Internalized Homonegativity in Lesbian, Gay, and Bisexual Individuals: An Integrative Treatment Model
This capstone project’s main aims are to (1) identify psychotherapy interventions in the literature that specifically addresses internalized homonegativity (IH) in lesbian, gay, and bisexual individuals (LGBI), (2) present a conceptual model integrating several therapeutic approaches to target the multifaceted nature of IH, and (3) adapt the conceptual model for individual psychotherapy. Specifically, the systematic literature review (SLR) explored the research question, “What psychotherapeutic interventions have been identified in the literature to address the internalized homonegativity (IH) of LGB adult individuals?” The goal of the SLR was to identify the therapeutic approaches that had been adopted for use with LGBI, targeting IH. The findings illustrate four main psychotherapy approaches, (1) psychodynamic psychotherapy, (2) gay-affirmative therapy, (3) person-centered therapy, and (4) cognitive therapy. The conceptual model outlines a new and novel approach to treating IH in LGBI, named the Internalized Psychotherapy Model for Internalized Homonegativty (IPM-IH). The IPM-IH systematically integrates interventions from each of the four therapy models. The practice application paper builds on the conceptual paper by detailing how the IPM-IH is applied to individual therapy. The IPM-IH for individual therapy with LGBI is a three-stage approach that systematically addresses the intrapsychic, cognitive, and interpersonal functions implicated in IH. The treatment model describes the (1) assessment, (2) treatment, and (3) evaluation stages of treatment. While each paper has a particular focus, the culmination of the three papers results in a novel approach to working with LGBI with internalized homonegative biases.