The Process of Acceptance and Adjustment to Bisexuality through Cognitive-Behavioral Therapy with an Affirmative Approach

Case Study

Authors

DOI:

https://doi.org/10.33898/rdp.v33i123.1140

Keywords:

LGBTIQ , Bisexuality, Affirmative approach, Cognitive-behavioral therapy, single case study

Abstract

LGBTIQ+ people experience various situations of social stigmatization in their daily lives, affecting their emotional well-being and mental health. These negative attitudes can moderate the feelings and perceptions of those who become part of the group, as is the case with bisexuality. This study presents a cognitive-behavioral approach with an affirmative approach in a case of adaptation and acceptance of a client who recently "rediscovered" her bisexual orientation. During 12 sessions, through psychoeducation, cognitive restructuring, assertiveness training and exposure, the different problems detected were reduced in the client. Feelings of sadness and anxiety are reduced, perceived stress in problematic situations is reduced and her emotional management resources are optimized, obtaining better quantitative results in the Outcome Rating Scale. It is concluded that these psychotherapeutic approaches are effective.

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References

Alarie, M. y Gaudet, S. (2013). “I don’t know if she is bisexual or if she just wants to get attention”: Analyzing the various mechanisms through which emerging adults invisibilize bisexuality [«No sé si es bisexual o si solo quiere llamar la atención»: Analizando los diversos mecanismos a través de los cuales los adultos emergentes invisibilizan la bisexualidad]. Journal of Bisexuality, 13(2), 191–214. https://doi.org/10.1080/15299716.2013.780004

American Psychological Association (APA). (2011). Practice guidelines for LGB clients [Pautas de práctica para clientes LGB]. https://www.apa.org/pi/lgbt/resources/guidelines

Choi, A. Y. y Israel, T. (2019). Affirmative mental health practice with bisexual clients: Evidence-based strategies [Práctica afirmativa de salud mental con clientes bisexuales: Estrategias basadas en evidencia]. En J. E. Pachankis y S. A. Safren (Eds.), Handbook of evidence-based mental health practice with sexual and gender minorities (pp. 149–171). Oxford University Press. https://doi.org/10.1093/med-psych/9780190669300.003.0007

Craig, S. L., Austin, A. y Alessi, E. J. (2019). Cognitive-behavioral therapy for sexual and gender minority youth mental health [Terapia cognitivo-conductual para la salud mental de jóvenes de minorías sexuales y de género]. En J. E. Pachankis y S. A. Safren (Eds.), Handbook of evidence-based mental health practice with sexual and gender minorities (pp. 25–50). Oxford University Press. https://doi.org/10.1093/med-psych/9780190669300.003.0002

de Bruin, K. y Arndt, M. (2010). Attitudes toward bisexual men and women in a university context: Relations with race, gender, knowing a bisexual man or woman and sexual orientation [Actitudes hacia hombres y mujeres bisexuales en un contexto universitario: Relaciones con raza, género, conocer a un hombre o mujer bisexual y orientación sexual]. Journal of Bisexuality, 10(3), 233–252. https://doi.org/10.1080/15299716.2010.500955

Dodge, B., Herbenick, D., Friedman, M. R., Schick, V., Fu, T. J., Bostwick, W., Bartlet, E., Muñoz-Laboy, M., Pletta, D., Reece, M. y Sandfort, T. G. (2016). Attitudes toward bisexual men and women among a nationally representative probability sample of adults in the United States [Actitudes hacia hombres y mujeres bisexuales entre una muestra de probabilidad representativa a nivel nacional de adultos en los Estados Unidos]. PLoS ONE, 11(10), e0164430. https://doi.org/10.1371/journal.pone.0164430

Dyar, C., Feinstein, B. A. y Davila, J. (2019). Development and validation of a brief version of the Anti-Bisexual Experiences Scale [Desarrollo y validación de una versión breve de la Escala de Experiencias Anti-Bisexuales]. Archives of Sexual Behavior, 48(1), 175–189. https://doi.org/10.1007/s10508-018-1157-z

