Exam Preview for 1972: When Identities Are In Conflict: Clinical Pr

When Identities Are In Conflict: Clinical Practice and Ethical Considerations With LGBT Religious Clients

Please note: exam questions are subject to change.

1. What is the most accurate statement with regard to religiosity and mental health outcomes? Religiosity is protective with regard to mental health, both for LGBT and non-LGBT individuals Religiosity is generally protective with regard to mental health but may be detrimental to the mental health of LGBT individuals. Religiosity is detrimental to mental health for both LGBT and non-LGBT individuals. Positive religious coping is detrimental to the mental health of LGBT individuals, while negative religious coping has a protective function.
2. Which statement best describes sexual-religious conflict? dissonance resulting from being religious and being a sexually active person dissonance resulting from discrimination and rejection based on one’s LGBT identity dissonance resulting from holding sexual and religious identities that are objectively incompatible with one another dissonance resulting from holding sexual and religious identities that are perceived to be incompatible with one another
3. How does Minority Stress Theory conceptualize the development of mental health problems in LGBT individuals? Distal stress factors, such as negative expectations, have both a direct and indirect effect on mental health outcomes, with the indirect effect being mediated by proximal stress factors such as low self-esteem. Proximal stress factors, such as depression, have both a direct and indirect effect on mental health outcomes, with the indirect effect being mediated by distal stress factors such as suicidal ideation. Distal stress factors, such as discrimination, have both a direct and indirect effect on mental health outcomes, with the indirect effect being mediated by proximal stress factors such as internalized homophobia and transphobia. Proximal stress factors, such as internalized homophobia and transphobia, have both a direct and indirect effect on mental health outcomes, with the indirect effect being mediated by distal stress factors such as discrimination.
4. What does the research indicate with regard to LGBT-religious conflict and suicidality? identity conflict that comes from dissonance felt between religious beliefs and LGBT identity was associated with higher risk of suicide. identity conflict that comes from dissonance felt between religious beliefs and LGBT identity does not have any impact on risk of suicide. the association between LGBT-religious conflict and suicidality is unknown. religiosity is a protective factor for suicidality, whether or not individuals are LGBT.
5. Which of the following is NOT a way that an LGBT individuals might attempt to manage dissonance between LGBT and religious identities? Modify religious views to be more accepting of LGBT identity and integrate identities Abandon religious beliefs Deny or repress sexual orientation/gender identity Successfully change sexual orientation/gender identity through reparative therapy
6. Your client is religious and transgender and is struggling to come out to his religious family. What direction would you take with this client? Help the client come out to his family and prepare him for their reactions. Help the client come out to his family if his family is supportive and it is his goal to come out to them. Encourage your client not to come out to his family as doing so could worsen his mental health outcomes. Do not provide any specific guidance and follow the client’s lead.
7. A religious client comes to you hoping that you can help him change his sexual orientation. What is the most ethical response? Explain that sexual orientation cannot be changed, and that reparative therapy is unethical. Provide an explanation of how therapy can help the client reconcile dissonance between his religious beliefs and his sexuality without attempting to change his sexual orientation. Agree to work with the client but do not provide any reparative therapy and instead secretly work on helping him accept his sexual orientation. State that you cannot work with this client because reparative therapy is unethical. Refer the client to another therapist who may be willing to work with the client.
8. What is one way in which religiosity can be a positive factor for an LGBT client? Using positive religious coping to believe that God dislikes the client because they are LGBT. Using positive religious coping to come out and live authentically. The client may be motivated to deconstruct their religion and live a less religious, more LGBT-affirming life. None of the above.
9. Which of the following best describes the ethical responsibility of a therapist when it comes to examining biases and assumptions about an LGBT religious client? Examine bias and beliefs about the client’s LGBT identity. Examine biases and assumptions about religion. Examine biases and assumptions about the client’s LGBT identity, their religious identity, and the fact that they hold both LGBT and religious identities. There is no need to examine biases and assumptions unless one is uncomfortable working with an LGBT client.
10. Raven is an 18-year-old non-binary, bisexual client who is Catholic. Their queer and religious identities are both very important to them, but their church is not affirming of their queer identity. What is the best direction you can take in therapy with Raven? Provide psychoeducation on the incompatibility between Catholicism and being queer and encourage Raven to deconstruct their beliefs. Assist Raven in coming out to their church and in advocating for their queer identity. Encourage Raven to switch to a more LGBT-affirming church. Identify Raven’s values around the issue and either help them advocate for their queerness at their church or assist them in finding an LGBT-affirming church.