First do no harm: Principles of care for clients with sexual identity confusion and/or conflict.

Individuals who experience sexual identity confusion and/or conflict face unique stressors and life circumstances for which they may seek psychotherapy; however, little specific guidance exists for therapists working with clients who experience sexual identity confusion and/or conflict. To meet this need, we present a framework for therapists whose clients experience distress related to sexual identity confusion and/or conflict. We first define and describe sexual identity confusion and conflict, situating both in developmental theories of sexual identity. We then review clinical approaches that have been used historically to inform treatment with clients experiencing sexual identity confusion and/or conflict. Next, we discuss guiding ethical and clinical principles to inform such a clinical approach. Then, we provide assessment and treatment recommendations. We conclude by discussing considerations for working with clients who are diverse in gender identity, race/ethnicity, age, sexual orientation, and religious affiliation. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Self-defining memories-Narrative features in relation to adaptive and maladaptive personality traits (replication and extension of Blagov & Singer, 2004).

OBJECTIVE: Self-defining memories (SDMs) are units of life-story analysis, whose features resemble elements from narrative identity's factorial structure. To bridge narrative-identity and personality-trait domains, we conducted a replication and extension of prior research. METHOD: We linked four SDM features - affect, specificity, meaning making, and content - to the Big Three trait domains of personality and psychopathology in a small sample that was well-powered for multilevel modeling (133 participants, 1330 SDMs). RESULTS: Affect SDM affect correlated with indices of Positive Emotionality and Negative Emotionality, and narrative themes of contamination were associated with Negative Emotionality. Specificity SDM specificity vs. overgenerality related to Constraint and Negative Emotionality indices, lending support to the executive dysfunction and emotional disorder theories of overgeneral autobiographical memory. (Tests of the avoidance thesis of overgeneral memory were inconclusive.) Meaning making Explicit meaning making in SDMs reflected adaptive personality. It moderated (or buffered) the link between SDMs' affect and chronic emotional distress. Content The links between SDM content and traits suggest that SDMs reflect personal goals, whose fulfillment or frustration relate to psychological health. CONCLUSIONS: This research serves replication purposes as well as the purpose of connecting two major domains of personality: narrative identity and adaptive and maladaptive traits.

Reducing Internalized Homonegativity: Refinement and Replication of an Online Intervention for Gay Men.

We refined and replicated an efficacious brief intervention to reduce internalized homonegativity (IH) with a sample of gay and exclusively same-sex attracted men recruited from outside of LGBT community networks using Amazon Mechanical Turk. We sought to 1) determine if levels of IH differed between the original study's community-based sample and our non-community-based sample, 2) examine the efficacy of the replicated intervention, and 3) assess for longitudinal effects of the intervention at a 30-day follow-up. Four hundred eighty-four participants completed either the intervention or a stress management control condition. Mean levels of IH were higher in the current sample compared with the earlier study's community sample. The intervention was efficacious at reducing global IH, reducing personal homonegativity, and increasing gay affirmation. Ninety-six participants completed the follow-up; follow-up results were not significant and may have been affected by high rates of attrition. Implications for research and practice are discussed.

L or G or B or T: Matching Sexual and Gender Minorities with Subpopulation-Specific Interventions.

Sexual and gender minorities (SGM) may benefit from psychological interventions tailored to specific subpopulations (e.g., lesbians, gay men, bisexual people, transgender people) given differing experiences with stigma. However, determining the inclusion/exclusion process for subpopulation-specific interventions is challenging and recommendations for this process are scarce. We developed and evaluated a matching procedure to place 1183 SGM participants into four targeted online interventions designed to reduce internalized stigma for lesbian, gay, bisexual, and transgender people. We evaluated participant attrition, efficacy, satisfaction with placement, and qualitative feedback across the four interventions. Results indicated that our matching procedure was time-efficient and largely successful in terms of low attrition, high satisfaction, and reaching segments of the SGM population not usually captured with the LGBT acronym. Based on these findings, we offer six practical guidelines for devising the inclusion/exclusion process or matching procedure for future subpopulation-specific SGM interventions studies.

An online intervention to promote predictors of supportive parenting for sexual minority youth.

This article presents the Parent Resource for Increasing Sexual Minority Support (PRISMS), an interactive online intervention designed by the authors to promote parental self-efficacy and behavioral intentions for supporting a sexual minority child. The intervention was developed based upon psychological literature about parent support and feedback from parents of sexual minority youth and psychologists, and contains 5 interactive online modules: normalizing parent experiences, psychoeducation, reflection upon existing support, rehearsal of support, and affirmation. We assessed the feasibility and acceptability of PRISMS and collected pilot data to assess its efficacy. One hundred eighty-four U.S. parents of sexual minority youth Ages 13 to 18 were recruited from Amazon Mechanical Turk and were randomly assigned to complete either PRISMS (n = 92) or a control: an existing resource with psychoeducation about sexual orientation (n = 92). Analyses revealed that PRISMS was highly acceptable to participants and established the noninferiority of the intervention relative to the control in terms of credibility and affect at posttest. Two analyses of covariance did not establish significant associations between PRISMS and parental self-efficacy or behavioral intentions for supportive parenting, although we found small effect sizes (d = .31 and .21). Post hoc exploratory analyses offered preliminary support for the efficacy of PRISMS with parents who were highly distressed about their child's sexual orientation, suggesting that this might be an important population for future research. We discuss implications for research and practice, including the importance of interventions for parents of sexual minority youth. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Triarchic Psychopathy Measure: Validity in Relation to Normal-Range Traits, Personality Pathology, and Psychological Adjustment.

The triarchic model of psychopathy replaces a syndromal view of this pathological personality condition with a tripartite trait-based conception, positing three distinct phenotypic dispositions as building blocks for what theorists have traditionally termed psychopathy. The Triarchic Psychopathy Measure (TriPM) offers an efficient means for measuring the three dimensions to facilitate research on the model's validity. We tested the reliability of the TriPM as well as its convergent and discriminant validity with respect to differing models of personality and other criterion variables reflecting social-emotional adjustment and mental health in an undergraduate participant sample (n = 120). The TriPM evidenced excellent internal consistencies, good test-retest reliability, and strong validity consistent with the triarchic model. We discuss the results with respect to prior research and offer suggestions for future research on the validity of the TriPM and the triarchic model.

Triarchic Psychopathy Measure: Validity in Relation to Normal-Range Traits, Personality Pathology, and Psychological Adjustment.

The triarchic model of psychopathy replaces a syndromal view of this pathological personality condition with a tripartite trait-based conception, positing three distinct phenotypic dispositions as building blocks for what theorists have traditionally termed psychopathy. The Triarchic Psychopathy Measure (TriPM) offers an efficient means for measuring the three dimensions to facilitate research on the model's validity. We tested the reliability of the TriPM as well as its convergent and discriminant validity with respect to differing models of personality and other criterion variables reflecting social-emotional adjustment and mental health in an undergraduate participant sample (n = 120). The TriPM evidenced excellent internal consistencies, good test-retest reliability, and strong validity consistent with the triarchic model. We discuss the results with respect to prior research and offer suggestions for future research on the validity of the TriPM and the triarchic model.