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The intersectionality of ethnicity and affectional orientation is discussed within this chapter, with special attention given to specific challenges faced by queer people of color (QPOC). Four elements of African American culture that may negatively impact queer-identified persons are: heterosexism, masculinity, issues surrounding HIV, and the role of the Black Church. In Latin Americans, concepts of machismo and marianismo, Catholicism, familismo, and respeto, are discussed in terms of their impact on LGBTQI+ persons. Authors also discuss elements of Asian culture that will impact queer-identified Asians: stigma, complementarity, collectivism and conformity, and shame. The importance of culture specific counseling is underscored. © 2017 by the American Counseling Association. All rights reserved.
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When providing counseling to a LGBTQI+ client, counselors must understand their ethical obligations, as well as attend to the multiple sets of counseling competencies. Using a multicultural and social justice counseling framework, counselors can situate their learning into very specific areas for LGBTQI+ clients: self-awareness of attitudes and beliefs, knowledge of issues faced by LGBTQI+ people, counseling skills, and action. Understanding common terminology, the history of the LGBTQI+ population, and modern issues faced by these communities can help lay the foundation for counselors working with LGBTQI+ persons. © 2017 by the American Counseling Association. All rights reserved.
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Many LGBTQI+ clients have been explicitly harmed by religious leaders and those using religious doctrine. This experience can go beyond discrimination and oppression; a person may have experienced serious emotional and spiritual abuse at the hands of faith practitioner attempting to condemn affectional orientation and/or gender identity variance in order to comply with religious doctrine. The current religious conflict with LGBTQI+ issues is briefly reviewed. Authors define and explore spiritual abuse, as well as the experience of spiritual abuse as experienced by a LGBTQI+ person. Counseling challenges and strategies are described. Specifically, the use of a trauma informed counseling approach as applied to clients who have experienced spiritual abuse is explored. © 2017 by the American Counseling Association. All rights reserved.
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The issues surrounding working with gay men in counseling are reviewed within this chapter. Prevalence, identity development, and relationships are explored. Gay males experience a significant amount of bias and discrimination; they are the largest single target of hate crimes within the LGBTQI+ population reported to the FBI every year. This risk is greater when intersectional minority identities are also present; more gay males are targets for hate crimes when they present as gender non-conforming, are men of color, as well as live in a rural area of the country. Authors explore physical and mental health issues related uniquely to gay male clients, as a result of the heightened minority stress. Affirmative counseling techniques for working with gay male clients is reviewed, with special attention given to developing counselor self-awareness, developmental counseling, and empowerment strategies. © 2017 by the American Counseling Association. All rights reserved.
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LGBTQI+ people face significant increased stress and marginalization surrounding their gender and/or affectional identities. The minority stress model (Meyer, 2003) serves as a helpful framework when understanding negative coping behaviors, and poor physical and mental health. Microaggressions, marginalization, discrimination, abuse, harassment, and experience of bias incidents all add to the LGBTQI+ person's stress. Intersectional identities may exponentially increase this stress, as is the case for queer persons of color. Authors consider general physical health and mental health risks for lesbian, gay male, bisexual, and transgender clients. Barriers to quality health care and protective factors are also covered. © 2017 by the American Counseling Association. All rights reserved.
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