Department of Psychology, School of Psychology, Jiangxi Normal University.
Department of Educational Psychology, Faculty of Education, Chinese University of Hong Kong.
J Couns Psychol. 2023 Jul;70(4):367-376. doi: 10.1037/cou0000672. Epub 2023 Apr 27.
Research has consistently shown the importance of affirmative practice when therapists work with lesbian, gay, bisexual, queer/questioning (LGBQ) clients. However, less is known about factors that may influence the extent to which clients benefit from affirmative practice. The present study intends to address this gap by examining whether LGBQ affirmative practice would be positively associated with psychological well-being, and whether individuals factors including internalized homophobia (IH), reciprocal filial piety (RFP; providing care and support for parents based on affective bonding), and authoritarian filial piety (AFP; showing unconditional obedience to parents based on parental authority) would moderate this relationship. A total of 128 Chinese LGBQ clients (50% male, 38.3% female, and 11.7% nonbinary/gender queer; age: = 25.26 years, = 5.46) from 21 provinces and regions completed the online survey. Results revealed that LGBQ affirmative practice was positively associated with psychological well-being after controlling for LGBQ clients' pretherapy distress and therapists' credibility. Such association was greater for LGBQ clients who had higher levels of IH and AFP, whereas such effect did not vary with RFP. This study provides preliminary empirical evidence for the effectiveness of LGBQ affirmative practice in psychological health among Chinese LGBQ clients. Moreover, LGBQ affirmative practice might be more helpful for LGBQ clients with higher IH and AFP. These findings implicate that Chinese counselors and therapists should engage in LGBQ affirmative practice when they work with LGBQ clients, especially for those who have high levels of IH and AFP. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
研究一直表明，治疗师在与女同性恋、男同性恋、双性恋、酷儿/质疑（LGBQ）来访者合作时，肯定性实践的重要性。然而，对于可能影响来访者从肯定性实践中受益程度的因素知之甚少。本研究旨在通过检查 LGBQ 肯定性实践是否与心理健康呈正相关，以及个体因素（包括内化的恐同症（IH）、互惠孝顺（RFP；基于情感纽带为父母提供照顾和支持）和专制孝顺（AFP；基于父母权威无条件服从父母）是否会调节这种关系，来解决这一差距。共有来自 21 个省、自治区的 128 名中国 LGBQ 来访者（50%为男性，38.3%为女性，11.7%为非二元性别/酷儿；年龄： = 25.26 岁， = 5.46）完成了在线调查。结果表明，在控制了 LGBQ 来访者治疗前的困扰和治疗师的可信度后，LGBQ 肯定性实践与心理健康呈正相关。对于 IH 和 AFP 水平较高的 LGBQ 来访者，这种关联更大，而 RFP 则没有这种差异。本研究为中国 LGBQ 来访者中 LGBQ 肯定性实践对心理健康的有效性提供了初步的实证证据。此外，LGBQ 肯定性实践对于 IH 和 AFP 水平较高的 LGBQ 来访者可能更有帮助。这些发现表明，中国顾问和治疗师在与 LGBQ 来访者合作时应进行 LGBQ 肯定性实践，尤其是对于那些 IH 和 AFP 水平较高的来访者。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
