hiv-data-trends-fact-sheet-508.pdf.

  • Chamberlain, J. M., & Haaga, D. A. F. (2001). Unconditional self-acceptance and psychological health. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 19(3), 163–176. https://doi.org/10.1023/a:1011189416600.

    Article  Google Scholar 

  • Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71(1), 53.

    Article  Google Scholar 

  • Diamond, L. M., & Butterworth, M. (2008). Questioning gender and sexual identity: Dynamic links over time. Sex Roles, 59(5), 365–376. https://doi.org/10.1007/s11199-008-9425-3.

    Article  Google Scholar 

  • DiGiuseppe, R. A., Doyle, K. A., Dryden, W., & Backx, W. (2013). A practitioner’s guide to rational-emotive behavior therapy. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Ellis, A. (1977). The basic clinical theory of rational-emotive therapy. In A. Ellis & R. Grieger (Eds.), Handbook of rational-emotive therapy. New York: Springer.

    Google Scholar 

  • Fassinger, R. E. (2000). Applying counseling theories to lesbian, gay, and bisexual clients: Pitfalls and possibilities Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 107–131). Washington, DC, US: American Psychological Association.

    Book  Google Scholar 

  • Goldblum, P., Pflum, S., Skinta, M., & Balsam, K. (2016). Psychotherapy with lesbian, gay, and bisexual clients: Theory and practice (p. 330). Comprehensive Textbook of Psychotherapy: Theory and Practice.

    Google Scholar 

  • Graham, S. R., Carney, J. S., & Kluck, A. S. (2012). Perceived competency in working with LGB clients: Where are we now? Counselor Education and Supervision, 51(1), 2–16. https://doi.org/10.1002/j.1556-6978.2012.00001.x.

    Article  Google Scholar 

  • Handbook of sexual orientation and gender diversity in counseling and psychotherapy. (2017). Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(19702379), 707–730.

    Article  Google Scholar 

  • Hatzenbuehler, M. L., Keyes, K. M., & Hasin, D. S. (2009). State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations. American Journal of Public Health, 99(12), 2275–2281. https://doi.org/10.2105/AJPH.2008.153510.

    Article  PubMed  PubMed Central  Google Scholar 

  • Iom, I. O. M. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.

    Google Scholar 

  • Israel, T., Gorcheva, R., Walther, W. A., Sulzner, J. M., & Cohen, J. (2008). Therapists’ helpful and unhelpful situations with LGBT clients: An exploratory study. Professional Psychology: Research and Practice, 39(3), 361–368. https://doi.org/10.1037/0735-7028.39.3.361.

    Article  Google Scholar 

  • Johnson, S. D. (2012). Gay affirmative psychotherapy with lesbian, gay, and bisexual individuals: Implications for contemporary psychotherapy research. American Journal of Orthopsychiatry, 82(4), 516–522. https://doi.org/10.1111/j.1939-0025.2012.01180.x.

    Article  PubMed  Google Scholar 

  • King, M., Semlyen, J., Killaspy, H., Nazareth, I., & Osborn, D. (2007). A systematic review of research on counselling and psychotherapy for lesbian, gay, bisexual and transgender people.

    Google Scholar 

  • King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(18706118), 70.

    Article  Google Scholar 

  • Lick, D. J., Durso, L. E., & Johnson, K. L. (2013). Minority stress and physical health among sexual minorities. Perspectives on Psychological Science, 8(5), 521–548. https://doi.org/10.1177/1745691613497965.

    Article  PubMed  Google Scholar 

  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.

    Article  Google Scholar 

  • Moody, R. L., Starks, T. J., Grov, C., & Parsons, J. T. (2017). Internalized homophobia and substance use among gay and bisexual men: Examining depression, sexual anxiety, and gay community attachment as mediating factors. Archives of Sexual Behavior.

    Google Scholar 

  • Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30(20708315), 1019–1029.

    Article  Google Scholar 

  • Pachankis, J. E. (2014). Uncovering clinical principles and techniques to address minority stress, mental health, and related health risks among gay and bisexual men. Clinical psychology : A publication of the Division of Clinical Psychology of the American Psychological Association, 21(4), 313–330. https://doi.org/10.1111/cpsp.12078.

    Article  Google Scholar 

  • Pachankis, J. E., Eldahan, A. I., & Golub, S. A. (2016). New to New York: Ecological and psychological predictors of health among recently arrived young adult gay and bisexual urban migrants. Annals of Behavioral Medicine, 50(5), 692–703. https://doi.org/10.1007/s12160-016-9794-8.

    Article  PubMed  Google Scholar 

  • Pachankis, J. E., & Goldfried, M. R. (2004). Clinical issues in working with lesbian, gay, and bisexual clients. Psychotherapy: Theory, Research, Practice, Training, 41(3), 227–246. https://doi.org/10.1037/0033-3204.41.3.227.

    Article  Google Scholar 

  • Pachankis, J. E., Goldfried, M. R., & Ramrattan, M. E. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76(18377126), 306–317.

    Article  Google Scholar 

  • Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parsons, J. T., Millar, B. M., Moody, R. L., Starks, T. J., Rendina, H. J., & Grov, C. (2017). Syndemic conditions and HIV transmission risk behavior among HIV-negative gay and bisexual men in a U.S. national sample. Health Psychology, 36(7), 695–703.

    Article  Google Scholar 

  • Shipherd, J. C., Green, K. E., & Abramovitz, S. (2010). Transgender clients: identifying and minimizing barriers to mental health treatment. Journal of Gay & Lesbian Mental Health, 14(2), 94–108. https://doi.org/10.1080/19359701003622875.

    Article  Google Scholar 

  • Stall, R., Mills, T. C., Williamson, J., Hart, T., Greenwood, G., Paul, J., et al. (2003). Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. American Journal of Public Health, 93(6), 939–942.

    Article  Google Scholar 

  • Stirratt, M. J., Meyer, I. H., Ouellette, S. C., & Gara, M. A. (2008). Measuring identity multiplicity and intersectionality: Hierarchical Classes Analysis (HICLAS) of sexual, racial, and gender identities. Self and Identity, 7(1), 89–111. https://doi.org/10.1080/15298860701252203.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Raymond L. Moody .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Moody, R.L. (2019). REBT with LGBTQ Clients. In: Dryden, W., Bernard, M. (eds) REBT with Diverse Client Problems and Populations. Springer, Cham. https://doi.org/10.1007/978-3-030-02723-0_18

Download citation

Publish with us

Policies and ethics