Counseling-Lgbtq-Adults-Throughout
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COUNSELING LGBTQ ADULTS THROUGHOUT THE LIFE SPAN LIFE THE THROUGHOUT ADULTS LGBTQ COUNSELING Roland and Burlew Counseling LGBTQ Adults Throughout the Life Span Catherine B. Roland, EdD, Senior Editor and Larry D. Burlew, EdD, Editor 6101 Stevenson Avenue, Suite 600 | Alexandria, VA 22304 703-823-9800 | 800-347-6647 | counseling.org ACA 6101 Stevenson Avenue, Suite 600 Alexandria, VA 22304 www.counseling.org Citation: Roland, C. B., & Burlew, L. D. (Eds.). (2017). Counseling LGBTQ adults throughout the life span. Retrieved from http://www.counseling. org/knowledge-center/lgbtq-resources i TARGETED TASK GROUP Robtrice Brawner Sandra I. Lopez-Baez Larry D. Burlew John Nance Adam Carter Dawn Norman Christian Chan Margaret O’Hara Michael Chaney Verna Oliva Franco Dipenza Monica Z. Osburn Patrick Faircloth Nicole Pulliam Tonya Hammer Jane E. Rheineck Bret Hendricks Rufus Tony Spann Quentin Hunter Stacey Speedlin Melanie Iarussi Laura Wheat Marcela Kepic Joy Whitman Leslie Kooyman Suzy Wise Vivian Lee Amy Zavadil Colleen Logan ii TABLE OF CONTENTS Editors and Contributors ...........................................iv Introduction....................................................................v Catherine B. Roland SEctION 1: YOUNG LGBTQ ADULTS Monica Z. Osburn and Robtrice Brawner, Coeditors Coming Out and Gay Identity Development .........................3 Family and Social Development................................................16 Colleen Logan and Adam Carter Quentin Hunter, Margaret O’Hara, and Colleen Logan Career Development ........................................................................6 Bias and Discrimination ................................................................20 Dawn Norman, Quentin Hunter, and Margaret O’Hara Amy Zavadil Religion and Spirituality ...............................................................10 Case Studies .......................................................................................23 Dawn Norman and Adam Carter Health Issues ......................................................................................13 Cara Alexis Levine SEctION 2: MIDLIFE LGBTQ ADULTS Jane E. Rheineck and Nicole Pulliam, Coeditors Coming Out and Gay Identity Development .......................27 Family and Social Development................................................46 Leslie Kooyman Melanie Iarussi Career Development ......................................................................36 Bias and Discrimination ................................................................52 Franco Dispenza and Nicole Pulliam Christian Chan Religion and Spirituality ...............................................................40 Case Studies .......................................................................................57 Verna Oliva and Rufus Tony Spann Health Issues ......................................................................................43 Stacey Speedlin SEctION 3: OLDER LGBTQ ADULTS Larry D. Burlew and Sandra I. Lopez-Baez, Coeditors Coming Out and Gay Identity Development .......................61 Family and Social Development................................................80 Michael Chaney and Joy Whitman Sandra I. Lopez-Baez and Laura Wheat Career Development ......................................................................66 Bias and Discrimination ................................................................85 Larry D. Burlew and Suzy Wise John Nance Religion and Spirituality ...............................................................71 Case Studies .......................................................................................90 Bret Hendricks and Tonya Hammer Health Issues ......................................................................................74 Marcela Kepic and Vivian Lee iii EDITORS Catherine B. Roland, Senior Editor Larry D. Burlew, Editor CONTRIBUTORS Larry D. Burlew Marcela Kepic Verna Oliva Adam Carter Leslie Kooyman Nicole Pulliam Christian Chan Vivian Lee Jane E. Rheineck Michael Chaney Cara Alexis Levine Rufus Tony Spann Franco Dispenza Colleen Logan Stacey Speedlin Tonya Hammer Sandra I. Lopez-Baez Laura Wheat Bret Hendricks John Nance Joy Whitman Quentin Hunter Dawn Norman Suzy Wise Melanie Iarussi Margaret O’Hara Amy Zavadil iv Introduction Catherine B. Roland, Senior Editor Counseling LGBTQ Adults Throughout the Life Span is a ment during the late 1980s and 1990s, Crenshaw (1989) dis- training and conceptual guide that can supplement the litera- cussed the experience of the individuals’ overlapping identities ture and practice knowledge for those working with adults who shaped by race, gender/gender identity, class, and