This document discusses the LGBT community and how the field of psychology has evolved in working with LGBT clients. It addresses the impact on LGBT youth and families and effects to the population. The document also examines online therapy and traditional therapy approaches, as well as ongoing issues of discrimination. References are provided from the American Psychological Association and other sources on guidelines for working with LGBT clients, the effectiveness of internet therapy, and important LGBT issues.
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Editor's Notes
When it comes to the pressing issues of today’s society, there are those that just can not be ignored any more. The ones than are more and more main lining our society are the one’s about the way we look at gender. Or better yet categorize gender into role specifics. More and more we are coming out with more there are more gender neutral roles in society but yet they are being discriminated against. For These people coming out there are different avenues of help. There are options in therapy over the internet, in office visits with is the traditional way to go if it is more comfortable.
Deeply-embedded homophobic and transphobic attitudes, often combined with a lack of adequate legal protection against discrimination on grounds of sexual orientation and gender identity, expose many lesbian, gay, bisexual and transgender (LGBT) people of all ages and in all regions of the world to egregious violations of their human rights. They are discriminated against in the labour market, in schools and in hospitals, mistreated and disowned by their own families. They are singled out for physical attack – beaten, sexually assaulted, tortured and killed. In several countries, laws against cross dressing are used to punish transgender people on the basis of their gender identity and expression. And in some 77 countries, discriminatory laws criminalize private, consensual same-sex relationships – exposing individuals to the risk of arrest, prosecution, imprisonment — even, in at least five countries, the death penalty.
Concerns about these and related human rights violations have been expressed repeatedly by United Nations human rights mechanisms since the early 1990s. These mechanisms include the treaty bodies established to monitor States’ compliance with international human rights treaties, as well as the special rapporteurs and other independent experts appointed by the Human Rights Council to investigate and report on pressing human rights challenges (Office of the high commissioner for human rights, 1996-2015).
(Office of the high commissioner for human rights. (1996-2015). Combatting discrimination based on sexual orientation and gender identity. Retrieved from http://www.ohchr.org/EN/Issues/Discrimination/Pages/LGBT.aspx)
Psychologist are encouraged to be familiar with the many challenges that lesbian, Gay, Bisexual and Transgender individuals and their families face for example, social stigmatization, violence and prejudice. Other challenges include being rejected by family, coworkers and community. Some of the populations most affected are the (LBGT) community and their families especially (LGBT) youth. For example 40% of homeless youth identify themselves as (LGBT) while 68% of these homeless children were kicked out of their homes due to sexual orientation and 54% have said to have survived abuse from their families ("Buzzfeed Community", (2013). Many of the experiences these individuals face put them at risk of mental and physical health issues.
There are established guidelines for the psychological practice with (LDGT) individuals including education and training of psychologist in understanding the effects of stigma, same sex attraction and distinguish issues of sexual orientation. Effects on the field of psychology include factors such as acknowledging relationships and families, issues of diversity, economic and workplace issues, research education and training ("American Psychological Association", (2015)). For example the most important thing to understand is that being Gay, Lesbian, Bisexual or Transgender is not a mental illness of its self. However research does suggest (GLBT) individuals are more likely to be at risk for conditions such as depression, anxiety and substance abuse. Many of these conditions are a result of societal stigma, prejudice and discrimination from community and family therefore have a significant effect on the field of psychology.
There are unique challenges that psychologist face in treating (LGBT) individuals however most important is providing a safe and supportive environment. The APA is a resource for psychologist to assist them regarding their attitudes towards homosexuality and bisexuality issues as well as relationships with families of (LGBT) individuals. LGBT issues have changed over the years that have affected LGBT people and present many newer treatment challenges. Though some issues have not changed a newer generation of trends in the LGBT community has emerged into therapy. According to ("American Psychological Association", (2015)) LGBT people are seeing a resurgence of HIV infection among gay male youth including a number of identity issues. For example many people still need help coming out and therefore entering therapy to work through their concerns. Many other issues have also emerged with the creation of LGBT families as well as LGBT people in the workforce and generational differences. As a result psychologist are now tuning into these vast generational differences to better understand their clients’ needs.
Internet therapy is a new development in the mental health where the therapist or the counselor provides the psychological support via the internet. This can be accomplished through the internet phone, Video conferencing, email and online chat. it is however crucial to note that the internet counseling cannot replace the traditional therapy that is involved in psychotherapy (Bell, 2007)
The internet counseling has become popular to people suffering from panic disorder, obsessive compulsive disorder, depression and post-traumatic stress symptoms. Young adults are the most frequent users of this mode of mental health care access. The online therapists only offers guidance and advice to the people that are suffering from the various medical conditions but do not treat the mental illnesses online. Although there lacks research on its effectiveness, the e therapy offers the mental health professionals an alternative way for providing services to patients (Andersson, Carlbring, Berger, Almlöv, & Cuijpers, 2009).
The online or internet counseling is effective for many people but it is not appropriate for everyone. The internet counseling has experienced several challenges in the recent past. Most people believe that the internet counseling should be free given that they receive most of the services from the internet for free. However, the internet counseling has some limitations that makes people avoid it (Andersson, Carlbring, Berger, Almlöv, & Cuijpers, 2009). There are many factors to consider when seeking internet counseling such as privacy and confidentiality. Moreover the qualifications of the internet therapists are still a challenge, also the issues to do with ethical and legal issues are yet to be fully mainstreamed which will avoid future complications.
Discrimination is everywhere, but is does not mean that it has to be tolerated or that it has to be passed down. We live in a new age and in a new world where things are evolving into greater, newer and unique things. There are still help out there to help the individuals to adjust with the adjustments they are going through where it is through traditional therapy or online therapy. It is all about evolution.