Dyar, C., Feinstein, B. A., Schick, V. y Davila, J. (2017). Minority stress, sexual identity uncertainty, and partner gender decision making among nonmonosexual individuals [Estrés de las minorías, incertidumbre sobre la identidad sexual y toma de decisiones sobre el género de la pareja entre personas no monosexuales]. Psychology of Sexual Orientation and Gender Diversity, 4(1), 87–104. https://doi.org/10.1037/sgd0000213

Dyar, C., Lytle, A., London, B. y Levy, S. R. (2015). Application of bisexuality research to the development of a set of guidelines for intervention efforts to reduce binegativity [Aplicación de la investigación sobre bisexualidad al desarrollo de un conjunto de pautas para los esfuerzos de intervención para reducir la binegatividad]. Translational Issues in Psychological Science, 1(4), 352–362. https://doi.org/10.1037/tps0000045

Ellis, A., Grieger, R. y Marañón, A. S. (1990). Manual de terapia racional-emotiva (Vol. 2). Desclée de Brouwer.

Feinstein, B. A. y Dyar, C. (2017). Bisexuality, minority stress, and health [Bisexualidad, estrés de las minorías y salud]. Current Sexual Health Reports, 9(1), 42–49. https://doi.org/10.1007/s11930-017-0096-3

Harris, R. S. Jr., (2010). Encuesta de Resultado. https://betteroutcomesnow.com/wp-content/uploads/2018/01/spanish.docx

Herek, G. M. (2002). Heterosexuals’ attitudes toward bisexual men and women in the United States [Las actitudes de los heterosexuales hacia los hombres y mujeres bisexuales en los Estados Unidos]. Journal of Sex Research, 39(4), 264–274. https://doi.org/10.1080/00224490209552150

International Lesbian, Gay, Bisexual, Trans and Intersex Association. (2019). Annual review of the Human Rights Situation of Lesbian, Gay, Bisexual, Trans and Intersex People in Europe and Central Asia 2020 [Informe anual de la situación de los Derechos Humanos de las Personas Lesbianas, Gay, Bisexuales, Trans e Intersexuales en Europa y Asia Central 2020]. ILGA Europe.

Israel, T., Choi, A. Y., Goodman, J. A., Matsuno, E., Lin, Y.-J., Kary, K. G. y Merrill, C. R. S. (2019). Reducing internalized binegativity: Development and efficacy of an online intervention [Reducción de la binegatividad internalizada: desarrollo y eficacia de una intervención en línea]. Psychology of Sexual Orientation and Gender Diversity, 6(2), 149–159. https://doi.org/10.1037/sgd0000314

Katz-Wise, S. L., Mereish, E. H. y Woulfe, J. (2017). Associations of bisexual-specific minority stress and health among cisgender and transgender adults with bisexual orientation [Asociaciones de estrés y salud de minorías bisexuales específicas entre adultos cisgénero y transgénero con orientación bisexual]. Journal of Sex Research, 54(7), 899–910. https://doi.org/10.1080/00224499.2016.1236181

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence [Prejuicio, estrés social y salud mental en poblaciones de lesbianas, gays y bisexuales: problemas conceptuales y evidencia de investigación]. Psychological Bulletin, 129(5), 674 – 697. https://doi.org/10.1037/0033-2909.129.5.674

Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A. y Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure [La escala de calificación de resultado: un estudio preliminar de la confiabilidad, validez y viabilidad de una breve medida analógica visual]. Journal of Brief Therapy, 2(2), 91-100.

Moggia, D., Niño-Robles, N., Miller, S. D. y Feixas, G. (2018). Psychometric properties of the outcome rating scale (ORS) in a Spanish clinical sample [Propiedades psicométricas de la escala de calificación de resultado (ORS) en una muestra clínica Española]. The Spanish Journal of Psychology, 21(30). https://doi.org/10.1017/sjp.2018.32

Moya, M., y Moya-Garófano, A. (2020). Discrimination, work stress, and psychological well-being in LGBTI workers in Spain [Discriminación, estrés laboral y bienestar psicológico en trabajadores LGBTI en España]. Psychosocial Intervention, 29(2), 93–101. https://doi.org/10.5093/pi2020a5

