AGLBICAL n Association of Gay, Lesbian & Bisexual Issues in Counseling of Alabama n www.aglbical.org
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AGLBICAL STATEMENT On Saturday, September 22nd, the AGLBICAL executive committee met prior to the general meeting to discuss a number of issues. It was during this time that the committee decided to propose and develop a position statement for AGLBICAL on sexual orientation and gender identity/expression.
Background
The Association of Gay, Lesbian, and Bisexual Issues in Counseling of Alabama (AGLBICAL) believes professional counselors are committed to facilitating and promoting the fullest, possible development of each individual. Professional counselors work to reduce the barriers of misinformation, myth, ignorance, hatred, and discrimination based on sexual orientation, gender identity, and gender expression. AGLBICAL is committed to equal opportunity and respect for all individuals regardless of sexual orientation, gender identity, and gender expression.
Rationale
Many internal and external obstacles exist in society that inhibit individuals from accurately understanding and developing a healthy view of their sexual orientation, gender identity, or gender expression. AGLBICAL advocates for professional counselors to become accurately informed and aware of the ways systemic barriers, including public and institutional policies and practices, limit the opportunities and infringe upon the rights and privileges of all individuals. Specifically, AGLBICAL is opposed to harm perpetrated against gay, lesbian, bisexual, and transgender individuals through language, stereotypes, myths, misinformation, threat of expulsion from social and institutional structures and other entities, and from beliefs contrary to their identity.
Summary
Therefore, AGLBICAL is committed to the inclusion of and respect for individuals of all sexual orientations, gender identities, and gender expressions. AGLBICAL supports the raising of awareness of all individuals regarding issues related to sexual orientation, gender identity, and gender expression as well as the increased modeling of inclusive language, advocacy and equal opportunity for all people. AGLBICAL advocates this position in order to lessen if not eliminate individual, social, and institutional behaviors and expectations limiting the full development of human potential in all populations.
The Codes of Ethics from the following organizations were used in the development of this position statement: The American Counseling Association (ACA Code of Ethics, 2005), The American School Counselor Association Code of Ethics, and the American School Counselor Association Position Statement: Sexual Orientation of Youth (Adopted 1995, Revised 2000).
AGLBIC STATEMENT
DEAR ABBY
APA STATEMENT
In 1973 the
American Psychiatric Association removed homosexuality from the official
manual that lists mental and emotional disorders. Two years later, the
American Psychological Association passed a resolution supporting the
removal. Both associations urge all mental health professionals to help
dispel the stigma of mental illness that some people still associate
with homosexual orientation. What Is Sexual Orientation? Sexual Orientation is an enduring emotional, romantic, sexual or affectional attraction to another person. It is easily distinguished from other components of sexuality including biological sex, gender identity (the psychological sense of being male or female) and the social gender role (adherence to cultural norms for feminine and masculine behavior). Sexual orientation exists along a continuum that ranges from exclusive homosexuality to exclusive heterosexuality and includes various forms of bisexuality. Bisexual persons can experience sexual, emotional and affectional attraction to both their own sex and the opposite sex. Persons with a homosexual orientation are sometimes referred to as gay (both men and women) or as lesbian (women only).
There are numerous theories about the origins of a person's sexual orientation; most scientists today agree that sexual orientation is most likely the result of a complex interaction of environmental, cognitive and biological factors. In most people, sexual orientation is shaped at an early age. There is also considerable recent evidence to suggest that biology, including genetic or inborn hormonal factors, play a significant role in a person's sexuality. In summary, it is important to recognize that there are probably many reasons for a person's sexual orientation and the reasons may be different for different people.
No, human beings can not choose to be either gay or straight. Sexual orientation emerges for most people in early adolescence without any prior sexual experience. Although we can choose whether to act on our feelings, psychologists do not consider sexual orientation to be a conscious choice that can be voluntarily changed.
