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This study compares U.S. university counseling center therapy outcomes of Sexual Minority (SM) students who attend religiously-affiliated compared to SM peers who attend non religiously-affiliated institutions. Using archival data from the Center for Collegiate Mental Health (CCMH), we examined psychotherapy outcomes of 4257 SM student clients.We analyzed pre-treatment symptoms and post-treatment outcomes based on differences in Distress Index (DI) scores. We used the reliable change index (RCI) to separate outcomes into four groups based on the change in distress index level: no change, deteriorating, reliably improved, recovered from pre-treatment to post-treatment. Our participants (n = 4257) attended 34 religiously and non-religiously affiliated institutions (matched by geographical location, size, and percentage of the student body that were SM and sought therapy at the college counseling center). We found that SM students at religiously affiliated institutions had lower pretreatment and posttreatment distress scores than their peers at non-religiously affiliated institutions. Furthermore, gay students across universities consistently presented with lower distress than lesbian, bisexual, questioning, or self-identifying students. However, a larger proportion of SM students at non-religiously affiliated institutions achieved a reliable change status of recovered from their presenting distress levels, while a larger proportion of SM students at religiously affiliated institutions remained in the no change category. We found a significant effect of religious affiliation and Sexual Orientation (SO) on pretreatment distress scores, F(2, 4255) = 18.395, p < .001, and posttreatment distress scores, F(1, 4255)=15.199, p = .035), with moderate effect sizes (d=.137, and .061, respectively). Our findings emphasize the importance of culturally competent and affirming practices, ensuring that interventions resonate with the varied religious and cultural experiences of SM individuals. This is not just a research endeavor; it is a collective responsibility to foster campuses that prioritize the mental health and well-being of every student.

Despite legal and policy advancements in South Africa, prejudice, discrimination and victimisation are still a reality for many lesbian, gay and bisexual (LGB) people in the country. The Psychological Society of South Africa (PsySSA) has embarked on a process to develop lesbian, gay, bisexual, transgender and intersex (LGBTI) affirmative practice guidelines for psychology professionals, when working with these client populations. As a part of the larger objective, this research study highlights LGB people’s experiences of psychotherapy and counselling in South Africa as possible inputs for the mentioned practice guidelines. Qualitative in-depth interviews were conducted with selected participants. The results indicate that some aspects of LGB people’s experiences are similar to those of anyone in psychotherapy or counselling, but also that there are distinct differences. Negative experiences were almost exclusively due to the counsellor being disaffirming of the client's sexual orientation. Self-acceptance and the development of alternative perspectives of sexuality were more prominent outcomes of counselling compared to studies among broader populations. The participants’ feedback on a list of affirmative statements provides a potential basis for future affirmative practice guidelines. / Psychology / M. A. (Clinical Psychology)

"A Master's paper submitted to the faculty of the School of Information and Library Science of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Master of Science in Library Science." / Title from PDF title page (viewed on May 21, 2006). Includes bibliographical references (p. 22-23, 28-33).

Despite legal and policy advancements in South Africa, prejudice, discrimination and victimisation are still a reality for many lesbian, gay and bisexual (LGB) people in the country. The Psychological Society of South Africa (PsySSA) has embarked on a process to develop lesbian, gay, bisexual, transgender and intersex (LGBTI) affirmative practice guidelines for psychology professionals, when working with these client populations. As a part of the larger objective, this research study highlights LGB people’s experiences of psychotherapy and counselling in South Africa as possible inputs for the mentioned practice guidelines. Qualitative in-depth interviews were conducted with selected participants. The results indicate that some aspects of LGB people’s experiences are similar to those of anyone in psychotherapy or counselling, but also that there are distinct differences. Negative experiences were almost exclusively due to the counsellor being disaffirming of the client's sexual orientation. Self-acceptance and the development of alternative perspectives of sexuality were more prominent outcomes of counselling compared to studies among broader populations. The participants’ feedback on a list of affirmative statements provides a potential basis for future affirmative practice guidelines. / Psychology / M. A. (Clinical Psychology)