Mulick, P. S. y Wright, L. W. (2002). Examining the existence of biphobia in the heterosexual and homosexual populations [Examinando la existencia de bifobia en la población heterosexual y homosexual]. Journal of Bisexuality, 2(4), 45–64. https://doi.org/10.1300/J159v02n04_03

O’Shaughnessy, T. y Speir, Z. (2018). The state of LGBQ affirmative therapy clinical research: A mixed-methods systematic synthesis [El estado de la investigación clínica de la terapia afirmativa LGBQ: una síntesis sistemática de métodos mixtos]. Psychology of Sexual Orientation and Gender Diversity, 5(1), 82–98. https://doi.org/10.1037/sgd0000259

Pachankis, J. E. y Safren, S. A. (Eds.) (2019). Handbook of evidence-based mental health practice with sexual and gender minorities [Manual de práctica de salud mental basada en evidencia con minorías sexuales y de género]. Oxford University Press. https://doi.org/10.1093/med-psych/9780190669300.001.0001

Paul, R., Smith, N. G., Mohr, J. J. y Ross, L. E. (2014). Measuring dimensions of bisexual identity: Initial development of the Bisexual Identity Inventory [Medición de las dimensiones de la identidad bisexual: desarrollo inicial del Inventario de Identidad Bisexual]. Psychology of Sexual Orientation and Gender Diversity, 1(4), 452–460. https://doi.org/10.1037/sgd0000069

Ross, L. E., Dobinson, C. y Eady, A. (2010). Perceived determinants of mental health for bisexual people: a qualitative examination [Determinantes percibidos de la salud mental para personas bisexuales: un examen cualitativo]. American Journal of Public Health, 100(3), 496–502. https://doi.org/10.2105/AJPH.2008.156307

Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W. y Fehr, C. P. (2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis [Prevalencia de la depresión y la ansiedad entre las personas bisexuales en comparación con las personas homosexuales, lesbianas y heterosexuales: una revisión sistemática y un metanálisis]. Journal of Sex Research, 55(4–5), 435–456. https://doi.org/10.1080/00224499.2017.1387755

Fernández-Ballesteros, R. y Carrobles, J. A. I. (Eds.) (1987). Evaluación conductual: Metodología y aplicaciones. Pirámide.

Singh, A. A. y Dickey, L. M. ((2016). Affirmative counseling and psychological practice with transgender and gender non-conforming clients [Terapia afirmativa y práctica psicológica con clientes transgénero y no conformes con el género]. American Psychological Association.

Worthen, M. G. F. (2013). An argument for separate analyses of attitudes toward lesbian, gay, bisexual men, bisexual women, MtF and FtM transgender individuals [Un argumento para análisis separados de las actitudes hacia lesbianas, gays, hombres bisexuales, mujeres bisexuales, personas transgénero MtF y FtM]. Sex Roles, 68(11-12), 703–723. https://doi.org/10.1007/s11199-012-0155-1

Worthen, M. G. F., Lingiardi, V. y Caristo, C. (2017). The roles of politics, feminism, and religion in attitudes toward LGBT individuals: A cross-cultural study of college students in the USA, Italy, and Spain [Los roles de la política, el feminismo y la religión en las actitudes hacia las personas LGBT: un estudio transcultural de estudiantes universitarios en los EE. UU., Italia y España]. Sexuality Research and Social Policy, 14(3), 241–258. https://doi.org/10.1007/s13178-016-0244-y

Yost, M. R. y Thomas, G. D. (2012). Gender and binegativity: men’s and women’s attitudes toward male and female bisexuals [Género y binegatividad: actitudes de hombres y mujeres hacia los bisexuales masculinos y femeninos]. Archives of Sexual Behavior, 41(3), 691–702. https://doi.org/10.1007/s10508-011-9767-8

Published

2022-11-01

How to Cite

Rodríguez Riesco, L., Vivas, S., Ruiz-Duet, A. M., & Pérez-Calvo, C. (2022). The Process of Acceptance and Adjustment to Bisexuality through Cognitive-Behavioral Therapy with an Affirmative Approach: Case Study. Revista de Psicoterapia, 33(123), 235–250. https://doi.org/10.33898/rdp.v33i123.1140