The Case of "Adam": Reflections and Future Directions

Three commentaries on "Targeting Sexual Stigma: The Hybrid Case Study of 'Adam' " (Mandel, 2014) present additional insights into providing psychotherapy for sexual minority clients who struggle with internalized homophobia, minority stress, and identity formation concerns. In his thoughtful response, Christopher Martell (2014) writes about heteronormativity, behavioral activation, multidimensional treatment, and the issue of “readiness” to address sexual orientation and identity in treatment. Rachel Proujansky and John Pachankis (2014) describe their exciting principle- and evidence-based LGB-affirmative psychotherapy, and explain the importance of addressing sexual behavior when working with sexual minority clients. Additionally, Daniel Chazin and Sam Klugman (2014) highlight key issues related to the coming-out process and systemic-level interventions. In the following response, I summarize the psychologists’ comments and provide feedback to further the dialogue regarding how to best serve the needs of sexual minority clients.