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Emerging Issues in Research on Lesbians’ and Gay Men’s Mental Health: Does Sexual Orientation Really Matter?;
American Psychologist;
932-947
Theoretical writings and research suggest that the onset, course, treatment, and prevention of mental disorders among lesbians and gay men differ in important ways from those of other individuals. Recent improvements in studies of sexual orientation and mental health morbidity have enabled researchers to find some elevated risk for stress-sensitive disorders that is generally attributed to the harmful effects of antihomosexual bias, Lesbians and gay men who seek mental health services must find culturally competent care within systems that may not fully address their concerns. The affirmative therapies offer a model for intervention, but their efficacy and effectiveness need to be empirically documented. Although methodological obstacles are substantial, failure to consider research questions in this domain overlooks the welfare of individuals who may represent a sizable minority of those accessing mental health services annually.
Theoretical writings and research suggest that the onset, course, treatment, and prevention of mental disorders among lesbians and gay men differ in important ways from those of other individuals. Recent improvements in studies of sexual orientation and mental health morbidity have enabled researchers to find some elevated risk for stress-sensitive disorders that is generally attributed to the harmful effects of antihomosexual bias, Lesbians and gay men who seek mental health services must find culturally competent care within systems that may not fully address their concerns. The affirmative therapies offer a model for intervention, but their efficacy and effectiveness need to be empirically documented. Although methodological obstacles are substantial, failure to consider research questions in this domain overlooks the welfare of individuals who may represent a sizable minority of those accessing mental health services annually.
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Preventing Sexual Abuse: Perspectives of Minor- Attracted Persons About Seeking Help;
Sexual Abuse
The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their
(a) formal and informal experiences with help-seeking for minor attraction,
(b) perceived barriers to seeking help for concerns about minor attraction, and
(c) treatment priorities as identified by consumers of these services.
A nonrandom, purposive sample of MAPs (n = 293, 154 completed all questions) was recruited via an online survey.
Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful. Characteristics of helpful therapeutic encounters included nonjudgmental attitudes, knowledge about minor attraction, and viewing clients in a person-centered and holistic way. Barriers to help seeking included uncertainty about confidentiality, fear of negative reaction or judgment, difficulties finding a therapist knowledgeable about MAPs, and financial constraints. Understanding or reducing attraction to minors were common treatment goals, but participants also prioritized addressing general mental health and well-being related to depression, anxiety, loneliness, and low self-esteem.
Implications for effective and ethical counseling and preventive interventions for MAPs are discussed.
The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their
(a) formal and informal experiences with help-seeking for minor attraction,
(b) perceived barriers to seeking help for concerns about minor attraction, and
(c) treatment priorities as identified by consumers of these services.
A nonrandom, purposive sample of MAPs (n = 293, 154 completed all questions) was recruited via an online survey.
Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful. Characteristics of helpful therapeutic encounters included nonjudgmental attitudes, knowledge about minor attraction, and viewing clients in a person-centered and holistic way. Barriers to help seeking included uncertainty about confidentiality, fear of negative reaction or judgment, difficulties finding a therapist knowledgeable about MAPs, and financial constraints. Understanding or reducing attraction to minors were common treatment goals, but participants also prioritized addressing general mental health and well-being related to depression, anxiety, loneliness, and low self-esteem.
Implications for effective and ethical counseling and preventive interventions for MAPs are discussed.
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A Blueprint When Feeling Blue: How A Mental Health Diagnosis Can Be Empowering
A Canadian study that was facilitated in 2001 explored factors in the lives of adults with a mental illness that influenced the degree of empowerment felt in their lives. Every participant was in some kind of mental health treatment (either therapy, medication management, a peer support group, or a combination of more than one treatment method). The study revealed that the two factors below had a significant influence on empowerment:
1.) Personal motivation: When consumers of mental health services were able to take more initiative in making choices, it resulted in improved confidence, skill development, and greater sense of control over their lives.
2.) Supportive Relationships: Consumers of mental health services reported feeling more empowered when their personal and professional relationships were supportive and fair. This resulted in increased participation and involvement in the community, particularly if they were able to connect with a community of peers who they saw on a regular basis.
I have actually witnessed the peer support models become increasingly common in the past decade and know of individuals who have discovered a sense of purpose once they become involved in peer support. These kinds of groups and relationships have the potential to offer mental health consumers a sense of connection that may be difficult to find elsewhere.
Giving and receiving mutual support to other with a mental illness can provide empowerment and a sense of purpose.
A Canadian study that was facilitated in 2001 explored factors in the lives of adults with a mental illness that influenced the degree of empowerment felt in their lives. Every participant was in some kind of mental health treatment (either therapy, medication management, a peer support group, or a combination of more than one treatment method). The study revealed that the two factors below had a significant influence on empowerment:
1.) Personal motivation: When consumers of mental health services were able to take more initiative in making choices, it resulted in improved confidence, skill development, and greater sense of control over their lives.
2.) Supportive Relationships: Consumers of mental health services reported feeling more empowered when their personal and professional relationships were supportive and fair. This resulted in increased participation and involvement in the community, particularly if they were able to connect with a community of peers who they saw on a regular basis.
I have actually witnessed the peer support models become increasingly common in the past decade and know of individuals who have discovered a sense of purpose once they become involved in peer support. These kinds of groups and relationships have the potential to offer mental health consumers a sense of connection that may be difficult to find elsewhere.
Giving and receiving mutual support to other with a mental illness can provide empowerment and a sense of purpose.
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Chemical interventions and ethical side-effects: from pedophilia to depression. Where are the ethical boundaries of treating mental illness by neurochemical means?
Increasing biochemical knowledge of sexual functionality and attraction has allowed researchers to tentatively deduce a chemical cause for pedophilia and initiate various biochemical treatments for this condition. The availability of such knowledge, along with the development of new pharmaceutical treatment options, opens up new legal and ethical questions regarding how to chemically treat sexual criminality and how we, as a society, should reflect upon the use of chemicals in the treatment for other forms of deviant behaviour.
[... D]espite the early evidence of effectiveness in treatment, it is unclear how SSRIs work in relation to the treatment of pedophilia. [...]
A further dilemma raised by the chemical treatment of pedophilia is the expectation of a permanent cure for this form of sexuality. Studies have demonstrated that pharmacological interventions do not change the pedophile's basic sexual orientation toward children. [...]
However, caution is required to make sure that we do not find ourselves dis-enhancing or normalising traits that are simply the tail ends of a normal range of personality traits
Increasing biochemical knowledge of sexual functionality and attraction has allowed researchers to tentatively deduce a chemical cause for pedophilia and initiate various biochemical treatments for this condition. The availability of such knowledge, along with the development of new pharmaceutical treatment options, opens up new legal and ethical questions regarding how to chemically treat sexual criminality and how we, as a society, should reflect upon the use of chemicals in the treatment for other forms of deviant behaviour.
[... D]espite the early evidence of effectiveness in treatment, it is unclear how SSRIs work in relation to the treatment of pedophilia. [...]
A further dilemma raised by the chemical treatment of pedophilia is the expectation of a permanent cure for this form of sexuality. Studies have demonstrated that pharmacological interventions do not change the pedophile's basic sexual orientation toward children. [...]
However, caution is required to make sure that we do not find ourselves dis-enhancing or normalising traits that are simply the tail ends of a normal range of personality traits