Can Therapy Change Sexual Orientation? No. Even though most homosexuals live successful, happy lives, some homosexual or bisexual people may seek to change their sexual orientation through therapy, sometimes pressured by the influence of family members or religious groups to try and do so. The reality is that homosexuality is not an illness. It does not require treatment and is not changeable. However, not all gay, lesbian, and bisexual people who seek assistance from a mental health professional want to change their sexual orientation. Gay, lesbian, and bisexual people may seek psychological help with the coming out process or for strategies to deal with prejudice, but most go into therapy for the same reasons and life issues that bring straight people to mental health professionals.
Some therapists who undertake so-called conversion therapy report that they have been able to change their clients' sexual orientation from homosexual to heterosexual. Close scrutiny of these reports however show several factors that cast doubt on their claims. For example, many of the claims come from organizations with an ideological perspective which condemns homosexuality. Furthermore, their claims are poorly documented. For example, treatment outcome is not followed and reported overtime as would be the standard to test the validity of any mental health intervention.
No. Psychologists, psychiatrists and other mental health professionals agree that homosexuality is not an illness, mental disorder or an emotional problem. Over 35 years of objective, well-designed scientific research has shown that homosexuality, in and itself,is not associated with mental disorders or emotional or social problems. Homosexuality was once thought to be a mental illness because mental health professionals and society had biased information. In the past the studies of gay, lesbian and bisexual people involved only those in therapy, thus biasing the resulting conclusions. When researchers examined data about these people who were not in therapy, the idea that homosexuality was a mental illness was quickly found to be untrue.
Yes. Studies comparing groups of children raised by homosexual and by heterosexual parents find no developmental differences between the two groups of children in four critical areas: their intelligence, psychological adjustment, social adjustment, and popularity with friends. It is also important to realize that a parent's sexual orientation does not dictate his or her children's.
Because sharing that aspect of themselves with others is important to their mental health. In fact, the process of identity development for lesbians, gay men and bisexuals called "coming out", has been found to be strongly related to psychological adjustment—the more positive the gay, lesbian, or bisexual identity, the better one's mental health and the higher one's self-esteem.
For some gay and bisexual people the coming out process is difficult, for others it is not. Often lesbian, gay and bisexual people feel afraid, different, and alone when they first realize that their sexual orientation is different from the community norm. This is particularly true for people becoming aware of their gay, lesbian, or bisexual orientation as a child or adolescent, which is not uncommon. And, depending on their families and where they live, they may have to struggle against prejudice and misinformation about homosexuality. Children and adolescents may be particularly vulnerable to the deleterious effects of bias and stereotypes. They may also fear being rejected by family, friends, co-workers, and religious institutions. Some gay people have to worry about losing their jobs or being harassed at school if their sexual orientation became well known. Unfortunately, gay, lesbian and bisexual people are at a higher risk for physical assault and violence than are heterosexuals. Studies done in California in the mid 1990s showed that nearly one-fifth of all lesbians who took part in the study and more than one-fourth of all gay men who participated had been the victim of a hate crime based on their sexual orientation. In another California study of approximately 500 young adults, half of all the young men participating in the study admitted to some form of anti-gay aggression from name-calling to physical violence.
Research has found that the people who have the most positive attitudes toward gay men, lesbians and bisexuals are those who say they know one or more gay, lesbian or bisexual person well—often as a friend or co-worker. For this reason, psychologists believe negative attitudes toward gay people as a group are prejudices that are not grounded in actual experiences but are based on stereotypes and prejudice.
Educating all people about sexual orientation and homosexuality is likely to diminish anti-gay prejudice. Accurate information about homosexuality is especially important to young people who are first discovering and seeking to understand their sexuality—whether homosexual, bisexual, or heterosexual. Fears that access to such information will make more people gay have no validity—information about homosexuality does not make someone gay or straight.
No. This is a commonly
held myth. In reality, the risk of exposure to HIV is related to a
person's behavior, not their sexual orientation. What's important to
remember about HIV/AIDS is it is a preventable disease through the use
of safe sex practices and by not using drugs.