culture. Sev- identify as a member of the LGBTQ community. The guide is eral years later, the intersection of other personal factors began a compilation of experiences of many professional counselors, to be seen as important in mental health treatment. Acknowl- counselor educators, counseling supervisors, and leaders in the edging the differences within each person, especially with spe- counseling profession, and it is the hoped that the guide will cific and unique aspects such as gender identity, race and class, illuminate the diverse views within the adult developmental and spirituality and religion, has become vital to the process of process as it pertains to issues of mental health, life satisfaction, working with midlife LGBTQ adults. Although connecting the and a focus on the uniqueness of the LGBTQ adult population. links between gender, race, sexuality, and class is not always We focused on the intersectionality of living as an adult who simple or at times even comfortable, it has become a necessary identifies as a lesbian, gay, bisexual, transgender or queer and skill to effective counseling of the LGBTQ community, across the process of growing and aging as a young, midlife and old- all stages of young, midlife, and older adulthood (Salazar & er adult. The challenges are as unique as they are similar. This Abrams, 2005). Giving credit and homage to the early creators may be due to the broader developmental process, with stages of the concept of intersecting parts of our multiple identities and tasks that may appear similar for all adults; however, the is not only important in connecting the mental health process specific timing and intensity around the developmental pro- and the historical experience of many marginalized groups, it cess that may surface due to the intersection of identity and all is the right thing to do. other aspects of developmental growth can be profound. Men- In conceptualizing the guide from the first, it was important tal health professionals, advisors, supervisors and those who to include an example of pertinent case studies, and there are teach counselors must become familiar with the differences in two such cases that can be found following the final section of the developmental process in order to understand the intersec- that stage. A suggestion might be to use these, or cases that a tions, or the factors of each LGBTQ individual, that play into reader may bring forward, to inform the practice and strate- the successful counseling process. Professionals must also em- gies to be included in a treatment plan, a counseling session or brace the pure difference of experience that can manifest from teaching moment. times in the life of an LGBTQ adult, from young adulthood I would like to thank some courageous and giving individ- to older, such as the very personal coming out process, career uals who comprised the core group and served as coeditors of confusion about acceptance and safety, family banishment or the developmental sections of this Guide. Robtrice Brawner, acceptance, partnering, and spiritual or religious acceptance, Nicole Pulliam, Sandra Lopez-Baez, I offer thanks and praise to name several. Awareness of intersectionality provides both for all the good work, the patience and the commitment. With- an exceptional window into who is really within that physical out the expertise of Larry Burlew, the conceptual brilliance of body, as well as the multiple roles that are played out every day Jane Rheineck, and the support, commitment, dedication, of the life of an LGBTQ individual. doggedness, and genius of Monica Osburn, trust when I share Intersectionality as a mental health concept is a fairly recent that the Guide wouldn’t exist today. There are no words, only addition to our literature; however, intersectionality as a po- appreciation, respect and admiration. litical/social concept is not. The idea for this guide, as well as References the ILLUMINATE Symposium, was generated through a belief that all parts of each of us are important and should be respect- Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, fem- ed and inform our work as counseling professionals. A bit of inist theory and antiracist politics. The University of Chicago Legal history may assist in understanding the etiology of the concept Forum, 140, 139–167. of intersectionality and inform best practice as we incorporate Salazar, C. F., & Abrams, L. P. (2005). Conceptualizing identity devel- the concept into our daily work with clients, supervisees, ad- opment in members of marginalized groups. Journal of Professional visees, and students. Emerging from the Black feminist move- Counseling: Practice, Theory and Research, 33, 47–59. u u u v SEctION 1: YOUNG LGBTQ ADULTS Coming Out and Gay Identity Development