1. Unifying science, education and service to transform lives Module 2: Cultural Issues for LGBT Clients A Provider’s Introduction to Substance Abuse for Lesbian, Gay, Bisexual, and Transgender Individuals First Edition

2. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues 1.Be able to define and understand sexual orientation, gender identity, and other aspects of diversity and identity 2.Be able to connect diversity, stigma, and the addiction recovery process 3.Understand the effect of homophobia and heterosexism on LGBT persons PowerPoint Slide #2-1 Learning Objectives

3. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Core Aspects of Identity Family of Origin Race Ethnicity Age Class Sexual Orientation Gender Identity Abilities Appearance Religion Other PowerPoint Slide # 2-2

4. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Definitions Stereotyping Prejudice Myths Stigma PowerPoint Slide # 2-3

5. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues HOMOPHOBIA and HETEROSEXISM Homophobia is an irrational fear of gay and lesbian people or fear of same-sex relationships. In its most extreme form, homophobia is a hatred for or violence against LGBT persons. Heterosexism is an assumption of heterosexuality and the heterosexual perspective as the predominant or meaningful viewpoint. Biphobia is fear of and hatred for bisexuality. Transphobia is fear of and hatred for transgender persons. PowerPoint Slide # 2-4

6. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Cultural Pain, Addiction, and Recovery Cultural pain is feeling “insecure, embarrassed, angry, confused, torn, apologetic, uncertain or inadequate because of conflicting expectations of and pressure from being a minority and an African American.” Bell, P. (1981) PowerPoint Slide # 2-5

7. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Examples of Cultural Pain African-Americans Resentment when another African-American seems to be denying his or her blackness Discomfort when another African-American uses black English in the presence of white people Discomfort when a white person is patronizing on black issues Anxiety when a white person seems to expect African- Americans to defend or explain questionable behavior by other black people. LGBT Persons PowerPoint Slide # 2-6

8. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Assimilation is adaptation to a new culture by taking on a new identity and abandoning the old cultural identity. PowerPoint Slide # 2-7

9. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Acculturation refers to accommodation to the rules and expectations of the majority culture without entirely giving up cultural identity. PowerPoint Slide # 2-8

10. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Culturally Immersed individuals have rejected mainstream culture, and their emotional and spiritual needs are met exclusively in their ethnic community or in the gay community. PowerPoint Slide # 2-9

11. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Traditional Individuals are defined as carriers of the community ethos. They neither overtly accept nor reject their ethnic identity. Most of their needs are met through their ethnic community, and they have limited contact with the dominant culture or any outside communities. PowerPoint Slide 2-10

12. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Core Aspects of Identity Family of Origin Race Ethnicity Age Class Sexual Orientation Gender Identity Abilities Appearance Religion Other PowerPoint Slide # 2-11

13. Unifying science, education and services to transform lives. A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 2 Cultural Issues Connecting the dots………….. LGBT people are a significant and important part of society. LGBT people have developed their own rich and unique cultural traditions and practices. LGBT persons are found within all other groups. Recovery demands coming to terms with the effect of shame, of oppression, of hurts PowerPoint Slide # 2-12