ASCA STATEMENT Professional school counselors are committed to facilitating and promoting the fullest possible development of each individual by reducing the barriers of misinformation, myth, ignorance, hatred and discrimination based on sexual orientation. Professional school counselors are in a field committed to human development and must be sensitive to the use of inclusive language and positive modeling. ASCA is committed to equal opportunity and respect for all individuals regardless of sexual orientation.
ACA STATEMENT
ACA CODE OF
ETHICS Emphasis on multiculturalism, diversity issues among major changes By Michael M. Kocet
A central focus of our professional code of ethics is to help guide professional practice with clients, students, supervisees, colleagues and research participants. A code of ethics is designed to protect the well-being of those served by counselors, as well as to advance the work of the profession. The purpose of this article is to highlight some of the main changes in the 2005 ACA Code of Ethics. Readers are encouraged to log onto the ACA website at www.counseling.org/ethics to access the revised code. The new code is also being published in this issue of Counseling Today beginning on page 25.
The 2005 ACA Code of Ethics consists of eight main sections broken down into the following areas: The Counseling Relationship; Confidentiality, Privileged Communication and Privacy; Professional Responsibility; Relationships With Other Professionals; Evaluation, Assessment and Interpretation; Supervision, Training and Teaching; Research and Publication; and Resolving Ethical Issues. A new glossary is also provided to help readers understand key counseling terms and how they are defined in the document.
Another feature is a section that outlines the five main purposes of the ACA Code of Ethics: The code enables the association to clarify to current and future members, and to those served by members, the nature of the ethical responsibilities held in common by its members.
• The code helps support the mission of the association. • The code establishes principles that define ethical behavior and best practices of association members. • The code serves as an ethical guide designed to assist members in constructing a professional course of action that best serves those utilizing counseling services and best promotes the values of the counseling profession. • The code serves as the basis for the processing of ethical complaints and inquiries against members of the association.
Multiculturalism and diversity issues
An important component threaded through the 2005 ACA Code of Ethics is the emphasis on multicultural and diversity issues facing counseling professionals. A new subsection, "A.1.d. Support Network Involvement," is just one example. It states that "Counselors recognize that support networks hold various meanings in the lives of clients and consider enlisting the support, understanding and involvement of others (e.g., religious/spiritual/community leaders, family members, friends) as positive resources, when appropriate, with client consent." This section represents a variance from the 1995 code of ethics, which only addressed the role of family involvement. The 2005 code broadens this section to include any person from the perspective of the client who plays a central role in that client's life.
Another culturally relevant example contained in the 2005 code is "A.10.e. Receiving Gifts," which states: "Counselors understand the challenges of accepting gifts from clients and recognize that in some cultures, small gifts are a token of respect and showing gratitude. When determining whether or not to accept a gift from clients, counselors take into account the therapeutic relationship, the monetary value of the gift, a client's motivation for giving the gift and the counselor's motivation for wanting or declining the gift." A final example of cultural issues affecting the counseling relationship is in the section on diagnosis of mental disorders. "E.5.b. Cultural Sensitivity" states that "Counselors recognize that culture affects the manner in which clients' problems are defined. Clients' socioeconomic and cultural experiences are considered when diagnosing mental disorders."
Dual/multiple relationships
A paradigm shift is currently taking place within the counseling profession and within other mental health organizations when it comes to traditional views on dual or multiple relationships. Recently, ethics scholars have called attention to the fact that not all dual or multiple relationships should be avoided or viewed as harmful. In fact, some argue that dual/multiple relationships within a counseling context can actually be growth enhancing. To speak to this change, the revised code of ethics contains "A.5.d. Potentially Beneficial Interactions." It states in part, "When a counselor-client nonprofessional interaction with a client or former client may be potentially beneficial to the client or former client, the counselor must document in case records (when feasible) the rationale for such an interaction, the potential benefit and anticipated consequences for the client or former client and other individuals significantly involved with the client or former client."
Counselors should consult the 2005 ACA Code of Ethics for a detailed explanation of this section of the document.
