- Oxford Library of Psychology
- The Oxford Handbook of Clinical Psychology
- Oxford Library of Psychology
- About the Editor
- A Prolegomenon to Clinical Psychology: Two 40-year Odysseys
- A History of Clinical Psychology
- Emerging Policy Issues for Psychology: A Key to the Future of the Profession
- Research Methods in Clinical Psychology
- Evidence-based Assessment
- Schools of Psychotherapy and the Beginnings of a Scientific Approach
- Evidence-based Practice in Clinical Psychology
- Training, Credentialing, and New Roles in Clinical Psychology: Emerging Trends
- The Role of Psychology in Emerging Federal Health-care Plans
- Ethical Issues in Clinical Psychology
- Creating Public Health Policy: The Dissemination of Evidenced-based Psychological Interventions
- Interviewing and Case Formulation
- Diagnoses, Dimensions, and DSM-5
- The Anxiety-Depression Spectrum
- The Nature and Treatment of Bipolar Disorder and the Bipolar Spectrum
- Obsessive-Compulsive and Related Disorders
- Somatoform and Physical Disorders
- Trauma, Dissociation, and Post-traumatic Stress Disorder
- Eating Disorders
- Alcohol Use and Alcohol Use Disorders
- Sex and Gender Disorders
- Disorders of Impulse Control and Self-Harm
- The Spectrum of Personality Disorders
- Disorders of Development
- Cognitive Disorders in Adults
- Clinical Psychology Interventions in Primary Care
- Shifting Paradigms in Clinical Psychology: How Innovative Technologies Are Shaping Treatment Delivery
- Interventions in Forensic Settings: Juveniles in Residential Placement, Defendants in Drug Courts or Mental Health Courts, and Defendants in Forensic Hospitals as Incompetent to Stand Trial
- Clinical Neuropsychology
- Psychological Interventions in Health-care Settings
- Behavioral Interventions in Public Health Settings: Physical Activity, Weight Loss, and Smoking
- Behavioral Emergencies and Crises
- Clinical Interventions with Children and Adolescents: Current Status, Future Directions
- Couple Therapy: Theoretical Perspectives and Empirical Findings
- Interventions for Mental Health Problems in Later Life
- Working with Sexual-Minority Individuals
- Interventions with Culturally Diverse Populations
- The Future of Clinical Psychology: Promises, Perspectives, and Predictions
Abstract and Keywords
The present chapter provides a review of some of the primary psychological issues confronting sexual minorities (i.e., individuals with same-sex attractions and relationships). Our goal is to provide a flexible set of preliminary questions that can be used to help sexual-minority clients to articulate their own idiosyncratic experiences and give voice to their own unique needs. We begin by addressing two of the most common and important clinical issues faced by sexual minorities: generalized “minority stress” and acceptance and validation from the family of origin. We then turn attention to the vast—and vastly underinvestigated—population of individuals with bisexual attractions and behavior, who actually constitute the majority of the sexual-minority population, despite having been systematically excluded from most prior research. We review the increasing body of research suggesting that individuals with bisexual patterns of attraction and behavior actually face greater mental health risks than those with exclusive same-sex attractions and behavior, and we explore potential processes and mechanisms underlying this phenomenon, focusing particular attention on issues of identity development and transition over the life span. We conclude by outlining a number of areas for future clinically oriented research.
Lisa M. Diamond, Psychology Department, University of Utah.
Molly R. Butterworth, Psychology Department, University of Utah.
Ritch C. Savin-Williams, Department of Human Development, Cornell University.
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