Page 229 - Microaggressions in Everyday Live Race, Gender, and Sexual Orientation
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The Detrimental Impact of Sexual-Orientation Microaggressions  203

                     trustworthy, and valuable allies in the struggle for equality. LGBTs begin
                     to experience an increased sense of comfort with their sexual - orientation
                     identity, and begin the process of synthesis and integration of individual
                     identity, group identity, and universal identity.
                         It is important to note that sexual - orientation identity development models
                     describe a process of movement from dealing with heterosexism to liberation.
                     If we accept the Cass (1979) model as a description of desirable movement,
                     it is important to realize that heterosexism is such a powerful force in our

                     society that many LGBTs never make it out of the first stage, and that others
                     may be stuck in earlier stages throughout their lives. The blame for the dis-
                     ruption or inability to develop a positive sexual - orientation identity, however,
                     does not reside in being a gay or lesbian person, but rather can be attributed
                     to a hostile and invalidating heterosexist culture.

                         Psychological Distress and Mental Disorders

                       Same - sex relationships are not signs of mental disorders (Sue  &  Sue, 2008).
                     Studies show that  “ homosexuality ”  is unrelated to psychological disturbance
                     or maladjustment, and that there are few adjustment differences between a
                     gay/lesbian population and heterosexuals (Berube, 1990; Gonsiorek, 1982).
                     However, considerable evidence exists that exposure to heterosexual preju-
                     dice and discrimination is related to elevated rates of Major Depression,
                     Generalized  Anxiety Disorder, and substance abuse among gays/lesbians
                     (Szymanski, Kashubeck - West,  &  Meyer, 2008; Rienzo, Button, Sheu,  &  Li,
                     2006). Further, LGBTs are at higher risk for substance and alcohol related
                     problems (Cochran, Keenan, Schober,  &  Mays, 2000; Kennedy, 2005), and
                     internalized homophobia is found to be directly related to depressive symp-
                     toms (Frost  &  Meyer, 2009). LGBT youths report more substance use, high - risk
                     sexual behaviors, suicidal thoughts or attempts, and personal  safety issues
                     (Blake, Ledsky, Lehman,  &  Goodenow, 2001; Rienzo et al., 2006). They are
                     more likely to report social, emotional, and cognitive isolation, feelings of
                     extreme sadness and loneliness, lack of authenticity, impaired social relation-
                     ships, and constant feelings of threat and vigilance (Hunter  &  Mallon, 2000;
                     Szymanski et al., 2008).
                        Understanding of how heterosexism creates a hostile and intimidating
                     environment for LGBTs can be found in the following facts: compared
                     with heterosexuals, LGBTs are more like to have been abused as children
                     and adults, bullied in schools, and harassed in a multitude of environments










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