End-of-life care
A new addition to the 2005 ethics code is Section A.9, which discusses end-of-life care for terminally ill clients. ACA is one of the few national mental health-related organizations to specifically address end-of-life care in its ethics code. While this section does not endorse or prescribe one single way of approaching this sensitive issue, it does stress the importance of the counselor being competent to work with clients facing end-of-life issues. Counselors handling end-of-life issues with clients should seek supervision and consultation to help clients receive competent care from a wide range of professionals. Counselors should also work toward supporting the client's ability to make informed judgments on end-of-life decisions that foster the client's ability for self-determination.
Use of technology
Section A.12, "Technology-Assisted Services," integrates ACA's 1999 Ethical Standards for Internet Online Counseling and broadens ethical use of technology in research, record-keeping and provision of services to consumers.
Counselor impairment and transfer of clients
More detailed language was added to the section on counselor impairment (SectionC.2.g.), and a new section was added that addresses the importance for all counseling professionals, regardless of setting, to create a plan for the transfer of clients and records to an appropriate colleague in the event of a counselor's incapacitation, death or termination of practice (Section C.2.h.).
Supervision, training and teaching
A number of changes were also made to Section F, which deals with supervision, training and teaching. Counselor educators, those who supervise counseling trainees and counseling students are encouraged to pay particularly close attention to this section devoted to the training and competence of new counseling professionals. Section F deals with such areas as supervisory relationships, potentially beneficial relationships between supervisors and supervisees, endorsement, counselor educators, student welfare and orientation, self-growth experiences, impairment of counseling students and ethical evaluation of students' performances within their academic preparation.
Miscellaneous changes
Other noteworthy items found in the 2005 ACA Code of Ethics are related to changes in terminology that have evolved since the last revision of the code. These changes include (but are not limited to) a shift from the 1995 code's use of the word "tests" in Section E to the use of the term "assessment" in 2005. It was determined that "assessment" has a broader, more holistic meaning. In addition, use of the term "research participants" is intended to be more inclusive and less clinically detached than the previous term in use, "research subject." Section E also helps counselors address the appropriate handling of records during the research process and the confidentiality of people involved in research projects. The final section of the code of ethics, Section H, helps practitioners address ethical dilemmas and outlines the appropriate ethical behavior counselors are expected to uphold.
While this article provides a brief and general overview of a few revisions to the ACA Code of Ethics, it is important to take the time to carefully review the entire document and understand both the specific and the broad changes that have evolved between the 1995 and 2005 documents. In the coming months, books and scholarly articles addressing specific sections of the 2005 ACA Code of Ethics will be available. It's important at all stages of professional development to have an ethics library at your disposal should the need arise to consult with the ethics literature. ACA members are strongly encouraged to consult with ethics experts in the field on the impact that the 2005 ACA Code of Ethics will have on counselors' daily work. The 2006 ACA/Canadian Counselling Association Convention in Montreal will have a presidential program addressing the new code, and all are encouraged to attend the various training and continuing education opportunities that will be available.
It is critical to examine the professional code of ethics from a cultural and contextual perspective rather than seeing it simply as a list of dos and don'ts. No code of ethics can prescribe what actions counselors are to take in every situation. Through supervision, consultation and careful personal reflection, the ACA Code of Ethics can be one of many tools at a counselor's disposal when faced with a challenging ethical dilemma. It has been a privilege to serve the counseling profession by helping to create the 2005 ACA Code of Ethics. I want to personally thank all the members of the ACA Code Revision Task Force, as well as the ACA leadership and staff who made it possible to revise this important document that impacts every single member of our association. Should you have any questions or comments, do not hesitate to contact me.
Michael M. Kocet, an assistant professor at Bridgewater State College, served as chair of the ACA Code Revision Task Force (2002-05) and is a member of the ACA Ethics Committee. He can be reached at mkocet@yahoo.com.
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AGLBICAL n Association of Gay, Lesbian & Bisexual Issues in Counseling of Alabama n www.aglbical.org